Predictors of Functional Disability in Patients Undergoing Anterior Cruciate Ligament Reconstruction

Purpose: The primary purpose of this study was to identify the patient-centric factors that contribute to functional disability in patients undergoing ACL reconstruction, in an effort to help guide patient selection, counseling, and optimal timing of surgery. Methods: All patients undergoing ACL reconstruction by two fellowship-trained sports medicine surgeons from July 2017 to September 2018 were included.Preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive test (CAT) scores for physical function (PROMIS-PF), pain interference (PROMIS-PI), and depression (PROMIS-D) were recorded, as were patient demographic data. The correlation between psychosocial, demographic, and functional outcomes was then analyzed. Results: There were 145 patients (mean age 27 ± 11, 92 males) included in this review. There was a wide range of PROMIS-PF scores (23.2-61.7), PROMIS-PI scores (38.7-78.4), and PROMIS-D scores (34.2-78.1). Preoperative PROMIS-PF scores were negatively correlated with PROMIS-PI (p