Factors that affect patient reported outcome after anterior cruciate ligament reconstruction–a systematic review of the Scandinavian knee ligament registers

ObjectiveTo perform a systematic review of findings from the Scandinavian knee ligament registers with regard to factors that affect patient reported outcome after anterior cruciate ligament (ACL) reconstruction.DesignSystematic review.Data sourcesFour electronic databases: PubMed, EMBASE, the Cochr...

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Bibliographic Details
Published in:	British journal of sports medicine 2019-04, Vol.53 (7), p.410-417
Main Authors:	Hamrin Senorski, Eric, Svantesson, Eleonor, Baldari, Angelo, Ayeni, Olufemi R, Engebretsen, Lars, Franceschi, Francesco, Karlsson, Jón, Samuelsson, Kristian
Format:	Article
Language:	eng ; nor
Subjects:	Age Factors Anterior Cruciate Ligament Injuries - complications Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction - methods Anterior Cruciate Ligament Reconstruction - rehabilitation Arthritis Bias Cartilage, Articular - injuries Cartilage, Articular - surgery Clinical Medicine Data collection Female Hamstring Tendons - transplantation Humans Joint and ligament injuries Klinisk medicin Knee Library collections Male Orthopedics Ortopedi Patient Reported Outcome Measures Patients Quality of life Registries Scandinavian and Nordic Countries Sex Factors Studies Surgery Systematic review Tibial Meniscus Injuries - surgery Transplantation, Autologous
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Summary:	ObjectiveTo perform a systematic review of findings from the Scandinavian knee ligament registers with regard to factors that affect patient reported outcome after anterior cruciate ligament (ACL) reconstruction.DesignSystematic review.Data sourcesFour electronic databases: PubMed, EMBASE, the Cochrane Library and AMED were searched, and 157 studies were identified. Two reviewers independently screened the titles, abstracts and full text articles for eligibility. A modified version of the Downs and Black checklist was applied for quality appraisal.Eligibility criteria for selecting studiesStudies published from the Scandinavian registers from their establishment in 2004 and onwards that documented patient reported outcome and provided information on concomitant injuries were eligible.ResultsA total of 35 studies were included. Younger age at ACL reconstruction, male sex, not smoking and receiving a hamstring tendon autograft positively influenced patient reported outcome. Patients with concomitant cartilage and meniscal injuries reported inferior subjective knee function compared with patients with an isolated ACL tear. One study reported that patients treated non-reconstructively reported inferior knee function compared with patients who had ACL reconstruction.ConclusionYounger age, male sex, not smoking, receiving a hamstring tendon autograft and the absence of concomitant injuries were associated with superior patient reported outcomes after ACL reconstruction.
ISSN:	0306-3674 1473-0480 1473-0480