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Table 5 Knee injury and osteoarthritis outcome score subscale scores for the revision ACLR group and primary ACLR group preoperative and at follow-up

From: Poorer patient-reported knee function and quality of life, but not activity level, after revision ACL reconstruction compared with primary ACL reconstruction: a matched-pair analysis with a minimum 5-year follow-up

 

Knee injury and Osteoarthritis Outcome Score

Pain

Symptoms

ADL

Sport and Recreation

Knee-related QoL

Preoperative

 1. Revision ACLR group, primary ACLR (n = 70)

82.3 (13.8)

77.8 (15.3)

91.1 (9.9)

48.8 (29.2)

36.3 (23.5)

 2. Revision ACLR group, second ACLR (n = 65)

86.6 (11.6)

82.1 (14.1)

94.2 (7.5)

60.2 (28.8)

46.2 (27.2)

 Mean with-in difference (95% CI)

  1 compared to 2

-4.6 (-8.1 to -1.0)

-5.2 (-9.7 to -0.6)

-3.6 (-6.1 to -1.2)

-12.7 (-21.1 to -4.2)

-11.4 (-18.0 to -4.7)

  p-value

0.012

0.027

0.004

0.004

0.001

 3. Primary ACLR group, (n = 72)

81.8 (14.6)

77.8 (18.2)

90.5 (11.8)

55.6 (27.1)

41.0 (22.9)

 Mean group difference (95% CI)

  1 compared to 3

0.8 (-3.2 to 4.9)

2.2 (-3.0 to 7.4)

0.9 (-2.2 to 4.1)

-6.3 (-14.3 to 1.6)

-5.3 (-13.3 to 2.5)

  p-value

0.686

0.403

0.553

0.113

0.180

  2 compared to 3

5.3 (1.0 to 9.5)

6.1 (0.2 to 12.0)

4.0 (0.7 to 7.4)

5.5 (-4.2 to 15.3)

4.6 (-4.7 to 13.9)

  p-value

0.017

0.044

0.020

0.259

0.326

Follow-up

 4. Revision ACLR group (n = 65)

85.3 (12.6)

81.5 (14.1)

93.8 (7.7)

67.6 (27.0)

58.9 (20.8)

 Mean with-in difference (95% CI)

  1 compared to 4

-2.3 (-6.6 to 2.0)

-2.5 (-7.8 to 2.9)

-1.9 (-4.8 to 1.0)

-17.7 (-27.2 to -8.2)

-20.5 (-28.8 to -12.1)

  p-value

0.280

0.366

0.182

 < 0.001

 < 0.001

  2 compared to 4

1.0 (-3.3 to 5.2)

1.6 (-3.4 to 6.6)

0.3 (-2.3 to 3.0)

-5.9 (-15.3 to 3.5)

-12.8 (-21.9 to -3.8)

  p-value

0.643

0.526

0.799

0.212

0.006

 5. Primary ACLR group (n = 72)

90.6 (11.2)

84.4 (15.2)

96.3 (7.4)

81.1 (18.4)

72.7 (19.7)

 Mean with-in difference (95% CI)

  3 compared to 5

-8.5 (-12.9 to -4.1)

-7.9 (-13.1 to -2.6)

-5.5 (-8.6 to -2.4)

-25.6 (-32.8 to -18.4)

-32.2 (-39.9 to -24.5)

  p-value

 < 0.001

0.004

 < 0.001

 < 0.001

 < 0.001

 Mean group difference (95% CI)

  4 compared to 5

-5.9 (-10.0 to -1.8)

-3.2 (-8.1 to 1.8)

-3.3 (-5.5 to -1.2)

-13.7 (-21.0 to -6.3)

-14.8 (-20.1 to -8.6)

  p-value

0.006

0.203

0.003

 < 0.001

 < 0.001

Change in KOOS score preoperative to follow-up

 Mean group difference (95% CI)

  (a compared to d) – (c compared to e)

-8.1 (-14.2 to -2.1)

-8.0 (-15.8 to -0.3)

-5.5 (-9.2 to -1.9)

-11.9 (-22.9 to -0.9)

-15.6 (-26.3 to -5.0)

  p-value

0.009

0.042

0.004

0.035

0.005

  1. ACLR anterior cruciate ligament reconstruction, ADL Activities of Daily Living, QOL Quality of Life
  2. aData are presented as the mean ± SD unless otherwise indicated