2023 AOSSM Annual Meeting Recordings with CME-Predictors of Return to Activity at 2 Years After Anterior Cruciate Ligament Reconstruction Among Patients with High Baseline Pre-Injury Marx Activity Level

Predictors of Return to Activity at 2 Years After Anterior Cruciate Ligament Reconstruction Among Patients with High Baseline Pre-Injury Marx Activity Level

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Video Transcription

Video Summary

In this video, the speaker thanks the MOON Group for the opportunity to present their data on ACL reconstruction. They explain that the goal was to identify risk factors for poor outcomes after ACL reconstruction. Previous reports have found that female sex, high BMI, and low pre-injury activity level are risk factors for not being able to return to pre-injury activity. The study focused on highly active patients and used multivariable modeling to identify predictors of returning to pre-injury activity after ACL surgery. Factors such as age, sex, pre-injury activity level, meniscal injuries, and procedures, and articular cartilage injuries and procedures were examined. The study found that education, smoking status, baseline activity score, and mental health were negative predictors for returning to pre-injury activity. The higher the pre-injury MARC's activity score and mental health score, the less likely patients were to return to their pre-injury level of activity. The majority of patients in the cohort were unable to return to their pre-injury level of activity after two years of ACL reconstruction. The presence of concomitant meniscus and chondral pathology and procedures did not impact the likelihood of return. Age, education level, smoking, and mental health status were the only potentially modifiable risk factors. The study highlights the difficulty in treating patients with a high baseline activity level. The higher the pre-injury MARC's activity score, the less likely patients were able to return to their pre-injury level of activity.<br />No specific credits were mentioned in the video.

Asset Caption

Andrew Sheean, MD

Keywords

MOON Group

ACL reconstruction

risk factors

pre-injury activity level

return to activity