caa a22 4500 605458847 CHVBK 20210128100231.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00167-014-2869-9 doi (NATIONALLICENCE)springer-10.1007/s00167-014-2869-9 Factors associated with excellent 6-month functional and isokinetic test results following ACL reconstruction [Elektronische Daten] [Aaron Krych, Jessica Woodcock, Joseph Morgan, Bruce Levy, Michael Stuart, Diane Dahm] Purpose: To identify patient concomitant injury and surgical characteristics associated with 6-month excellent functional and isokinetic testing results following anterior cruciate ligament (ACL) reconstruction. Methods: Patients that underwent ACL reconstruction by a single surgeon had isokinetic and functional testing performed with excellent 6-month outcome defined as greater than 85% in isokinetic strength and 90% in functional tests (excellent 6-month group vs. delayed 6-month group). Patient concomitant injury and surgical factors were then analysed in univariate and multivariate statistical models to assess which characteristics predicted the excellent 6-month group. Results: The 224 patients included 93 males and 131 females, with median age of 22 (range 12-59) years, body mass index (BMI) of 25.4 (range 17-44), and median Tegner activity score of 6 (range 2-10). Fifty-two patients (23%) were included in the excellent 6-month group, while 172 patients (77%) were in the delayed 6-month group. In univariate analysis, favourable factors with the excellent 6-month outcome group were younger age (24 vs. 27; p=0.01), lower BMI (24.5 vs. 26.2; p=0.03), and minimal articular cartilage damage (71 vs. 56%; p=0.048). In multivariate analysis, a negative effect was observed for patients older than 30years that had ACL reconstruction with autograft (p=0.0004). Conclusion: Factors significantly associated with excellent 6-month functional and isokinetic test results following ACL reconstruction included younger age, lower BMI, and minimal cartilage degeneration. The use of allograft was associated with improved functional and strength testing after ACL reconstruction in patients over 30years of age. Level of evidence: Prognostic/therapeutic study, Level III. Springer-Verlag Berlin Heidelberg, 2014 ACL reconstruction nationallicence Isokinetic strength nationallicence Functional testing nationallicence Predictive factors nationallicence Krych Aaron Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Woodcock Jessica Department of Orthopedic Surgery, Lenoir Memorial Hospital, 100 Airport Road, 28501, Kinston, NC, USA aut Morgan Joseph Department of Orthopedic Surgery, University of Missouri, 1100 Virginia Ave., 65212, Columbia, MO, USA aut Levy Bruce Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Stuart Michael Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Dahm Diane Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/4(2015-04-01), 1053-1059 0942-2056 23:4<1053 2015 23 167 https://doi.org/10.1007/s00167-014-2869-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2869-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Krych Aaron Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Woodcock Jessica Department of Orthopedic Surgery, Lenoir Memorial Hospital, 100 Airport Road, 28501, Kinston, NC, USA aut NATIONALLICENCE 700 1- Morgan Joseph Department of Orthopedic Surgery, University of Missouri, 1100 Virginia Ave., 65212, Columbia, MO, USA aut NATIONALLICENCE 700 1- Levy Bruce Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Stuart Michael Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Dahm Diane Department of Orthopedic Surgery, Mayo Clinic, 200 First St., SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/4(2015-04-01), 1053-1059 0942-2056 23:4<1053 2015 23 167