000			03496nam a22003857a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a2168-8184
024			_aPMC11187451 [pmc]
040			_aOvid MEDLINE(R)
099			_a38903336
245			_aAnterior Cruciate Ligament Repair Leads to Improved Patient-Reported Outcomes Compared to Anterior Cruciate Ligament Reconstruction.
251			_aCureus. 16(5):e60693, 2024 May.
252			_aCureus. 16(5):e60693, 2024 May.
253			_aCureus
260			_c2024
260			_fFY2024
260			_p2024 May
265			_sepublish
265			_tPubMed-not-MEDLINE
266			_d2024-08-07
266			_z2024/06/21 04:17
520			_aIntroduction Anterior cruciate ligament (ACL) tears occur frequently in young athletes, and ligament repair and reconstruction are surgical treatments. Although there are suggested benefits for both approaches, there is a lack of direct comparisons between ACL repair and reconstruction. This study aims to compare the mid-term functional outcomes and quality of life measures between patients that have undergone ACL repair versus reconstruction. Methods A retrospective review was conducted for demographic and operative report data of patients who underwent an ACL repair or reconstruction between 2012 and 2018. Patients were contacted over the phone and underwent a Patient-Reported Outcomes Measurement Information System (PROMIS) survey evaluating pain interference, mobility, and function. Patients were excluded from the study if there was an incomplete operative note, missing contact information, or failure to answer phone calls. Results A total of 74 eligible patients were included, with n = 54 in the ACL reconstruction group (73.0%) and n = 20 in the ACL repair group (27.0%). Reconstruction patients had a PROMIS (median (IQR)) physical function score of 22.50 (16.00-59.00), as compared to repair patients' physical function score of 60.00 (21.50-60.00). There was a significant difference favoring repair (p = 0.040). In addition, ACL reconstruction patients had a significantly higher rate of additional procedures, with 63.0% of reconstruction patients receiving an additional operation as compared to 30.0% of repair patients (p = 0.017). The surgery type did not show a significant effect on physical function scores, while additional procedures remained significant in the linear regression analysis. Conclusion Although ACL repair is associated with improved physical function scores as compared to reconstruction in the univariate analysis, surgery type did not show significance when controlling for other variables. Further studies are necessary to compare patients with similar injuries to account for differences in additional procedures, but the results remain promising in assisting with patient-driven treatment decisions. Copyright © 2024, Karlin et al.
546			_aEnglish
650			_zAutomated
651			_aMedStar Washington Hospital Center
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aOrthopaedic Surgery Residency
656			_aOrthopedics
657			_aJournal Article
700			_aArgintar, Evan _bMWHC
700			_aMcCann, Julia _bMGUH _cOrthopaedic Surgery Residency _dMD
790			_aKarlin EA, McCann J, Panish BJ, Geng X, Wei L, Argintar E
856			_uhttps://dx.doi.org/10.7759/cureus.60693 _zhttps://dx.doi.org/10.7759/cureus.60693
942			_cART _dArticle
999			_c14474 _d14474