There is sparse literature regarding the prognosis and predictors of anterior cruciate ligament (ACL) reconstruction outcomes at six years as measured by validated patient-based outcome instruments and assessed by multivariable analysis. Knowing prognostic information would be valuable in physician counseling of patients considering ACL reconstruction.

Large sample sizes with adequate follow-up are necessary for such analysis. A previously published randomized controlled trial had an enrollment of 225 patients1, which limits risk factor analysis. A previous cohort study utilizing multivariable analysis was limited by 69% follow-up and the lack of baseline measurements of the outcomes2, which are important to adjust for, as they are often the strongest predictor of follow-up scores.