■前交叉韧带(ACL)撕裂治疗后恢复运动(RTS)是评估外科手术结果的关键参数。然而,很少有研究调查ACL修复后的RTS。
■在ACL修复后至少2年的随访中评估一组业余足球运动员的RTS。
■案例系列;证据级别,4.
■对所有接受急性ACL修复治疗的患者进行回顾性分析。该研究共包括50名业余足球运动员。对患者进行临床检查或联系以完成术后患者报告的结果测量,即膝关节损伤和骨关节炎结果评分,国际膝关节文献委员会调查问卷,ACL-受伤后重返运动量表,和被遗忘的联合分数-12.
■患者的平均年龄为25.8±7.7岁(范围,14-47岁),平均随访34.3±10.7个月(范围,24-51.3个月)。Tegner活动量表的中位数为9分。ACL修复故障率为16%(8/50)。从修复到失效的平均时间为23.1±12.7个月(范围,6-44个月),ACL修复失败患者的平均年龄为19.9±3.3岁(范围,14-24岁),与未经历ACL修复失败的患者相比,显着降低(26.9±7.9年;范围,16-47岁;P=0.017)。多变量分析表明,年龄≤21岁是ACL修复失败的唯一显著危险因素(比值比,5.45;置信区间,1.24-27.91;P=.041)。排除8例出现修复失败的患者,42例患者中有31例(73.8%)在ACL修复后重返足球,31人中有29人(93.5%)恢复了受伤前的比赛水平。此外,踢足球并恢复到受伤前水平的患者比没有恢复到受伤前水平的患者年轻得多(平均,21.1±3.4vs29.2±9.5年,分别为;P=0.002),并且具有明显更好的ACL-受伤后恢复运动评分(平均值,分别为96.6±4和87.8±11;P=.044)。
■在这项研究中,73.8%(n=31)的病人恢复踢足球,其中93.5%(n=29)在ACL修复后恢复到损伤前水平。失败率为16%(n=8),主要涉及年龄≤21岁的患者。
UNASSIGNED: Return to sport (RTS) after treatment of an anterior cruciate ligament (ACL) tear is a critical parameter to assess the outcome of a surgical procedure. However, few studies have investigated RTS after ACL
repair.
UNASSIGNED: To evaluate RTS of a group of amateur soccer players at a minimum follow-up of 2 years after ACL
repair.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: A retrospective review of all patients treated with acute ACL
repair was conducted. A total of 50 amateur soccer players were included in the study. Patients were examined clinically or contacted to complete postoperative patient-reported outcome measures, namely the Knee injury and Osteoarthritis Outcome Score, the International Knee Documentation Committee questionnaire, the ACL-Return to Sport After Injury scale, and the Forgotten Joint Score-12.
UNASSIGNED: The patients\' mean age was 25.8 ± 7.7 years (range, 14-47 years), and the mean follow-up was 34.3 ± 10.7 months (range, 24-51.3 months). The median Tegner Activity Scale score was 9. The ACL
repair failure rate was 16% (8/50). The mean time from repair to failure was 23.1 ± 12.7 months (range, 6-44 months), and the mean age of patients who sustained ACL repair failure was 19.9 ± 3.3 years (range, 14-24 years), significantly lower compared with patients who did not experience ACL repair failure (26.9 ± 7.9 years; range, 16-47 years; P = .017). Multivariate analysis showed that age ≤21 years was the only significant risk factor for ACL repair failure (odds ratio, 5.45; confidence interval, 1.24-27.91; P = .041). Excluding the 8 patients who experienced repair failure, 31 of 42 patients (73.8%) returned to soccer after ACL
repair, with 29 of the 31 (93.5%) returning at their preinjury level of play. Moreover, patients who played competitive soccer and returned to their preinjury level of play were significantly younger than those who did not return to their preinjury level of play (mean, 21.1 ± 3.4 vs 29.2 ± 9.5 years, respectively; P = .002) and had significantly better ACL-Return to Sport After Injury scores (mean, 96.6 ± 4 vs 87.8 ± 11, respectively; P = .044).
UNASSIGNED: In this study, 73.8% (n = 31) of patients returned to playing soccer, of whom 93.5% (n = 29) returned to their preinjury level after ACL repair. The failure rate was 16% (n = 8) and mainly involved patients ≤21 years old.