I.I. Radysh – Traumatologist-Orthopedist, Head of the Department of Traumatology, Orthopedics and Medical Rehabilitation, Clinical hospital № 1, Russian Federation President’s Administration Е-mail: dr-ivo@yandex.ru

The article presents data on the study of gender differences in assessing the latent factors of quality of life before and after the anterior cruciate ligament (ACL) arthroscopic reconstruction.

220 patients (134 men and 86 women) aged 17-47 years with isolated ACL rupture before and after reconstruction were examined. All examined previously had no damage to the knee. Arthroscopic reconstruction of isolated ACL was carried out in the early periods of 1 to 4 weeks after injury and 1 year after surgery. Assessment (36-Item Short-Form Health Survey, SF36) of the quality of life was carried out. 

It was established that according to the first factor in the group of men before reconstruction, such loads were determined in

4 scales (PF, RP, RE, MH). According to the second factor, no significant factor loads were identified. The largest factor load on the first factor is borne by the PF scale (factor load = 0.928; coefficient factor = 0.435). One year after ACL reconstruction, according to the first factor, such loads were determined at 6 scales (PF, RP, GH, VT, SF, MH). According to the second factor, no significant factor loads were identified. The scale factor load on the first factor is the MN scale (factor load = 0.882; coefficient factor = 0.404). 

It was revealed that according to the first factor in the group of women before reconstruction, such loads were determined for 6 scales (PF, RP, BP, GH, RE, MH). According to the second factor, no significant factor loads were identified. The largest comparable factor loadings for the first factor in the group carry the PF scales (factor load = 0.890; coefficient factor = 0.403) and MH (factor load = 0.889; coefficient factor = 0.402). One year after ACL reconstruction, according to the first factor, such loads were determined for all 8 scales. According to the second factor, no significant factor loads were identified. The largest factor load on the first factor is borne by the PF scale (factor load = 0.963; coefficient factor = 0.368). 

Thus, the results of a study assessing the quality of life using the SF-36 questionnaire indicate the effect of anterior cruciate ligament injury on the quality of life of patients. Thus, the leading scales for assessing QoL due to health status in patients with an isolated ACL injury in the group of men before ACL reconstruction on the first factor are self-assessment on the scale of mental health, and one year after ACL reconstruction on the scale physical functioning. In the group of women before ACL reconstruction, the first factor is self-assessment on scale of physical functioning and mental health, and one year after ACL reconstruction only – physical functioning.

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