Secondary outcomes
postoperative pain, Osteoarthritis, anxiety/depression, ACL, knee ACL rupture, Knee injury, pain, infection, knee injuries, knee effusion, arthrofibrosis, knee pain
OSTEOARTHRITIS, ADVERSE EVENTS, INFECTION, STERILE, EFFUSION, COMPLICATIONS, ARTHROFIBROSIS, COMPLICATIONS
Secondary outcomes are fourfold and will include (i) PROMs, (ii) return to sport rates, (iii) complications and (iv) examination findings.PROMs will be recorded preoperatively and post-operatively at 6 weeks, 3 months, 12 months and 24 months. PROMs collected will include the following:EQ5D-5L: The EuroQol EQ-5D-5L is a validated, generic, self-reported outcome measure covering five health domains that are used to facilitate the calculation of quality-adjusted life years (QALYs) in health economic evaluations. The original EQ-5D questionnaire contained three response options within each of five health domains (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) [The International Knee Documentation Committee (IKDC) score: The IKDC is a knee-specific patient outcome questionnaire often used after ACL reconstruction [Knee injury and Osteoarthritis Outcome Score Quality of Life sub-scale (KOOS-QOL): This subscale is a 4-item questionnaire designed to evaluate the knee-specific quality of life, has been utilised among ACL surgical trials [ACL return to sport index (ACL-RSI): Psychological readiness to return to sport will be evaluated with the ACL-RSI. It is a 12-point questionnaire validated to evaluate a patient’s confidence and readiness to return to sport [Self-reported pain: We will record postoperative pain levels and long-term knee pain scores utilising 10-point visual analogue scale pain scores (VAS) where 0 is no pain and 10 is the worst pain imaginable.Complications:We will record complications and adverse events including wound complications, infection rates, return to surgery, e.g. meniscal tears, graft failure, contralateral knee ACL rupture, residual effusion, rates of symptomatic arthrofibrosis of the knee and second look arthroscopy findings and the rates of sterile effusion. These will be recorded upon review of each patient’s medical record at 2 years.Return to sport and activity:Return to sport and activity will be assessed via a self-reported questionnaire delivered concomitantly with PROMs preoperatively and post-operatively at 6 weeks, 3 months, 12 months and 24 months. Return to activity will be evaluated through the Marx activity scale, a four-item activity rating scale which has been shown to have excellent retest reliability in patients with knee injuries [Examination findingsExamination findings will be taken preoperatively at examination under anaesthesia and post-operatively at 6 weeks, 3 months and 12 months. Examination findings including the range of motion (ROM), the presence of knee effusion, Lachmans, pivot shift and anterior drawer testing will be recorded. All assessments will be undertaken by lead surgeons S.T, L.B.