High percentage of patients report satisfaction 10 years after ACL reconstruction
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COLORADO SPRINGS, Colo. — Results presented at the American Orthopaedic Society for Sports Medicine Annual Meeting showed a high percentage of patients remained satisfied with their knee 10 years after ACL reconstruction.
Laura J. Huston, MS, and colleagues collected 10-year data from 325 patients who underwent ACL reconstruction. Data included a patient-acceptable symptom state (PASS) question and patient-reported outcome measures, such as IKDC score, KOOS and Marx activity level. Researchers compared IKDC score, KOOS pain and Marx activity level between patients who did and those who did not achieve an acceptable state.
“Surgeons were also asked to complete a questionnaire at the time of the patient’s surgery regarding graft choice, meniscal and articular cartilage pathology, and treatment, as well as the surgical technique,” Huston said in her presentation here.
At 10-year follow-up, Huston noted 87% of patients reported being satisfied with the current state of their knee vs. 13% who reported being dissatisfied.
“There was a significant difference in all 10-year patient-reported outcome scores between the patients who were satisfied with their knee, who answered ‘yes’ on the PASS, vs. those who weren’t or answered ‘no’ on the PASS,” Huston said.
Using area under the curve plots, the IKDC and KOOS quality of life scores correlated the best with patient satisfaction at 10 years, while the Marx activity score had the poorest correlation, according to Huston.
“Using regression modeling, we found that patients who had any sort of subsequent surgery were 2.5 times more likely to report dissatisfaction,” Huston said.
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Huston LJ, et al. Paper 03. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 13-17, 2022; Colorado Springs, Colo.
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