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The American Journal of Sports Medicine 24:196-200 (1996)
© 1996 SAGE Publications

The Use of a Generic, Patient-Based Health Assessment (SF-36) for Evaluation of Patients with Anterior Cruciate Ligament Injuries

Eric T. Shapiro, MD

Department of Orthopaedic Surgery

John C. Richmond, MD

Department of Orthopaedic Surgery

Sean E. Rockett, MD

Department of Orthopaedic Surgery

Margaret M. McGrath, MS

Department of Quality Support Services, Tufts-New England Medical Center, Boston, Massachusetts

William R. Donaldson, MD

Department of Orthopaedic Surgery

The MOS 36-item short-form health survey is a ge neric, patient-based health assessment tool. It has been used to assess functional outcome for many medical conditions, both acute and chronic. The use of this survey in evaluating the effects of treatment of any specific disease or injury allows comparison of treat ments across a broad spectrum of disease categories. The purpose of this study was to see if this assessment tool could 1) be used to identify those patients requiring anterior cruciate ligament reconstruction, 2) detect changes in the patients with treatment over time, and 3) correlate with the commonly used knee assessment scales. The short-form health survey could not identify those patients requiring anterior cruciate ligament re constructive surgery. However, it did show important and significant changes with treatment (surgical and nonsurgical) over time. There was a significant corre lation between the short-form health survey and the Lysholm and International Knee Documentation Com mittee scores during this study. The addition of the MOS 36-item short-form health survey to our traditional knee ligament evaluation tools is encouraged. Its use will permit the orthopaedic community to demonstrate the value of our treatment of anterior cruciate ligament injuries to health care planners and generalist physi cians.




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