| Institution: | 1. Department of Orthopedics and Sports Surgery, Zuyderland Medical Center, Sittard-Geleen, The Netherlands;2. School of Care and Public Health Research Institute, Faculty of Health, Medicine & Life Sciences, Maastricht University Medical Center, Maastricht, The Netherlands;1. Department of Orthopaedic Surgery, Level 7, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, UK;2. Edinburgh Orthopaedics Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, UK;3. School of Mathematics, Statistics and Physics, Newcastle University, Newcastle upon Tyne NE1 7RU, UK;4. Warwick Clinical Trials Unit Medical School Building, Coventry CV4 7HL, UK;5. Department of Orthopaedic Surgery, The James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK;1. Department of Orthopaedic surgery, Shiga University of Medical Science, Tsukinowa-cho, Seta Otsu, Shiga 520-2192, Japan;2. Department of Pediatrics, Shiga University of Medical Science, Tsukinowa-cho, Seta Otsu, Shiga 520-2192, Japan;3. Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Tsukinowa-cho, Seta Otsu, Shiga 520-2192, Japan;1. Salem Bone and Joint Center, Salem, Ohio, U.S.A.;2. Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland;3. Southern Oregon Orthopedics, Medford, Oregon, U.S.A.;4. Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon, U.S.A.;1. IRCCS Istituto Ortopedico Galeazzi, Milan, Italy;2. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy |
| Abstract: | BackgroundPredictors of patient satisfaction (PS) after anterior cruciate ligament (ACL) reconstruction are not well known. This study investigated predictors of PS and whether PS was associated with pre-injury level of sport participation, patient reported knee function and quality of life after ACL reconstruction.MethodsPatients who underwent primary hamstring ACL reconstruction between January 2015 and December 2017 were retrospectively evaluated. An online survey was used to evaluate PS (yes = satisfied, no = unsatisfied), duration of supervised postoperative rehabilitation, timing of return to pre-injury level of sport, pre-injury level of sport participation, patient reported knee function and quality of life. Preoperative, operative and postoperative variables were collected from the medical records.ResultsA total of 183 patients completed the survey at a median of 3.6 (1.5) years after ACL surgery. At final follow-up, 82% of patients were satisfied with the outcome. Preoperative (e.g. age) and operative (e.g. meniscal tear) variables were not predictors of PS (p > 0.05). Duration of supervised postoperative rehabilitation, timing of return to pre-injury level of sport and postoperative ACL injury were predictors of PS (p = 0.018, p = 0.016 and p < 0.001, respectively). Pre-injury level of sport participation was significantly higher in satisfied compared to unsatisfied patients: 44.7% (n = 67) versus 18.2% (n = 6) (p = 0.005). In addition, satisfied patients reported significantly higher patient reported knee function and quality of life compared to unsatisfied patients (p < 0.001).ConclusionThis study provided data on predictors of PS after primary ACL reconstruction. Furthermore, PS was associated with pre-injury level of sport participation, patient reported knee function and quality of life. |
