Division of Rehabilitation Medicine, Kobe University Hospital, Kobe, Japan; Department of Community Health Sciences, Kobe University Graduate School of Health Sciences, Kobe, Japan.
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Knee. 2021 Dec;33:282-289. doi: 10.1016/j.knee.2021.10.013. Epub 2021 Oct 29.
Few studies have examined patient satisfaction with playing pre-injury sports after anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to investigate patient satisfaction with playing pre-injury sport and identify factors associated with satisfaction.
A total of 97 patients underwent unilateral ACL reconstruction using a hamstring autograft and returned to pre-injury sports 1 year after surgery. Patient satisfaction with playing pre-injury sport was assessed by a visual analog scale (VAS) and an ordinal four-grade scale. Problems related to the operated knee were also assessed. Knee muscle strength, single leg hop distance, knee laxity, subjective knee pain, and fear of movement/reinjury using Tampa Scale for Kinesiophobia-11 (TSK-11) were measured. Multivariate linear regression analysis was performed to determine the factors associated with patient satisfaction with playing pre-injury sport 1 year after surgery.
The average VAS score for patient satisfaction with playing pre-injury sports 1 year after surgery was 77.8 ± 20.2. Of the 97 patients, 87 patients (89.7%) answered "satisfied" or "mostly satisfied", whereas 51 patients (52.6%) had one or more problems. Multivariate linear regression analysis identified that the TSK-11 score was associated with patient satisfaction with playing a pre-injury sport 1 year after surgery.
Most of the patients who returned to pre-injury sports were satisfied with their outcomes. In contrast, approximately half of the patients had one or more problems after returning to play pre-injury sports. In particular, fear of movement/reinjury was significantly associated with patient satisfaction with playing pre-injury sport 1 year after surgery.
鲜有研究调查过前交叉韧带（ACL）重建后患者对重返运动的满意度。本研究旨在调查患者对重返运动的满意度，并确定与满意度相关的因素。
共有 97 例患者接受了单侧 ACL 重建，使用自体腘绳肌腱重建，术后 1 年恢复到术前运动水平。患者对重返术前运动的满意度通过视觉模拟评分（VAS）和四级有序量表进行评估。还评估了与手术膝关节相关的问题。测量膝关节肌肉力量、单腿跳跃距离、膝关节松弛度、主观膝关节疼痛和使用 Tampa 运动恐惧量表-11（TSK-11）测量的运动/再损伤恐惧。进行多变量线性回归分析以确定与术后 1 年重返术前运动的患者满意度相关的因素。
术后 1 年患者对重返术前运动的 VAS 平均评分为 77.8±20.2。97 例患者中，87 例（89.7%）回答“满意”或“基本满意”，而 51 例（52.6%）存在 1 个或多个问题。多变量线性回归分析表明，TSK-11 评分与术后 1 年重返术前运动的患者满意度相关。
大多数重返术前运动的患者对其结果感到满意。相比之下，大约一半的患者在重返术前运动后存在 1 个或多个问题。特别是，运动/再损伤恐惧与术后 1 年重返术前运动的患者满意度显著相关。
