Outcomes of Anterior Cruciate Ligament Reconstruction in Obese and Overweight Patients: A Systematic Review

Objective: To evaluate the mechanism of injury, outcomes, and complications of anterior cruciate ligament (ACL) reconstruction in overweight and obese patients. Data Sources: MEDLINE, EMBASE, and OVID electronic libraries were systematically searched from inception to December, 2017 for any eligible articles using a combination of the phrases “anterior cruciate ligament,” “ACL,” “overweight,” “obese,” and “BMI.” Results: Studies that evaluated patients with primary ACL reconstruction, classified patients as overweight or obese, and reported a minimum of 1-year follow-up data were included. Eight cohorts from 9 studies fulfilled the inclusion criteria. There were no significant differences for mechanism of injury, Lysholm scores, Knee injury and Osteoarthritis Outcome Scores values, or return to sports with a body mass index (BMI) above or below 25 kg/m2. A significant difference was described in International Knee Documentation Committee (IKDC) scores when comparing obese patients (BMI>30 kg/m2) to patients with BMI
Source: Clinical Journal of Sport Medicine - Category: Sports Medicine Tags: General Review Source Type: research