■虽然目前的文献已经探讨了运动员在前交叉韧带(ACL)受伤后恢复运动(RTS)的结果,人们对那些未能重返体育运动的人的结果知之甚少。
■确定初次ACL重建(ACLR)后未进行RTS的运动员的比率,并确定无法进行RTS的特定主观原因。
■PubMed/MEDLINE的全面搜索,Scopus,和WebofScience数据库进行到2021年4月。
符合条件的研究包括明确报告ACLR后RTS的失败率以及提供运动员无法返回原因的详细信息;31项研究符合纳入标准。
■系统评价和荟萃分析。
■级别2到4。
■我们研究中提到的RTS失败的原因来自先前在所包括的研究中确定的原因。收集了运动员数量的数据,平均年龄,平均随访时间,类型的运动,未能达到RTS率,以及未能返回的具体原因。
■ACLR后RTS失败的加权率为25.5%(95%CI,19.88-31.66)。与RTS失败相关的心理社会原因的估计比例显着大于与RTS失败相关的膝盖原因(55.4%vs44.6%,P<0.01)。未能参加RTS的最多原因是担心再受伤(33.0%)。
■这项研究估计ACLR后RTS的失败率为25.5%,大多数运动员认为害怕受伤是重返体育运动的主要威慑因素。鉴于ACLR后没有RTS的主要原因与膝关节无关,我们强调了独立于手术结果的因素如何影响运动员重返比赛的能力。
UNASSIGNED: While current literature has explored the outcomes of athletes who return to sport (RTS) after anterior cruciate ligament (ACL) injuries, less is known about the outcomes of those who are unsuccessful in returning to sport.
UNASSIGNED: To determine the rate of athletes who did not RTS after primary ACL reconstruction (ACLR) and to identify the specific subjective reasons for failure to RTS.
UNASSIGNED: A comprehensive search of the PubMed/MEDLINE, Scopus, and Web of Science databases was conducted through April 2021.
UNASSIGNED: Eligible studies included those explicitly reporting the rate of failure for RTS after ACLR as well as providing details on reasons for athletes\' inability to return; 31 studies met the inclusion criteria.
UNASSIGNED: Systematic review and meta-analysis.
UNASSIGNED: Level 2 to 4.
UNASSIGNED: The reasons for failure to RTS referred to in our study are derived from those established previously in the studies included. Data were collected on the number of athletes, mean age, mean follow-up time, type of sport played, failure to RTS rate, and specific reasons for failure to return.
UNASSIGNED: The weighted rate of failure to RTS after ACLR was 25.5% (95% CI, 19.88-31.66). The estimated proportion of psychosocial-related reasons cited for failure to RTS was significantly greater than knee-related reasons for failure RTS (55.4% vs 44.6%, P < 0.01). The most cited reason for failure to RTS was fear of reinjury (33.0%).
UNASSIGNED: This study estimates the rate of failure to RTS after ACLR to be 25.5%, with the majority of athletes citing fear of reinjury as the major deterrent for returning to sports. We highlight how factors independent of surgical outcomes may impact an athlete\'s ability to return to play given that the predominant reason for no RTS after ACLR was unrelated to the knee.