Identifying Clinical and MRI Characteristics Associated with Quality of Life in Patients with Anterior Cruciate Ligament Injury: Prognostic Factors for Long-Term

Eleuterio A. Sánchez Romero, Tifanny Lim, José Luis Alonso Pérez, Matteo Castaldo, Pedro Martínez Lozano, Jorge Hugo Villafañe

Research output: Contribution to journalJournal articleResearchpeer-review

8 Citations (Scopus)
15 Downloads (Pure)

Abstract

Background: Associated lesions in the diagnostic MRI may be related to worse long-term subjective outcomes. There is a lack of conclusive information about the long-term outcomes of associated injuries in anterior cruciate ligament (ACL) tears. The purpose of this study is to assess the long-term effects of associated injuries in ACL tears measured by means of a quality of life (QOL) assessment. Methods: A retrospective cohort study of 225 consecutive patients admitted for physical therapy with ACL injury (42 ± 12 years, 28.2% female) were conducted. All demographic and clinical variables were used to measure a QOL. Univariate and multivariable analyses were completed. Results: The mean follow-up period was 8.4 ± 2.6 years. In univariate analysis, male gender, and sports as the cause of the ACL lesion were factors significantly associated with improved International Knee Documentation Committee (IKDC) scores at the end of follow-up (all p < 0.002). In multivariable analysis, the occurrence of bone contusion was positively associated with injury (OR = 2.12) and negatively associated with sports injury (OR = 0.44) and medial collateral ligament (MCL) injury (OR = 0.48). Conclusions: After ACL injury, male gender and sports injury were associated with better clinical outcomes.
Original languageEnglish
Article number12845
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number23
ISSN1661-7827
DOIs
Publication statusPublished - 6 Dec 2021

Keywords

  • Anterior cruciate repair
  • Bone contusion
  • Knee injuries

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