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Clinical and functional outcomes of anterior cruciate ligament reconstruction with autologous hamstring tendon in patients aged 50 years or older

Arthroscopy Jan 08, 2020

Weng CJ, Yeh WL, Hsu KY, et al. - Researchers examined retrospective series of people (n = 67) aged 50 years or older with anterior cruciate ligament (ACL) rupture who underwent ACL reconstruction surgery with an autologous hamstring tendon in order to evaluate the clinical and functional results, involving the return to sports and the progression of arthritis. Preoperative and postoperative functional consequences were assessed with the International Knee Documentation Committee (IKDC) subjective score, Lysholm score, and Tegner activity score. It was found that individuals aged 50 years or older receiving ACL reconstruction achieved notable improvements in IKDC, Lysholm, and Tegner scores. All individuals approached the minimal clinically important difference for the ΔLysholm score; 98.5%, for the ΔIKDC score; and 70.1%, for the ΔTegner activity score. None of the people approached the patient acceptable symptom state (PASS) for the preoperative IKDC value, whereas 89.5% reached the PASS postoperatively. Between people aged 50 years or older, returned to preinjury sports and to sports with a lower intensity of 53.7% and 26.9% were reported, respectively.
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