The relationship between ACL reconstruction and meniscal repair: quality of life, sports return, and meniscal failure rate—2- to 12-year follow-up

Abstract Background few studies approach with long follow up, meniscal repair at amateur level, specially studying variables as quality of life and failure rate. The purpose of this review is study medium to long-term clinical results in patients at amateur spors level, that have required meniscal sutures at our centre, with or without ACL reconstruction. We evaluate the objective function of the knee, as well as the patients’ return to sports activities, quality of life and the rate of failed repair and study the possible reasons.Methods We retrospectively assessed 92 patients who regularly perform amateur sports activities (Tegner 4 to 7), minimum follow-up period of 2 years, divided into 2 groups: group 1 isolated meniscal suture (43 cases), group 2 associated to ACL reconstruction (49 cases).Results high return to amateur sports rate (92%), which was even higher in the isolated reconstruction group in comparison to the group with associated ACL. We have not found statistically significant differences between sports return and: age, gender, injured meniscus, chondral injuries, preoperative Tegner score, or motivation. No significant differences in physical or mental health fields between both groups. Meniscal repair failed in 12 patients (13%). Higher rate of failure in isolated bucket-handle tear injuries (p < 0.0062). We have not found a statistically significant association between the other variables studied.Conclusions good results with 92% of sports return, low rate of complications, and low retear rate, even lower when is associated to ACL reconstruction and in external meniscus repair. High values at SF-12 between 2 groups.

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Does ACL reconstruction have any influence in meniscal repair? Sports return, quality of life and failure rate. 2-12 years follow up.

10.21203/rs.3.rs-29938/v1 ◽

2020 ◽

Author(s):

Juan Miguel Rodríguez-Roiz ◽

Sergi Sastre-Solsona ◽

Andrés Combalia Aleu ◽

Dragos Popescu ◽

Jordi Montañana Burillo

Keyword(s):

Quality Of Life ◽

Acl Reconstruction ◽

Failure Rate ◽

Meniscal Repair ◽

Return To Sports ◽

Sports Activity ◽

Bucket Handle Tear ◽

Sports Activities

Abstract Objective few studies approach with long follow up meniscal repair at amateur level, specially studying variables as quality of life and failure rate. We study medium to long-term clinical results in patients at amateur sports level, that have required meniscal sutures at our centre, with or without ACL reconstruction. We evaluate the objective function of the knee, as well as the patients’ return to sports activities, quality of life and the rate of failed repair and study the possible reasons. Methods We design an observational retrospective study, assessed 92 patients that required a meniscal repair in our centre from april 2007 until april 2018, who regularly perform amateur sports activities (Tegner 4 to 7), minimum follow-up period of 2 years, divided into 2 groups: group 1 isolated meniscal suture (43 cases), group 2 associated to ACL reconstruction (49 cases). Every patient have this tests in 2019: Lysholm and Tegner (validated for spanish) before the injury and after the surgical procedure, motivation to return to sports activity (Likert scale with 3 items: low, regular or high), quality of life (through SF-12 test). Results high return to amateur sports rate (92%), which was even higher in the isolated reconstruction group in comparison to the group with associated ACL, at a minimun follow-up of 2 years. We have not found statistically significant differences between sports return and: age, gender, injured meniscus, chondral injuries, preoperative Tegner score, or motivation. No significant differences in physical or mental health fields between both groups. Meniscal repair failed in 12 patients (13%,)and they finally required a partial meniscectomy, as complications just one debridement for superficial infection of ACL donor zone. Higher rate of failure in isolated bucket-handle tear injuries (p < 0.0062). We have not found a statistically significant association between the other variables studied. Conclusions 92% of sports return and low meniscal repair failure rate, even lower when is associated to ACL reconstruction.

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¿Does ACL reconstruction have any influence in meniscal repair?. Sports return, quality of life and failure rate. 2-12 years follow up.

10.21203/rs.3.rs-29938/v2 ◽

2020 ◽

Author(s):

Juan Miguel Rodríguez-Roiz ◽

Sergi Sastre-Solsona ◽

Dragos Popescu ◽

Jordi Montañana Burillo ◽

Andrés Combalia Aleu

Keyword(s):

Quality Of Life ◽

Acl Reconstruction ◽

Failure Rate ◽

Meniscal Repair ◽

Return To Sports ◽

Sports Activity ◽

Bucket Handle Tear ◽

Sports Activities

Abstract Objective: few studies have approach inlong term follow up of meniscal repair at amateur level, specially studying variables as quality of life and failure rate. We study mediumlongterm clinical results in amateur sports patients, that have required meniscal sutures at our centre, with or without ACL reconstruction. We evaluate the objective function of the knee, as well as patients’ return to sports activities, quality of life and the rate of failed repair and study of the possible reasons. Methods: this was an observational retrospective study, 92 patients were assesed who required a meniscal repair in our centre from april 2007 until april 2018, who regularly perform amateur sports activities (Tegner 4 to 7), minimum follow-up period of 2 years, divided into 2 groups: group 1 isolated meniscal suture (43 cases), group 2 associated to ACL reconstruction (49 cases). Each patient made this tests in 2019: Lysholm andTegner (validated for spanish) before the meniscal injury and after the surgical procedure, motivation to return to sports activity (Likert scale with 3 items: low, regular or high), quality of life (through SF-12 test). Results: high return to amateur sports rate (92%), which was even higher in the isolated meniscal repair group in comparison to the group with associated ACL, at a minimun follow-up of 2 years. We have not found statistically significant differences between sports return and: age, gender, injured meniscus, chondral injuries, preoperative Tegner score, or motivation. No significant differences in physical or mental health fields between both groups. Meniscal repair failed in 12 patients (13%,)and they finally required a partial meniscectomy, as complications just one debridement for superficial infection of ACL donor zone. Higher rate of failure in isolated bucket-handle tear injuries (p<0.0062). No statistically significant association were found between the other variables studied. Conclusions: 92% of sports return and low meniscal repair failure rate, even lower when is associated to ACL reconstruction.

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The relationship between religiosity/spirituality and quality of life among female Eritrean refugees living in Norwegian asylum centres

International Journal of Social Psychiatry ◽

10.1177/00207640211010207 ◽

2021 ◽

pp. 002076402110102

Author(s):

Ruth Abraham ◽

Marja Leonhadt ◽

Lars Lien ◽

Ingrid Hansen ◽

Edvard Hauff ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health Problems ◽

World Health ◽

Host Countries ◽

Follow Up Study ◽

Quality Of Life Measures ◽

Social Quality Of Life ◽

The Relationship

Background: Women are more vulnerable to mental health problems than men after migration, but little is known about the influence of religiosity/spirituality on their quality of life. The purpose of this study was to explore religiosity/spirituality, in relationships with various domains of quality of life, among female Eritrean refugees staying in Norwegian asylum centres. Method: A questionnaire assessing sociodemographic characteristics was used together with the World Health OrganizationQuality of Life – Spirituality, Religiosity and Personal Beliefs (WHOQOL-SRPB) questionnaire, which assesses religiosity/spirituality and domains of quality of life. A total of 63 adult female Eritrean refugees who had been granted asylum but were still living in asylum reception centres located in southern and central Norway participated. Results: Religiosity/spirituality was independently associated with psychological quality of life ( B = 0.367, p < .001), level of independence ( B = 0.184, p = .028), social quality of life ( B = 0.500, p = .003), environmental quality of life ( B = 0.323, p < .001) and overall quality of life ( B = 0.213, p < .001), but not with physical quality of life ( B = 0.056, p = .679). There were no significant differences between religious affiliations on religiosity/spirituality or quality of life measures. Conclusion: Consistent with previous research, this study highlights the correlation between religiosity/spirituality and overall quality of life. We recommend a longitudinal follow-up study of similar populations, after they are resettled and integrated into their host countries, to understand the associations between quality of life and religiosity/spirituality over time.

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Low Rates of Return to Preinjury Sport After Bilateral Anterior Cruciate Ligament Reconstruction

The American Journal of Sports Medicine ◽

10.1177/0363546518813901 ◽

2018 ◽

Vol 47 (2) ◽

pp. 334-338 ◽

Cited By ~ 4

Author(s):

Kate E. Webster ◽

Julian A. Feller ◽

Alexander J. Kimp ◽

Timothy S. Whitehead

Keyword(s):

Quality Of Life ◽

Acl Reconstruction ◽

Cruciate Ligament ◽

Return To Sport ◽

Rates Of Return ◽

Acl Injuries ◽

Reconstruction Surgery ◽

Anterior Cruciate

Background: Patients with bilateral anterior cruciate ligament (ACL) injuries tend to report worse results in terms of knee function and quality of life as compared with those with unilateral injury. There are limited data regarding return to preinjury sport in this group. Purpose: To report return-to-sport rates for patients who had bilateral ACL reconstruction and to compare outcomes according to age and sex. Study Design: Case series; Level of evidence, 4. Methods: A total of 107 patients (62 male, 45 female) who underwent primary ACL reconstruction surgery to both knees completed a detailed sports activity survey at a mean 5-year follow-up (range, 2.5-10 years). Follow-up also included the International Knee Documentation Committee subjective form, Marx Activity Scale, and Knee injury and Osteoarthritis Outcome Score–Quality of Life subscale. Rates of return to preinjury levels of sport were calculated for the whole cohort, and for further analysis, the group was divided according to age (<25 vs ≥25 years), sex, and time between the reconstruction procedures (<3 vs ≥3 years). Results: The rate of return to preinjury sport after bilateral ACL reconstruction was 40% (95% CI, 31%-50%), as compared with an 83% (95% CI, 74%-88%) return rate after the first reconstruction procedure. Although not statistically significant, return rates were higher for male versus female patients (47% vs 31%) and older versus younger patients (45% vs 31%). Of those who returned to their preinjury levels of sport after the second reconstruction, 72% thought that they could perform as well as before their ACL injuries. In contrast, only 20% thought that they could perform as well if they returned to a lower level. Fear of reinjury was the most common reason cited for failure to return to sport after the second reconstruction. Patient-reported outcome scores were higher for those who returned to their preinjury levels of sport but did not differ for sex and age. Conclusion: Return-to-sport rates drop markedly after a second (contralateral) ACL reconstruction, with less than half of the investigated cohort returning to its preinjury level of sport. Return-to-sport outcomes are less than ideal for patients who have ACL reconstruction surgery to both knees.

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BMI INCREASES AFTER ACL-RECONSTRUCTION IN ADOLESCENTS

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00178 ◽

2019 ◽

Vol 7 (3_suppl) ◽

pp. 2325967119S0017

Author(s):

Regina Hanstein ◽

Noah Kirschner ◽

Christine Moloney ◽

Eric Fornari

Keyword(s):

Quality Of Life ◽

Acl Reconstruction ◽

Patient Population ◽

Activity Level ◽

Self Report ◽

Adolescent Patient ◽

Post Surgery ◽

Initial Surgery

Background: The incidence of ACL injuries in the pediatric and adolescent patient population has increased over the last 20 years. ACL reconstruction is recommended to avoid osteoarthritis later in life. However, a 6-12 months rehabilitation with no or limited sports activity after surgery is required to protect the graft and graft fixation. The aim of this study was to determine, if this period of inactivity affects the BMI in an adolescent patient population and affects patient self-reported outcomes. Methods: A retrospective review of 115 patients between the ages of 12 and 21 years, who had undergone ACL reconstruction with hamstring or bone-patellar-bone autograft by a single orthopaedic surgeon between 2013 and 2017 was performed. 44 patients had records of height and weight pre- and post-operatively (6 months, 1 year, at most recent follow-up: average 2.09 years, range 1-5.25 years). BMI was calculated using the CDC BMI calculator for child & teen or adult, depending on the age of the patient. Based on this, patients were categorized as having a normal weight, being overweight or obese. Patient self-report outcomes - PediIKDC, Tegner-Lysholm and KOOSChild - were reviewed. Data was analyzed using Student’s t-test and Spearman correlation. Results: BMI did not change in the 6 months after ACL reconstruction, but was significantly higher 1 year after ACL reconstruction and at most recent follow-up compared to BMI at initial surgery (Table 1). Sub-analysis by gender revealed that males had a higher BMI at both timepoints, whereas females only showed an increase in BMI at most recent follow-up, but not at 1 year post-surgery. While 26.1% of male patients were obese at surgery, 54.2% were obese 6 months after ACL reconstruction and 40.9% at 1 year (Figure1). At most recent follow-up, the distribution of patients in the weight categories was similar to that at initial surgery. This trend was not seen in female patients. A selection-bias for overweight and obese patients in the follow-up period can be ruled out, as obesity or overweight were not related to complications after surgery. BMI weakly correlated with better outcomes for the KOOSChild Quality of Life domain at 6 months after surgery (r=0.450, p=0.031) and trended to be weakly correlated with the KOOSChild Symptom domain (p=0.071), KOOSChild Sport domain (p=0.076) and PediIKDC (p=0.061). No correlation between BMI and patient outcomes was found at 1 year after ACL reconstruction or at most recent follow-up. Conclusion: After ACL-reconstruction, adolescents gain weight, most likely due to limited activity during the rehabilitation phase. This weight gain was more pronounced in males than females. The increase in BMI lasted longer than the period of rehabilitation-related inactivity. Patients with higher BMI rated their Quality of Life better at 6 months. The activity restrictions might not have affected these patients usual life style, however, data on activity level before ACL injury was not available. [Table: see text][Figure: see text]

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Reciprocal relationship between psychosocial work stress and quality of life: the role of gender and education from the longitudinal study of the Survey of Health, Ageing and Retirement in Europe

BMJ Open ◽

10.1136/bmjopen-2018-027051 ◽

2019 ◽

Vol 9 (6) ◽

pp. e027051 ◽

Cited By ~ 2

Author(s):

Ya-Ke Lu ◽

Ya-Mei Qiao ◽

Xiao Liang ◽

Wu Yao ◽

Zhen Yan ◽

...

Keyword(s):

Quality Of Life ◽

Work Stress ◽

Job Control ◽

Reciprocal Relationship ◽

Psychosocial Work ◽

Gender And Education ◽

The Relationship ◽

Psychosocial Work Stress

ObjectiveTo investigate the reciprocal relationship between psychosocial work stress and quality of life (QoL) and to examine whether the relationship can be moderated by gender or education.DesignLongitudinal, population-based study.SettingThe Survey of Health, Ageing and Retirement in Europe (SHARE).ParticipantsThe study population was derived from the SHARE, and there were 2006 participants with good QoL at baseline, 1109 with high job control and 1072 with high job reward, respectively, who were followed up for 2 years to detect incidence of poor QoL, low job control and low job reward.Main outcome measuresLogistic regression models were employed to explore the reciprocal relationship between psychological work stress and QoL. Stratification analyses by gender and education were performed.ResultsParticipants with low reward (OR=1.53, 95% CI 1.26 to 1.88) and low control (OR=1.40, 95% CI 1.14 to 1.71) at baseline were at higher risk of poor QoL over the 2-year follow-up. The combination of low reward and low control further increased the risk (OR=1.90, 95% CI 1.46 to 2.48). Stratified analyses revealed that these associations were more pronounced among those who had high levels of education. Further, individuals with poor QoL were at significantly higher risk of having low reward (OR=2.14, 95% CI 1.55 to 2.96) but not low control (OR=1.33, 95% CI0.98 to 1.79) at the 2-year follow-up, especially among those who had medium levels of education. No gender differences were found.ConclusionsThere is a reciprocal relationship between psychological work stress and poor QoL. Education may play an important role in the relationship.

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Abstract TP144: The Relationship Between Gait Speed and Self-Reported Quality of Life in Stroke Survivors After Treatment With a Therapeutic Gait Device

Stroke ◽

10.1161/str.51.suppl_1.tp144 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Brianne Darcy ◽

Lauren Rashford ◽

Elizabeth Lundin ◽

Ryan Medas ◽

Stephen T Shultz ◽

...

Keyword(s):

Quality Of Life ◽

Gait Speed ◽

Stroke Survivors ◽

Walking Ability ◽

Quality Of Life Scale ◽

Life Scale ◽

The Mean ◽

The Relationship

Introduction: In stroke survivors, variables associated with lower quality of life (QOL) include hemiplegia, lower functional status, degree of walking ability, speed of gait, and overall walking dysfunction. The iStride TM Gait Solution, a home-use gait treatment device, has been shown to improve gait speed and other functional parameters in stroke survivors. This analysis discusses the relationship found between gait speed parameters and self-reported QOL after treatment with the iStride TM Gait Solution. Methods: Nineteen subjects were treated with the iStride TM device in their home environment for a targeted 12 sessions over four weeks. QOL was measured using the Stroke Specific Quality of Life Scale (SS-QOL) and gait speed was measured using the 10 Meter Walk Test (10MWT) at comfortable pace. Outcome measures were assessed at baseline and one-week post-treatment. Results: Results showed a statistically significant improvement from baseline to one-week follow-up for 10MWT (p=0.0001) and SS-QOL (p=0.007). The relationship between these variables appeared to be more dependent on the % improvement of gait speed and the ending gait speed being above the mean baseline speed (0.575 m/s) than the absolute improvement in gait speed. For example, subjects starting below the mean gait speed improved 23 points (14.8%) on SS-QOL (gait speed improvement = 0.22m/s) compared to 11.7 points (8%) on SS-QOL (gait speed improvement = 0.33 m/s). In addition, subjects that improved from the home ambulator category to limited community ambulator improved an average of 15.3 points (10.2%) on SS-QOL while subjects improving from limited community ambulator to full community ambulator improved only 4.8 points (4.6%) SS-QOL, despite a 0.16 m/s larger gait speed improvement. Conclusions: The results of this analysis indicate that larger gains in QOL may be achieved by focusing on patients reaching a gait speed above approximately 0.575 m/s. Our findings also support the importance of helping home ambulator stroke survivors achieve limited community ambulator status. These findings may guide clinicians who desire to improve the QOL of their patients to select effective treatment methods targeting gait speed improvement.

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Ten-Year Outcomes and Risk Factors After Anterior Cruciate Ligament Reconstruction: A MOON Longitudinal Prospective Cohort Study

The American Journal of Sports Medicine ◽

10.1177/0363546517749850 ◽

2018 ◽

Vol 46 (4) ◽

pp. 815-825 ◽

Cited By ~ 50

Author(s):

◽

Kurt P. Spindler ◽

Laura J. Huston ◽

Kevin M. Chagin ◽

Michael W. Kattan ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Anterior Cruciate Ligament ◽

Acl Reconstruction ◽

Cruciate Ligament ◽

Patient Specific ◽

Anterior Cruciate ◽

Over Time

Background: The long-term prognosis and risk factors for quality of life and disability after anterior cruciate ligament (ACL) reconstruction remain unknown. Hypothesis/Purpose: Our objective was to identify patient-reported outcomes and patient-specific risk factors from a large prospective cohort at a minimum 10-year follow-up after ACL reconstruction. We hypothesized that meniscus and articular cartilage injuries, revision ACL reconstruction, subsequent knee surgery, and certain demographic characteristics would be significant risk factors for inferior outcomes at 10 years. Study Design: Therapeutic study; Level of evidence, 2. Methods: Unilateral ACL reconstruction procedures were identified and prospectively enrolled between 2002 and 2004 from 7 sites in the Multicenter Orthopaedic Outcomes Network (MOON). Patients preoperatively completed a series of validated outcome instruments, including the International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), and Marx activity rating scale. At the time of surgery, physicians documented all intra-articular abnormalities, treatment, and surgical techniques utilized. Patients were followed at 2, 6, and 10 years postoperatively and asked to complete the same outcome instruments that they completed at baseline. The incidence and details of any subsequent knee surgeries were also obtained. Multivariable regression analysis was used to identify significant predictors of the outcome. Results: A total of 1592 patients were enrolled (57% male; median age, 24 years). Ten-year follow-up was obtained on 83% (n = 1320) of the cohort. Both IKDC and KOOS scores significantly improved at 2 years and were maintained at 6 and 10 years. Conversely, Marx scores dropped markedly over time, from a median score of 12 points at baseline to 9 points at 2 years, 7 points at 6 years, and 6 points at 10 years. The patient-specific risk factors for inferior 10-year outcomes were lower baseline scores; higher body mass index; being a smoker at baseline; having a medial or lateral meniscus procedure performed before index ACL reconstruction; undergoing revision ACL reconstruction; undergoing lateral meniscectomy; grade 3 to 4 articular cartilage lesions in the medial, lateral, or patellofemoral compartments; and undergoing any subsequent ipsilateral knee surgery after index ACL reconstruction. Conclusion: Patients were able to perform sports-related functions and maintain a relatively high knee-related quality of life 10 years after ACL reconstruction, although activity levels significantly declined over time. Multivariable analysis identified several key modifiable risk factors that significantly influence the outcome.

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Determining the Relationship Between Toxicity and Quality of Life in an Ovarian Cancer Chemotherapy Clinical Trial

Journal of Clinical Oncology ◽

10.1200/jco.2004.01.106 ◽

2004 ◽

Vol 22 (12) ◽

pp. 2461-2468 ◽

Cited By ~ 43

Author(s):

Lorna Butler ◽

Monica Bacon ◽

Mark Carey ◽

Benny Zee ◽

Dongsheng Tu ◽

...

Keyword(s):

Quality Of Life ◽

Ovarian Cancer ◽

Randomized Trial ◽

European Organization ◽

Change Scores ◽

Prospective Longitudinal ◽

Longitudinal Treatment ◽

The Relationship

Purpose This analysis of data from a randomized trial of chemotherapy in epithelial ovarian cancer sought to determine whether a relationship exists between the presence and severity of the most commonly observed toxic effects and the corresponding quality of life (QOL) items. Patients and Methods One hundred fifty-two eligible patients accrued from Canada by the National Cancer Institute of Canada Clinical Trials Group on a randomized trial of paclitaxel and cisplatin versus cyclophosphamide/cisplatin were included in the analysis. Toxicity to the chemotherapeutic treatments was subjectively evaluated using a trial-specific checklist for ovarian cancer and the European Organization for Research and Treatment of Cancer QLQ C30+3 questionnaire. Assessments were conducted at baseline, before each cycle of treatment (3 weeks), and at each 3-month follow-up during the next 2 years (or until progression). Results The most frequently observed symptoms experienced during or shortly following chemotherapy were neurosensory loss, lethargy, nausea, vomiting, and alopecia. Regression analyses revealed that change scores of QOL items related to motor weakness and gastrointestinal pain were common predictors for the change global QOL score during protocol treatment; and change scores of QOL items related to lethargy or fatigue and change toxicity grade of mood predicted the change global QOL score after patients were off treatment. Conclusion The use of the European Organization for Research and Treatment of Cancer QLQ C30+3 and trial-specific checklist was able to assess the effect of expected toxicities on patient's QOL during and following treatment, and so may be useful in addressing the concerns regarding methodological issues that have limited the acquisition of prospective, longitudinal treatment-related toxicity data.

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