Article Text

Return to pivoting sport after ACL reconstruction: association with osteoarthritis and knee function at the 15-year follow-up
  1. Britt Elin Øiestad1,
  2. Inger Holm2,3,
  3. May Arna Risberg2,4
  1. 1Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway
  2. 2Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway
  3. 3Faculty of Medicine, Institute of Health and Society, University of Oslo, Oslo, Norway
  4. 4Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway
  1. Correspondence to Dr Britt Elin Øiestad, Department of Physiotherapy, Oslo Metropolitan University, Oslo 0130, Norway; britt-elin.Oiestad{at}


Objectives To examine the associations between return to pivoting sport following ACL reconstruction (ACLR) and knee osteoarthritis (OA), and self-reported knee symptoms, function and quality of life after 15 years.

Methods Study sample included 258 participants with ACLR 15 years previously. Return to pivoting sport (handball, soccer and basketball) data were collected by interviews, and symptomatic OA was defined as Kellgren and Lawrence grade ≥2 plus almost daily knee pain in the last month. Self-reported symptoms, function and quality of life were assessed with the Knee Injury and Osteoarthritis Outcome Score. Adjusted regression models were used to analyse the associations between return to pivoting sport and OA (present or not), and self-reported outcomes. P values ≤0.05 were considered statistically significant.

Results Two hundred and ten (81%) participants (57% men) with a mean age of 39.1 (±8.7) years completed the 15-year follow-up, and 109 (52%) had returned to pivoting sport. Returning to pivoting sport was associated with less symptomatic OA (OR 0.28, 95% CI 0.09 to 0.89) and radiographic OA (OR 0.40, 95% CI 0.17 to 0.98), adjusted for age, sex, combined injury, self-reported knee function, and time between injury and surgery. Those who returned to pivoting sport had better function in activities of daily living (ADL).

Conclusion The participants with ACLR who returned to pivoting sport had lower odds of knee OA and better self-reported ADL function. Further investigation is required to understand the clinical significance of these findings.

  • osteoarthritis
  • acl
  • sport

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  • Funding The 15-year follow-up study was funded by the South-Eastern Norway Regional Health Authority.

  • Competing interests None declared.

  • Patient consent Detail has been removed from this case description/these case descriptions to ensure anonymity. The editors and reviewers have seen the detailed information available and are satisfied that the information backs up the case the authors are making.

  • Ethics approval The Regional Ethical Committee and the Data Inspectorate at Oslo University Hospital in Norway approved the study.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement No unpublished data are available from this study.

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