Study: Patients with bilateral ACL injuries have lower knee function, activity level
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Patients with contralateral ACL injuries after primary ACL reconstruction have lower knee function, activity level and quality of life scores compared with patients who undergo a single ACL reconstruction, according to Swedish researchers.
“Patients with bilateral ACL injuries reported poorer knee function and quality of life compared with those who had undergone unilateral ACL reconstruction. Their activities had changed, and they were dissatisfied with their current activity level,” Anne Fältström, RPT, and colleagues wrote in the abstract. “They had a high activity level before their first and second ACL injuries but an impaired activity level after their contralateral injury at follow-up.”
The mean Lysholm score for patients with bilateral ACL injuries was 82 points and the EQ-5D score was 75.5 ± 17.6. The median Tegner score was 9 points before injury, 7 points before the second injury and 4 points at last follow-up. ACL Deficiency Quality of Life scores and Knee Osteoarthritis Outcome Scores for pain, function and sports-related quality of life were lower in the bilateral ACL injury group. The researchers noted that activity was higher in patients with a bilateral ACL injury compared with patients who had a single ACL injury.
Disclosure: This study was funded in part by Futurum–The Academy of Healthcare, Jönköping County Council, Medical Research Council of Southeast Sweden, Faculty of Health Sciences at Linköping University, and the Swedish National Centre for Research in Sports.