ArticleThe American journal of sports medicine2025
Failure to Achieve the Patient Acceptable Symptom State 2 Years After Anterior Cruciate Ligament Reconstruction Reflects Poor Knee Loading Patterns.
Article in The American journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Preventing osteoarthritis after anterior cruciate ligament injury: The case for targeting pre-osteoarthritis illness.Osteoarthritis and cartilage · 2026Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundClinical outcomes vary after anterior cruciate ligament reconstruction (ACLR), and osteoarthritis (OA) risk remains high. Consequently, early identification is needed of patients who show potentially modifiable loading patterns suggestive of higher risk for worse outcomes and pre-OA. HYPOTHESIS: This study tested the hypothesis that (1) Patient Acceptable Symptom State (PASS) status derived from the Knee injury and Osteoarthritis Outcome Score (KOOS) is associated with knee loading patterns 2 years after ACLR and (2) failure to achieve the PASS reflects worse knee loading mechanics. STUDY
designCross-sectional study; Level of evidence, 4.
methodsFifty-nine participants with unilateral ACLR (mean ± SD, 33 ± 10 years; 33 [56%] females) assessed by gait analysis and KOOS at 2-year follow-up were categorized according to published KOOS PASS thresholds. Independent
resultsAlthough PASS rates for KOOS subscales ranged from 42% to 100%, only 36% of participants achieved the PASS on all 5 KOOS subscales. Patients achieving the PASS on a given KOOS subscale exhibited different loading patterns when compared with those who did not (PASS-no). Specifically, PASS-no for pain and knee-related quality of life showed lower KFM (
conclusionNearly two-thirds of ACLR recipients failed to achieve the PASS on all KOOS subscales 2 years after ACLR. Failure to achieve the PASS was associated with knee loading patterns linked to worse longer-term outcomes and greater OA risk. CLINICAL RELEVANCE: The KOOS PASS criterion is an accessible screening tool for identifying patients in need of further assessment and treatment to improve knee health and reduce OA risk after ACLR.
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