Matthew S Harkey, Jeffrey B Driban, Shelby E Baez, Francesca M Genoese, Elaine Taylor Reiche, Katherine Collins, Michelle Walaszek, Ashley Triplett, Christopher Luke Wilcox, Andrew Schorfhaar, Michael Shingles, Sheeba Joseph, Christopher Kuenze
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However, little is known about the change in early OA symptoms from 6 to 12 months post-ACLR.</p><p><strong>Objective: </strong>To evaluate the change over time in meeting classification criteria for early knee OA symptoms from 6 to 12 months after ACLR.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Research laboratory.</p><p><strong>Patients or other participants: </strong>Eighty-two participants aged 13 to 35 years who underwent unilateral primary ACLR. On average, participants' first and second visits were 6.2 and 12.1 months post-ACLR.</p><p><strong>Main outcome measure(s): </strong>Early OA symptoms were classified using generic (Luyten Original) and patient population-specific (Luyten Patient Acceptable Symptom State [PASS]) thresholds on Knee injury and Osteoarthritis Outcome Score (KOOS) subscales. Changes in meeting early OA criteria were compared between an initial and follow-up visit at an average of 6 and 12 months post-ACLR, respectively.</p><p><strong>Results: </strong>Twenty-two percent of participants exhibited persistent early OA symptoms across both visits using both the Luyten Original and PASS criteria. From initial to follow-up visit, 18% to 27% had resolution of early OA symptoms, while 4% to 9% developed incident symptoms. In total, 48% to 51% had no early OA symptoms at either visit. No differences were found for change in early OA status between adults and adolescents.</p><p><strong>Conclusions: </strong>Nearly one-quarter of participants exhibited persistent early knee OA symptoms based on KOOS thresholds from 6 to 12 months post-ACLR. Determining if this symptom persistence predicts worse long-term outcomes could inform the need for timely interventions after ACLR. Future researchers should examine if resolving persistent symptoms in this critical window improves later outcomes. Tracking early OA symptoms over time may identify high-risk patients who could benefit from early treatment.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"891-897"},"PeriodicalIF":2.6000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440826/pdf/","citationCount":"0","resultStr":"{\"title\":\"Persistent Early Knee Osteoarthritis Symptoms From 6 to 12 Months After Anterior Cruciate Ligament Reconstruction.\",\"authors\":\"Matthew S Harkey, Jeffrey B Driban, Shelby E Baez, Francesca M Genoese, Elaine Taylor Reiche, Katherine Collins, Michelle Walaszek, Ashley Triplett, Christopher Luke Wilcox, Andrew Schorfhaar, Michael Shingles, Sheeba Joseph, Christopher Kuenze\",\"doi\":\"10.4085/1062-6050-0470.23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Early identification of knee osteoarthritis (OA) symptoms after anterior cruciate ligament reconstruction (ACLR) could enable timely interventions to improve long-term outcomes. However, little is known about the change in early OA symptoms from 6 to 12 months post-ACLR.</p><p><strong>Objective: </strong>To evaluate the change over time in meeting classification criteria for early knee OA symptoms from 6 to 12 months after ACLR.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Research laboratory.</p><p><strong>Patients or other participants: </strong>Eighty-two participants aged 13 to 35 years who underwent unilateral primary ACLR. On average, participants' first and second visits were 6.2 and 12.1 months post-ACLR.</p><p><strong>Main outcome measure(s): </strong>Early OA symptoms were classified using generic (Luyten Original) and patient population-specific (Luyten Patient Acceptable Symptom State [PASS]) thresholds on Knee injury and Osteoarthritis Outcome Score (KOOS) subscales. Changes in meeting early OA criteria were compared between an initial and follow-up visit at an average of 6 and 12 months post-ACLR, respectively.</p><p><strong>Results: </strong>Twenty-two percent of participants exhibited persistent early OA symptoms across both visits using both the Luyten Original and PASS criteria. From initial to follow-up visit, 18% to 27% had resolution of early OA symptoms, while 4% to 9% developed incident symptoms. In total, 48% to 51% had no early OA symptoms at either visit. No differences were found for change in early OA status between adults and adolescents.</p><p><strong>Conclusions: </strong>Nearly one-quarter of participants exhibited persistent early knee OA symptoms based on KOOS thresholds from 6 to 12 months post-ACLR. Determining if this symptom persistence predicts worse long-term outcomes could inform the need for timely interventions after ACLR. 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引用次数: 0
摘要
背景：前交叉韧带重建术（ACLR）后早期发现膝关节骨性关节炎（OA）症状可及时采取干预措施，改善长期疗效。然而，人们对前交叉韧带重建术后 6 至 12 个月早期 OA 症状的变化知之甚少：评估前交叉韧带重建术后 6 至 12 个月期间，符合早期膝关节 OA 症状分类标准的患者随时间推移的变化情况：前瞻性队列研究：患者或其他参与者：82 名年龄在 13-35 岁之间、接受过单侧初级 ACLR 的参与者。参与者的第一次和第二次就诊时间平均为 ACLR 术后 6.2 个月和 12.1 个月：采用膝关节损伤和骨关节炎结果评分（KOOS）分量表的通用（Luyten Original）和患者人群特异性（Luyten PASS）阈值对早期 OA 症状进行分类。结果显示：22%的参与者表现出持续的膝关节损伤和骨关节炎症状：结果：根据 Luyten Original 和 PASS 标准，22% 的参与者在两次就诊中均表现出持续的早期 OA 症状。从初诊到复诊，18%-27%的患者早期 OA 症状得到缓解，4%-9%的患者出现新的症状。总共有 48%-51% 的人在两次就诊时都没有出现早期 OA 症状。成人和青少年的早期OA状况变化没有差异：近四分之一的参与者在ACLR术后6至12个月内表现出基于KOOS阈值的持续性早期膝关节OA症状。确定这种症状持续存在是否预示着较差的长期预后，可以为前交叉韧带置换术后及时干预的必要性提供参考。未来的研究应探讨在这一关键窗口期解决持续症状是否能改善以后的预后。随着时间的推移追踪早期 OA 症状可识别出能从早期治疗中获益的高危患者。
Persistent Early Knee Osteoarthritis Symptoms From 6 to 12 Months After Anterior Cruciate Ligament Reconstruction.
Context: Early identification of knee osteoarthritis (OA) symptoms after anterior cruciate ligament reconstruction (ACLR) could enable timely interventions to improve long-term outcomes. However, little is known about the change in early OA symptoms from 6 to 12 months post-ACLR.
Objective: To evaluate the change over time in meeting classification criteria for early knee OA symptoms from 6 to 12 months after ACLR.
Design: Prospective cohort study.
Setting: Research laboratory.
Patients or other participants: Eighty-two participants aged 13 to 35 years who underwent unilateral primary ACLR. On average, participants' first and second visits were 6.2 and 12.1 months post-ACLR.
Main outcome measure(s): Early OA symptoms were classified using generic (Luyten Original) and patient population-specific (Luyten Patient Acceptable Symptom State [PASS]) thresholds on Knee injury and Osteoarthritis Outcome Score (KOOS) subscales. Changes in meeting early OA criteria were compared between an initial and follow-up visit at an average of 6 and 12 months post-ACLR, respectively.
Results: Twenty-two percent of participants exhibited persistent early OA symptoms across both visits using both the Luyten Original and PASS criteria. From initial to follow-up visit, 18% to 27% had resolution of early OA symptoms, while 4% to 9% developed incident symptoms. In total, 48% to 51% had no early OA symptoms at either visit. No differences were found for change in early OA status between adults and adolescents.
Conclusions: Nearly one-quarter of participants exhibited persistent early knee OA symptoms based on KOOS thresholds from 6 to 12 months post-ACLR. Determining if this symptom persistence predicts worse long-term outcomes could inform the need for timely interventions after ACLR. Future researchers should examine if resolving persistent symptoms in this critical window improves later outcomes. Tracking early OA symptoms over time may identify high-risk patients who could benefit from early treatment.
期刊介绍：
The mission of the Journal of Athletic Training is to enhance communication among professionals interested in the quality of health care for the physically active through education and research in prevention, evaluation, management and rehabilitation of injuries.
The Journal of Athletic Training offers research you can use in daily practice. It keeps you abreast of scientific advancements that ultimately define professional standards of care - something you can''t be without if you''re responsible for the well-being of patients.
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