{"doi":"10.1007/s00167-010-1113-5","title":"Functional tests should be accentuated more in the decision for ACL reconstruction","abstract":"<jats:title>Abstract</jats:title><jats:p>A high pre‐injury activity level, the desire of the patient to continue pivoting sports and fear of future give‐way episodes are considered the most significant factors affecting the decision to perform anterior cruciate ligament reconstruction. However, since the functional status of the knee at the time of surgery affects the final outcome, assessments of knee function should be considered in the decision making for surgery. Individuals with anterior cruciate ligament injury can be classified as potential copers or non‐copers from an existing screening examination. The purpose of this study was to investigate whether the functional tests incorporated in the original screening examination could contribute to explain those who later go through anterior cruciate ligament reconstruction and to examine whether changes to the content or the time of conducting the screening examination (before or after ten sessions of exercise therapy) could improve its explanatory value. One‐hundred and forty‐five individuals were included and prospectively followed for 15 months, after where 51% had gone through anterior cruciate ligament reconstruction and 49% were managed non‐operatively. The only significant baseline differences between those who later went through anterior cruciate ligament reconstruction and those who were non‐operatively treated were that those who had surgery were younger and had a higher activity level (<jats:italic>P</jats:italic> &lt; 0.05). Regression analyses revealed that the explanatory value for those who later went through anterior cruciate ligament reconstruction significantly improved when the original screening examination was considered compared to only age, activity level and give‐way episodes. Changes to the content further improved the explanatory value, with quadriceps muscle strength as the single variable with the highest impact. Finally, conducting the screening examination after ten sessions of progressive exercise therapy gave the overall highest explanatory values, suggesting that the screening examination should be conducted subsequent to a short period of rehabilitation to inform decision making for anterior cruciate ligament reconstruction.</jats:p>","journal":"Knee Surgery, Sports Traumatology, Arthroscopy","year":2010,"id":606675,"datarank":0.6190701577567639,"base_score":4.127134385045092,"endowment":4.127134385045092,"self_citation_contribution":0.6190701577567639,"citation_network_contribution":0.0,"self_endowment_contribution":0.6190701577567639,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":61,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":756264,"name":"Håvard Moksnes","orcid":"0000-0001-6864-7490","position":1,"is_corresponding":false},{"id":329372,"name":"Lynn Snyder‐Mackler","orcid":"0000-0002-1767-7910","position":2,"is_corresponding":false},{"id":53303,"name":"Lars Engebretsen","orcid":"0000-0003-2294-921X","position":3,"is_corresponding":false},{"id":329371,"name":"May Arna Risberg","orcid":"0000-0002-9511-1314","position":4,"is_corresponding":false},{"id":1557525,"name":"Ingrid Eitzen","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Functional tests should be accentuated more in the decision for ACL reconstruction","abstract":"<jats:title>Abstract</jats:title><jats:p>A high pre‐injury activity level, the desire of the patient to continue pivoting sports and fear of future give‐way episodes are considered the most significant factors affecting the decision to perform anterior cruciate ligament reconstruction. However, since the functional status of the knee at the time of surgery affects the final outcome, assessments of knee function should be considered in the decision making for surgery. Individuals with anterior cruciate ligament injury can be classified as potential copers or non‐copers from an existing screening examination. The purpose of this study was to investigate whether the functional tests incorporated in the original screening examination could contribute to explain those who later go through anterior cruciate ligament reconstruction and to examine whether changes to the content or the time of conducting the screening examination (before or after ten sessions of exercise therapy) could improve its explanatory value. One‐hundred and forty‐five individuals were included and prospectively followed for 15 months, after where 51% had gone through anterior cruciate ligament reconstruction and 49% were managed non‐operatively. The only significant baseline differences between those who later went through anterior cruciate ligament reconstruction and those who were non‐operatively treated were that those who had surgery were younger and had a higher activity level (<jats:italic>P</jats:italic> &lt; 0.05). Regression analyses revealed that the explanatory value for those who later went through anterior cruciate ligament reconstruction significantly improved when the original screening examination was considered compared to only age, activity level and give‐way episodes. Changes to the content further improved the explanatory value, with quadriceps muscle strength as the single variable with the highest impact. Finally, conducting the screening examination after ten sessions of progressive exercise therapy gave the overall highest explanatory values, suggesting that the screening examination should be conducted subsequent to a short period of rehabilitation to inform decision making for anterior cruciate ligament reconstruction.</jats:p>","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"20411377","pmcid":"PMC3158985","openalex_id":null,"authors":[],"funders":[{"funder_name":"NICHD NIH HHS","grant_id":"R01 HD37985-06","title":null},{"funder_name":"NICHD NIH HHS","grant_id":"R01 HD37985-05","title":null},{"funder_name":"NICHD NIH HHS","grant_id":"R01 HD037985","title":null},{"funder_name":"NICHD NIH HHS","grant_id":"R01 HD37985-04","title":null},{"funder_name":"National Institutes of Health","grant_id":"5R01HD037985-02","title":"DYNAMIC STABILITY IN THE ACL INJURED KNEE"}],"total_grants":5,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[],"oa_status":"green","license":"Wiley Online Library User Agreement","oa_locations":[{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3158985","host_type":"repository"},{"url":"http://link.springer.com/content/pdf/10.1007/s00167-010-1113-5.pdf","host_type":"publisher"},{"url":"http://link.springer.com/article/10.1007/s00167-010-1113-5/fulltext.html","host_type":"publisher"},{"url":"https://esskajournals.onlinelibrary.wiley.com/doi/pdf/10.1007/s00167-010-1113-5","host_type":"publisher"},{"url":"https://doi.org/10.1007/s00167-010-1113-5","host_type":""},{"url":"https://europepmc.org/articles/pmc3158985?pdf=render","host_type":""},{"url":"https://pubmed.ncbi.nlm.nih.gov/20411377","host_type":""},{"url":"https://dx.doi.org/10.1007/s00167-010-1113-5","host_type":""}],"fields_of_study":["03 medical and health sciences","0302 clinical medicine","Adolescent","Adult","Anterior Cruciate Ligament","Anterior Cruciate Ligament Injuries","Athletic Injuries","Cohort Studies","Confidence Intervals","Decision Making","Female","Follow-Up Studies","Humans","Injury Severity Score","Knee Injuries","Linear Models","Male","Middle Aged","Patient Selection","Physical Examination","Preoperative Care","Plastic Surgery Procedures","Recovery of Function","Retrospective Studies","Risk Assessment","Treatment Outcome","Young Adult"],"mesh_terms":["Anterior Cruciate Ligament","Humans","Athletic Injuries","Knee Injuries","Physical Examination","Treatment Outcome","Preoperative Care","Injury Severity Score","Confidence Intervals","Linear Models","Risk Assessment","Retrospective Studies","Cohort Studies","Follow-Up Studies","Decision Making","Recovery of Function","Patient Selection","Adolescent","Adult","Middle Aged","Female","Male","Young Adult","Anterior Cruciate Ligament Injuries","Plastic Surgery Procedures"],"keywords":["Adult","Male","Adolescent","Anterior Cruciate Ligament Injuries","Patient Selection","Decision Making","Knee Injuries","Middle Aged","Plastic Surgery Procedures","Cohort Studies","Injury Severity Score","Athletic Injuries","Preoperative Care","Confidence Intervals","Linear Models","Humans","Female","Anterior Cruciate Ligament","Physical Examination","Follow-Up Studies"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-07-30T04:58:58.329034Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}