Journal article

Poor functional performance 1 year after ACL reconstruction increases the risk of early osteoarthritis progression

Brooke Patterson, Adam Geoffrey Culvenor, Christian J Barton, Ali Guermazi, Joshua Stefanik, Hayden G Morris, Timothy S Whitehead, Kay M Crossley

British Journal of Sports Medicine | BMJ PUBLISHING GROUP | Published : 2020

Abstract

BACKGROUND: Not meeting functional performance criteria increases reinjury risk after ACL reconstruction (ACLR), but the implications for osteoarthritis are not well known. OBJECTIVE: To determine if poor functional performance post-ACLR is associated with risk of worsening early osteoarthritis features, knee symptoms, function and quality of life (QoL). METHODS: Seventy-eight participants (48 men) aged 28±15 years completed a functional performance test battery (three hop tests, one-leg-rise) 1 year post-ACLR. Poor functional performance was defined as <90% limb symmetry index (LSI) on each test. At 1 and 5 years, MRI, Knee injury Osteoarthritis Outcome Score (KOOS) and International Knee D..

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Grants

Awarded by National Health and Medical Research Council


Awarded by Neil Hamilton Fairley Clinical Fellowship


Awarded by NIH/NIGMS


Funding Acknowledgements

Support for this study was provided by Arthritis Australia, La Trobe University Sport, Exercise and Rehabilitation Research Focus Area, the Queensland Orthopaedic Physiotherapy Network, the University of Melbourne (Research Collaboration grant) and the University of British Columbia Centre for Hip Health and Mobility (Society for Mobility and Health). BP was the recipient of the Felice Rosemary-Lloyd Travel Scholarship, which assisted with travel and data analysis to visit coauthor JS at the University of Delaware. BP, AC and CB are recipients of National Health and Medical Research Council awards (post-graduate scholarship No. 1114296, Neil Hamilton Fairley Clinical Fellowship No. 1121173 and MRFF Translating Research into Practice No. 11163250, respectively). JS is supported by a NIH/NIGMS grant U54-GM104941.