Outcomes of anterior cruciate ligament reconstruction in patients with Workers' Compensation claims.

作者: Gary Wexler , Bernard R. Bach , Charles A. Bush-Joseph , David Smink , James D. Ferrari

DOI: 10.1016/S0749-8063(00)90127-0

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摘要: Abstract Summary: A general perception exists that outcomes of orthopaedic procedures in patient's with Workers' Compensation claims fare worse than those patients without such claims. We retrospectively reviewed the anterior cruciate ligament (ACL) reconstruction who have This minimum 2-year follow-up study analyzed occupational, functional, and objective results underwent arthroscopic-assisted reconstruction. Twenty-two representing 5% ACL at our institution between 1987 1995 were included current study. All reconstructions performed by senior author (B.R.B.) using techniques (single double-incision) bone–patellar tendon–bone autografts followed an accelerated rehabilitation protocol. Postoperative physical examinations revealed a negative drawer 19 (91%), Lachman 15 (68%), pivot shift 21 (96%). The KT-1000 arthrometric evaluation showed mean maximum manual difference 1.9 mm (68%) having ≤3 7 (32%) from 3 to 5 mm. postoperative scores for Hospital Special Surgery scoring scale was 86, Noyes Sports activity 81, ADL score 36, Problem 75, Function 87, Lysholm 82, Tegner 5.9. Occupational rating system increased preoperative 48 60 postoperatively Job Title remained after surgery. Functional testing deficits no more 9% reconstructed normal knees. SF-36 significantly higher Role Physical General Health categories lower Mental category when compared United States norms. Subjective 95% would undergo similar procedure if faced injury contralateral knee future. show leads predictable functional occupational work-related injuries. able return work. hypothesis compromises not observed this Arthroscopy: Journal Arthroscopic Related Surgery, Vol 16, No 1 (January-February), 2000: pp 49–58

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