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‘ACL – wow, this is bad’: patients’ perspectives on their anterior cruciate ligament injury and its care – a systematic review and qualitative evidence synthesis

Review written by Dr Travis Pollen info

Key Points

  1. This study synthesized qualitative research on patients’ perspectives on anterior cruciate ligament (ACL) injuries and their care.
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BACKGROUND & OBJECTIVE

Anterior cruciate ligament (ACL) injuries are often devastating: 45% of patients don’t return to their previous level of competition (1) and about a third sustain a second injury (2). Qualitative research facilitates our understanding of patients’ experiences and perspectives on recovery, thereby informing patient-centered care. Previous qualitative syntheses have been conducted across injuries (3) as well as on all knee injuries (4) but never specifically on ACL injuries.

Thus, the purpose of this review was to synthesize qualitative research on patients’ perspectives exclusively on ACL injuries and their care.

45% of Anterior cruciate ligament patients don’t return to their previous level of competition and about a third sustain a second injury.
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Collectively, addressing patients’ beliefs, emotions, identities, and social contexts may help foster ACL care that better supports their post-injury experiences and improves outcomes.

METHODS

The authors systematically searched multiple databases up to June 2024. They included qualitative studies on patients’ perspectives on ACL injuries and their care. They conducted inductive thematic synthesis to describe themes and subthemes and extract representative quotes.

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