Low percentage of patients passed the ‘Back in Action’ test battery 9 months after bone-patellar tendon-bone anterior cruciate ligament reconstruction |
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| Institution: | 1. Department of Orthopedic Surgery and Traumatology, Sports Orthopedic Research Center Zuyderland, Dr. H. van der Hoffplein 1, 6162 BG, Sittard-Geleen, the Netherlands;2. Maastricht University, Faculty of Health Medicine & Life Sciences, Maastricht, the Netherlands;3. School of Care and Public Health Research Institute, Faculty of Health, Medicine & Life Sciences, Maastricht University Medical Center, Maastricht, the Netherlands;1. Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran;2. Students'' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran;1. Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110 076, India;2. Formerly with CSIR-NISTADS, New Delhi, 110 012, India;3. Government First Grade College, Jagalur, 577528, Karnataka, India;1. Department of Trauma & Orthopaedic Surgery, Queen Elizabeth Hospital Birmingham, UHB, Mindelsohn Way, Birmingham, B15 2GW, UK;2. Department of Radiology, Queen Elizabeth Hospital Birmingham, UHB, Mindelsohn Way, Birmingham, B15 2GW, UK;3. Department of Radiology, Royal Orthopaedic Hospital, Birmingham, Bristol Rd S, Northfield, Birmingham, B31 2AP, UK;1. Department of Physical Medicine and Rehabilitation, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, USA;2. Department of Neurosurgery, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, USA;3. Department of Research, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, USA;4. Department of Physical Medicine and Rehabilitation, Cleveland Clinic, Cleveland, OH, USA;1. Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, 751019, Odisha, India;2. Fellow in Joint Replacement, Department of Orthopaedics, Atlas Hospitals, Tiruchirappalli, 620002, Tamil Nadu, India;3. Department of Orthopaedics, Faculty of Medicine - Sri Lalithambigai Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, 600095, Tamil Nadu, India;4. South Texas Orthopaedic Research Institute (STORI Inc.), Laredo, TX, 78045, USA |
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| Abstract: | BackgroundAnterior cruciate ligament (ACL) reconstruction is recommended in patients who intend to return to high-level sports. However, there is only a 55–80% return to pre-injury level of sports after ACL reconstruction, with a re-injury rate up to 20%. The aim of this study was to determine the percentage of patients passing the Back in Action (BIA) test 9 months after primary bone-patellar-tendon-bone (BPTB) ACL reconstruction, and evaluate the association between passing the BIA test and patient reported outcome measurements (PROMs).MethodsPatients underwent the BIA test 9 months after BPTB ACL reconstruction. In total 103 patients were included. Passing the BIA test (PASSED-group) was defined as a normal or higher score at all sub-tests with limb symmetry index (LSI) ≥90% for the dominant leg and LSI >80% for the non-dominant leg. Patients who did not meet these criteria were defined as the FAILED-group. PROMs included the International Knee Documentation Committee, Knee injury Osteoarthritis Outcome Score and Anterior Cruciate Ligament-Return to Sport after Injury.ResultsEighteen patients (17.5%) passed the BIA test 9 months after BPTB ACL reconstruction. PROMs were not statistically significant different between the PASSED- and FAILED-group.ConclusionLow percentage of patients passed the BIA test 9 months after BPTB ACL reconstruction. Although current PROMs cut-off values were met, the BIA test results show persistent functional deficits. Therefore, the BIA test could be of additional value in the decision-making process regarding return to sport (RTS). This study highlights the need for additional rehabilitation as RTS in a condition of incomplete recovery may increase the risk of re-injury.Level of evidenceII. |
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| Keywords: | Anterior cruciate ligament Bone-patellar tendon-bone Functional performance Patient reported outcome Test battery |
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