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Erschienen in: Archives of Orthopaedic and Trauma Surgery 8/2015

01.08.2015 | Arthroscopy and Sports Medicine

Return to recreational sports activity after anterior cruciate ligament reconstruction: a one- to six-year follow-up study

verfasst von: Juan M. Rodríguez-Roiz, Miguel Caballero, Oscar Ares, Sergi Sastre, Luis Lozano, Dragos Popescu

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2015

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Abstract

Introduction

The aim of this study was to evaluate mid-term return to recreational sport in general population and identify factors related with sports return.

Methods

Retrospective evaluation of 99 recreational sports players (Tegner score of 6) with ACL arthroscopic reconstructions with hamstring autograft, between 2006–2011. 74 male and 25 female with middle age of 30 years (14–52). We made a questionnaire focused on sports level before injury and after surgery, and different scales: Lysholm, Tegner Activity Level, IKDC and a Likert scale for quantify their motivation for return to sports.

Results

With a medium follow-up of 36 months, 90 patients (91.9 %) had returned to recreational sport. 51 (51.52 %) had returned to sports at the same level, and these are those with lower BMI (average 23), higher IKDC and Lysholm scores (p < 0.01) and also they believe that sport is an important activity. Only 9 % of patients left sports. They were principally male athletes (88 %), with higher medium age (32), lesser time between injury and surgery (22 months), higher BMI (26), in comparison with athletes that return to sports.

Conclusions

The results suggest good mid-term return to recreational sports in general population. The following factors had a statistically significant influence on the return to sports activity: type of sport, sex and functional state of the operated knee (IKDC-Lysholm). Psychological and social factors may have a fundamental influence on return to sports activity.
Literatur
1.
Zurück zum Zitat Caborn DN, Johnson BM (1993) The natural history of the anterior cruciate ligament-deficient knee: a review. Clin Sports Med 12(4):625–636PubMed Caborn DN, Johnson BM (1993) The natural history of the anterior cruciate ligament-deficient knee: a review. Clin Sports Med 12(4):625–636PubMed
2.
Zurück zum Zitat Cole BJ, Ernlund LS, Fu FH (1999) Soft tissue problems of the knee. In: Baratz ME, Watson AD, Imbriglia JE (eds) Orthopaedic surgery: the essentials. Thieme Medical Publishers, New York p, pp 551–560 Cole BJ, Ernlund LS, Fu FH (1999) Soft tissue problems of the knee. In: Baratz ME, Watson AD, Imbriglia JE (eds) Orthopaedic surgery: the essentials. Thieme Medical Publishers, New York p, pp 551–560
3.
Zurück zum Zitat Starman JS, Ferretti M, Järvelä T et al (2008) Anatomy and biomechanics of the anterior cruciate ligament. In: Prodromos CC (ed) The anterior cruciate ligament reconstruction and basic science. Saunders, Elsevier, pp 3–11CrossRef Starman JS, Ferretti M, Järvelä T et al (2008) Anatomy and biomechanics of the anterior cruciate ligament. In: Prodromos CC (ed) The anterior cruciate ligament reconstruction and basic science. Saunders, Elsevier, pp 3–11CrossRef
4.
Zurück zum Zitat Gobbi A, Francisco R (2006) Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical evaluation. Knee Surg Sports Traumatol Arthrosc 14(10):1021–1028PubMedCrossRef Gobbi A, Francisco R (2006) Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical evaluation. Knee Surg Sports Traumatol Arthrosc 14(10):1021–1028PubMedCrossRef
5.
Zurück zum Zitat Kvist J, Ek A, Sporrstedt K, Good L (2005) Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 13(5):393–397PubMedCrossRef Kvist J, Ek A, Sporrstedt K, Good L (2005) Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 13(5):393–397PubMedCrossRef
6.
Zurück zum Zitat Langford JL, Webster KE, Feller JA (2009) A prospective longitudinal study to assess psychological changes following anterior cruciate ligament reconstruction surgery. Br J Sports Med 43(5):377–378PubMedCrossRef Langford JL, Webster KE, Feller JA (2009) A prospective longitudinal study to assess psychological changes following anterior cruciate ligament reconstruction surgery. Br J Sports Med 43(5):377–378PubMedCrossRef
7.
Zurück zum Zitat Webster KE, Feller JA, Lambros C (2008) Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery. Phys Ther Sport 9(1):9–15PubMedCrossRef Webster KE, Feller JA, Lambros C (2008) Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery. Phys Ther Sport 9(1):9–15PubMedCrossRef
8.
Zurück zum Zitat Ardern CL, Taylor NF, Feller JA, Webster KE (2012) Return-to-sport outcomes at 2 to 7 years after anterior cruciate ligament reconstruction surgery. Am J Sports Med 40(1):41–48PubMedCrossRef Ardern CL, Taylor NF, Feller JA, Webster KE (2012) Return-to-sport outcomes at 2 to 7 years after anterior cruciate ligament reconstruction surgery. Am J Sports Med 40(1):41–48PubMedCrossRef
9.
Zurück zum Zitat Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and metaanalysis of the state of play. Br J Sports Med 45(7):596–606PubMedCrossRef Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and metaanalysis of the state of play. Br J Sports Med 45(7):596–606PubMedCrossRef
10.
Zurück zum Zitat Thing LF (2006) Voices of the broken body: the resumption of non-professional female players’ careers after anterior cruciate ligament injury—the female player’s dilemma, is she willing to run the risk? Sc J Med Sci Sports 16(5):364–375CrossRef Thing LF (2006) Voices of the broken body: the resumption of non-professional female players’ careers after anterior cruciate ligament injury—the female player’s dilemma, is she willing to run the risk? Sc J Med Sci Sports 16(5):364–375CrossRef
11.
Zurück zum Zitat Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two thirds of patients have not returned by 12 months after surgery. Am J Sports Med 39(3):538–543PubMedCrossRef Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two thirds of patients have not returned by 12 months after surgery. Am J Sports Med 39(3):538–543PubMedCrossRef
12.
Zurück zum Zitat Bowers AL, Spindler KP, McCarty EC, Height Arrigain S (2005) Weight and BMI predict intra-articular injuries observed during ACL reconstruction: evaluation of 456 cases from a prospective ACL database. Clin J Sport Med 15(1):9–13PubMedCrossRef Bowers AL, Spindler KP, McCarty EC, Height Arrigain S (2005) Weight and BMI predict intra-articular injuries observed during ACL reconstruction: evaluation of 456 cases from a prospective ACL database. Clin J Sport Med 15(1):9–13PubMedCrossRef
13.
Zurück zum Zitat Gobbi A, Francisco R (2006) Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc 14(10):1021–1028PubMedCrossRef Gobbi A, Francisco R (2006) Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: a prospective clinical investigation. Knee Surg Sports Traumatol Arthrosc 14(10):1021–1028PubMedCrossRef
14.
Zurück zum Zitat Chmielewsky TL, Jones D, Day T, Tillman SM, Lentz TA, George SZ (2008) The association of pain and fear of movement/reinujry with function during anterior cruciate ligament reconstruction rehabilitation. J Orthop Sports Phys Ther 38(12):746–753CrossRef Chmielewsky TL, Jones D, Day T, Tillman SM, Lentz TA, George SZ (2008) The association of pain and fear of movement/reinujry with function during anterior cruciate ligament reconstruction rehabilitation. J Orthop Sports Phys Ther 38(12):746–753CrossRef
15.
Zurück zum Zitat Tripp DA, Stanish W, Birchard J, Brewer BW (2007) Fear of reinjury, negative affect and catastrophizing predicting return to sports in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery. Rehabil Psychol 52(1):74–81CrossRef Tripp DA, Stanish W, Birchard J, Brewer BW (2007) Fear of reinjury, negative affect and catastrophizing predicting return to sports in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery. Rehabil Psychol 52(1):74–81CrossRef
16.
Zurück zum Zitat te Wierike SCM, Van der Sluis A, Van den Akker-Scheek I, Elferink-Gemser MT, Visscher C (2012) Psychosocial factors influencing the recovery of athletes with anterior cruciate ligament injury: a systematic review. Scand J Med Sci Sports 23(5):527–540 te Wierike SCM, Van der Sluis A, Van den Akker-Scheek I, Elferink-Gemser MT, Visscher C (2012) Psychosocial factors influencing the recovery of athletes with anterior cruciate ligament injury: a systematic review. Scand J Med Sci Sports 23(5):527–540
17.
Zurück zum Zitat Lee DY, Karim SA, Chang HC (2008) Return to sports after anterior cruciate ligament reconstruction: a review of patients with minimum 5-year follow-up. Ann Acad Med Singapore 37(4):273–278PubMed Lee DY, Karim SA, Chang HC (2008) Return to sports after anterior cruciate ligament reconstruction: a review of patients with minimum 5-year follow-up. Ann Acad Med Singapore 37(4):273–278PubMed
18.
Zurück zum Zitat McCullough KA, Phelps K, Spindler K, Matava M, Dunn W, Parker R et al (2012) Return to high school-and college-level football after anterior cruciate ligament reconstruction. Am J Sports Med 40(11):2523–2529PubMedCentralPubMedCrossRef McCullough KA, Phelps K, Spindler K, Matava M, Dunn W, Parker R et al (2012) Return to high school-and college-level football after anterior cruciate ligament reconstruction. Am J Sports Med 40(11):2523–2529PubMedCentralPubMedCrossRef
19.
Zurück zum Zitat Wiese-Bjornstal DM (2010) Psychology and socioculture affect injury risk, response and recovery in high intensity athletes: a consensus statement. Scand J Med Sci Sports 20(Suppl 2):103–111PubMedCrossRef Wiese-Bjornstal DM (2010) Psychology and socioculture affect injury risk, response and recovery in high intensity athletes: a consensus statement. Scand J Med Sci Sports 20(Suppl 2):103–111PubMedCrossRef
20.
Zurück zum Zitat Ardern C, Taylor N, Feller J, Whitehead T, Webster E (2013) Psychological responses matter in returning to preinjury level of sport after anterior cruciate ligament reconstruction surgery. Am J Sports Med 41(7):1549–1558PubMedCrossRef Ardern C, Taylor N, Feller J, Whitehead T, Webster E (2013) Psychological responses matter in returning to preinjury level of sport after anterior cruciate ligament reconstruction surgery. Am J Sports Med 41(7):1549–1558PubMedCrossRef
21.
Zurück zum Zitat Gill CS, Sandell LJ, El-Zawawy HB, Wright RW (2006) Effects of cigarette smoking on early medial colateral ligament healing in a mouse model. J Orthop Res 24(12):2141–2149PubMedCrossRef Gill CS, Sandell LJ, El-Zawawy HB, Wright RW (2006) Effects of cigarette smoking on early medial colateral ligament healing in a mouse model. J Orthop Res 24(12):2141–2149PubMedCrossRef
22.
Zurück zum Zitat Karim A, Pandit H, Murray J, Wandless F, Thomas NP (2006) Smoking and reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 88(8):1027–1031PubMedCrossRef Karim A, Pandit H, Murray J, Wandless F, Thomas NP (2006) Smoking and reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 88(8):1027–1031PubMedCrossRef
23.
Zurück zum Zitat Kowalchuk DA, Harner CD, Fu FH, Irrgang JJ (2009) Prediction of patient-reported outcome after single-bundle anterior cruciate ligament reconstruction. Arthroscopy 25(5):457–463PubMedCentralPubMedCrossRef Kowalchuk DA, Harner CD, Fu FH, Irrgang JJ (2009) Prediction of patient-reported outcome after single-bundle anterior cruciate ligament reconstruction. Arthroscopy 25(5):457–463PubMedCentralPubMedCrossRef
24.
Zurück zum Zitat Wu WH, Hackett T, Richmond JC (2002) Effects of meniscal and articular surface status on knee stability, function, and symptoms after anterior cruciate ligament reconstruction: a long-term prospective study. Am J Sports Med 30(6):845–850PubMed Wu WH, Hackett T, Richmond JC (2002) Effects of meniscal and articular surface status on knee stability, function, and symptoms after anterior cruciate ligament reconstruction: a long-term prospective study. Am J Sports Med 30(6):845–850PubMed
25.
Zurück zum Zitat Shelbourne KD, Gray T (2000) Results of anterior cruciate ligament reconstruction based on meniscus and articular cartilage status at the time of surgery. Five to fifteen-year evaluations. Am J Sports Med 28(4):446–452PubMed Shelbourne KD, Gray T (2000) Results of anterior cruciate ligament reconstruction based on meniscus and articular cartilage status at the time of surgery. Five to fifteen-year evaluations. Am J Sports Med 28(4):446–452PubMed
26.
Zurück zum Zitat Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA (1999) Arthroscopic reconstruction of the anterior cruciate ligament: a comparison of patellar tendon autograft and four-strand hamstring tendon autograft. Am J Sports Med 27(4):444–454PubMed Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA (1999) Arthroscopic reconstruction of the anterior cruciate ligament: a comparison of patellar tendon autograft and four-strand hamstring tendon autograft. Am J Sports Med 27(4):444–454PubMed
28.
Zurück zum Zitat Webb JM, Corry IS, Clingeleffer AJ, Pinezewski LA (1998) Endoscopic reconstruction for isolated anterior cruciate ligament rupture. J Bone Joint Surg Br 80(2):288–294PubMedCrossRef Webb JM, Corry IS, Clingeleffer AJ, Pinezewski LA (1998) Endoscopic reconstruction for isolated anterior cruciate ligament rupture. J Bone Joint Surg Br 80(2):288–294PubMedCrossRef
Metadaten
Titel
Return to recreational sports activity after anterior cruciate ligament reconstruction: a one- to six-year follow-up study
verfasst von
Juan M. Rodríguez-Roiz
Miguel Caballero
Oscar Ares
Sergi Sastre
Luis Lozano
Dragos Popescu
Publikationsdatum
01.08.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2015
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-015-2240-8

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