2025 ISAKOS Biennial Congress ePoster
Return To Sexual Activity After Posterior Cruciate Ligament Reconstruction
Riccardo D'Ambrosi, MD, Milano ITALY
Federico Valli, MD, Milan ITALY
Pietro Marchetti, MD, Milan ITALY
Amit Meena, MBBS, MS, DNB, Jaipur, Rajasthan INDIA
IRCCS Istituto Ortopedico Galeazzi, Milan, ITALY
FDA Status Not Applicable
Summary
PCL injury decreases sexual function as well as quality of life, and reconstructive surgery improves these aspects regardless of age or sex.
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Abstract
Purpose
The purpose of this study was to investigate changes in sexual function and quality of life following arthroscopic posterior cruciate ligament (PCL) reconstruction.
Methods
At the time of hospital admission, each patient was asked to complete the New Sexual Satisfaction Scale-Short Form (NSSS-S), before injury (preinjury) and at the time of hospital admission (preoperative). In addition, patients were followed for a minimum of 24 months (final follow-up). Quality of life was measured using the Anterior Cruciate Ligament Quality of Life Questionnaire (ACL-QOL) at hospital admission (preoperative) and at the 24-month follow-up visit (final follow-up).
Results
A total of 35 patients were included in the study; 24 (68.6%) were male, and 11 were female (31.4%). The mean age at the time of surgery was 29.23±7.52 years, and the mean follow-up duration was 52.97±22.69 months. In all patients, the hamstring tendon was used. Sexual activity at the last follow-up visit was significantly different from that preoperatively (p=0.024), while no difference was observed between the preinjury and last follow-up values (p=0.243). Sexual activity was more frequent before injury than preoperatively (p=0.009). Quality of life at the last follow-up visit was significantly better than that preoperatively (p<0.001).
Conclusions
PCL injury decreases sexual function as well as quality of life, and reconstructive surgery improves these aspects regardless of age or sex. According to the results of the current study, when deciding whether to perform surgical or conservative treatment, the patient's sexual expectations should be considered.