Quality of Life in ACL-Deficient Individuals
Quality of Life in ACL-Deficient Individuals
This systematic review has shown that knee-related QOL is impaired 5–25 years following ACL rupture in ACL-deficient individuals compared to population norms, and to an even greater degree when compared to young, active adults. Meta-analysis identified no significant differences in knee-related QOL between ACL-deficient and ACL-reconstructed groups. Average health-related QOL scores in ACL-deficient people were similar to those reported in a general population, but impaired compared to more active populations. The only difference between ACL-deficient and ACL-reconstructed groups for health-related QOL outcomes was a favourable SF-36 Vitality score for ACL-reconstructed participants; however, this is unlikely to be of clinical significance. These findings indicate that longer term impairments in knee-related QOL are evident after ACL rupture, irrespective of operative or non-operative management.
Summary and Conclusion
This systematic review has shown that knee-related QOL is impaired 5–25 years following ACL rupture in ACL-deficient individuals compared to population norms, and to an even greater degree when compared to young, active adults. Meta-analysis identified no significant differences in knee-related QOL between ACL-deficient and ACL-reconstructed groups. Average health-related QOL scores in ACL-deficient people were similar to those reported in a general population, but impaired compared to more active populations. The only difference between ACL-deficient and ACL-reconstructed groups for health-related QOL outcomes was a favourable SF-36 Vitality score for ACL-reconstructed participants; however, this is unlikely to be of clinical significance. These findings indicate that longer term impairments in knee-related QOL are evident after ACL rupture, irrespective of operative or non-operative management.
