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Journal Title
Title of Journal: Knee Surg Sports Traumatol Arthrosc
Abbravation: Knee Surgery, Sports Traumatology, Arthroscopy
Publisher
Springer-Verlag
DOI
10.1002/evan.10090
ISSN
1433-7347
To restore functional stability of the knee joint and to prevent secondary injuries to the cartilage and menisci are the main goals of an anterior cruciate ligament ACL reconstruction Functional stability can be assessed by healthrelated quality of life questionnaires but characterising differences between a satisfactory and nonsatisfactory result can be challengingThe aim of this study based on the Swedish National Knee Ligament Register was to find predictors for a satisfactory result defined as functional recovery FR or a nonsatisfactory result defined as treatment failure TF with special emphasis on waiting time before surgery and additional injuries FR was defined as a Knee Osteoarthritis Outcome Score KOOS above 90 for Pain 84 for Symptoms 91 for ADL 80 for Sport/Rec and 81 for quality of life QoL TF was defined as a KOOS QoL 44A complete KOOS was available for 414 of a cohort of 8584 patients 2 years after the ACL reconstruction Of all patients 197 were FR and 289 were TF Male gender was a predictor for FR Previous surgery of the menisci and a patella graft was predictors for TF and negative predictors for FR A medial meniscus suture or resection at the time of reconstruction was a predictor for TF Waiting time was a predictor for medial meniscus and cartilage injury at the time of reconstructionFunctional recovery after an ACL reconstruction can be achieved gender and additional injuries are important predictors for a functional recovery To time surgery early that is before recurring giving ways has occurred is essential to decrease additional injuries and increase the chance of functional recovery