Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis
PURPOSE: To identify potential prognostic factors for patient-reported outcomes in an Icelandic cohort of ACL injured subjects. METHODS: All knee MRI reports written in Iceland between the years 2001 to 2011 were read to identify individuals with a possible ACL injury. These individuals were contact...
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ftpubmed:oai:pubmedcentral.nih.gov:10412518 2023-09-05T13:20:36+02:00 Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis Nicholls, Micah Ingvarsson, Thorvaldur Filbay, Stephanie Lohmander, Stefan Briem, Kristin 2023-08-09 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412518/ http://www.ncbi.nlm.nih.gov/pubmed/37556084 https://doi.org/10.1186/s40634-023-00638-4 en eng Springer Berlin Heidelberg http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412518/ http://www.ncbi.nlm.nih.gov/pubmed/37556084 http://dx.doi.org/10.1186/s40634-023-00638-4 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . J Exp Orthop Original Paper Text 2023 ftpubmed https://doi.org/10.1186/s40634-023-00638-4 2023-08-13T01:12:38Z PURPOSE: To identify potential prognostic factors for patient-reported outcomes in an Icelandic cohort of ACL injured subjects. METHODS: All knee MRI reports written in Iceland between the years 2001 to 2011 were read to identify individuals with a possible ACL injury. These individuals were contacted and asked to complete an online questionnaire regarding their injury and current knee related health. The questionnaire collected information on years since surgery, injury circumstance, brace use, physiotherapy, ACL surgery, second ACL injury and current smoking status. In addition, the baseline status of their meniscii were assessed from the original MRI report and medical records were used to identify any subsequent, non-ACL surgery. The patient-reported Knee Osteoarthritis and Injury Outcome Score (KOOS) was used assess current knee related health. A Bayesian proportional odds model was used to assess the effect of all potential prognostic factors above as well as age and sex on KOOS outcomes. RESULTS: A total of 408 subjects completed the questionnaire indicating that they did rupture their ACL. The following variables were associated with worse outcomes across all KOOS subscales: having a subsequent arthroscopy, reinjury to your ACL, and smoking. Having physiotherapy for 9 months was associated with worse KOOS pain scores than having 6 months of physiotherapy. Conversely KOOS pain score tended to be higher if you injured your knee during sports. CONCLUSION: Reinjuring your ACL, smoking and having subsequent (non-ACLR) surgery predict your knee related health following an ACL injury. Strategies should be implemented to reduce the risk of secondary ACL injury, and patients should be strongly advised not to smoke. Text Iceland PubMed Central (PMC) Journal of Experimental Orthopaedics 10 1 |
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Original Paper Nicholls, Micah Ingvarsson, Thorvaldur Filbay, Stephanie Lohmander, Stefan Briem, Kristin Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis |
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Original Paper |
description |
PURPOSE: To identify potential prognostic factors for patient-reported outcomes in an Icelandic cohort of ACL injured subjects. METHODS: All knee MRI reports written in Iceland between the years 2001 to 2011 were read to identify individuals with a possible ACL injury. These individuals were contacted and asked to complete an online questionnaire regarding their injury and current knee related health. The questionnaire collected information on years since surgery, injury circumstance, brace use, physiotherapy, ACL surgery, second ACL injury and current smoking status. In addition, the baseline status of their meniscii were assessed from the original MRI report and medical records were used to identify any subsequent, non-ACL surgery. The patient-reported Knee Osteoarthritis and Injury Outcome Score (KOOS) was used assess current knee related health. A Bayesian proportional odds model was used to assess the effect of all potential prognostic factors above as well as age and sex on KOOS outcomes. RESULTS: A total of 408 subjects completed the questionnaire indicating that they did rupture their ACL. The following variables were associated with worse outcomes across all KOOS subscales: having a subsequent arthroscopy, reinjury to your ACL, and smoking. Having physiotherapy for 9 months was associated with worse KOOS pain scores than having 6 months of physiotherapy. Conversely KOOS pain score tended to be higher if you injured your knee during sports. CONCLUSION: Reinjuring your ACL, smoking and having subsequent (non-ACLR) surgery predict your knee related health following an ACL injury. Strategies should be implemented to reduce the risk of secondary ACL injury, and patients should be strongly advised not to smoke. |
format |
Text |
author |
Nicholls, Micah Ingvarsson, Thorvaldur Filbay, Stephanie Lohmander, Stefan Briem, Kristin |
author_facet |
Nicholls, Micah Ingvarsson, Thorvaldur Filbay, Stephanie Lohmander, Stefan Briem, Kristin |
author_sort |
Nicholls, Micah |
title |
Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis |
title_short |
Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis |
title_full |
Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis |
title_fullStr |
Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis |
title_full_unstemmed |
Smoking and secondary ACL rupture are detrimental to knee health post ACL injury—a Bayesian analysis |
title_sort |
smoking and secondary acl rupture are detrimental to knee health post acl injury—a bayesian analysis |
publisher |
Springer Berlin Heidelberg |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412518/ http://www.ncbi.nlm.nih.gov/pubmed/37556084 https://doi.org/10.1186/s40634-023-00638-4 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
J Exp Orthop |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412518/ http://www.ncbi.nlm.nih.gov/pubmed/37556084 http://dx.doi.org/10.1186/s40634-023-00638-4 |
op_rights |
© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
op_doi |
https://doi.org/10.1186/s40634-023-00638-4 |
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Journal of Experimental Orthopaedics |
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10 |
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1 |
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