Reduction in re-rupture rates following implementation of return-to-sport testing after anterior cruciate ligament reconstruction in 313 patients with a mean follow-up of 50 months.
| Autor: | O'Dowd DP; Unisports Sports Medicine, Auckland, 1072, New Zealand. Electronic address: dominicodowd@doctors.org.uk., Stanley J; Unisports Sports Medicine, Auckland, 1072, New Zealand., Rosenfeldt MP; Unisports Sports Medicine, Auckland, 1072, New Zealand., Walsh S; Unisports Sports Medicine, Auckland, 1072, New Zealand., Twaddle B; Unisports Sports Medicine, Auckland, 1072, New Zealand., De Ruiter L; Unisports Sports Medicine, Auckland, 1072, New Zealand., Crua E; Unisports Sports Medicine, Auckland, 1072, New Zealand., Monk AP; Unisports Sports Medicine, Auckland, 1072, New Zealand., Walsh S; Unisports Sports Medicine, Auckland, 1072, New Zealand. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal of ISAKOS : joint disorders & orthopaedic sports medicine [J ISAKOS] 2024 Jun; Vol. 9 (3), pp. 264-271. Date of Electronic Publication: 2024 Jan 11. |
| DOI: | 10.1016/j.jisako.2024.01.005 |
| Abstrakt: | Objectives: The objective of this study was to assess the mid-term effectiveness of a return to sport (RTS) test in relation to preventing anterior cruciate ligament (ACL) re-rupture and contralateral ACL injury following ACL reconstruction (ACLR). Furthermore, this study aimed to assess the timing of passing a, RTS-test after surgery, and the effect age has on RTS outcomes. Methods: Patients undergoing ACLR between August 2014 and December 2018 took an RTS-test following rehabilitation. The RTS-test consisted of the Anterior Cruciate Ligament Return to Sport After Injury Scale, a single-leg hop, a single-leg triple hop, a single-leg triple cross-over hop, a box-drop vertical jump down, a single-leg 4-rep max-incline leg press, and a modified agility T test. RTS-passing criteria were ≥90% limb symmetry index in addition to defined takeoff and landing parameters. Mid-term review assessed sporting level, ACL re-injury, and contralateral ACL injury. Results: A total of 352 patients underwent RTS-testing, following ACLR with 313 (89%) contactable at follow-up, a mean of 50 months (standard deviation: 11.41, range: 28-76) after surgery. The re-rupture rate was 6.6% after passing the RTS-test and 10.3% following failure (p = 0.24), representing a 36% reduction. Contralateral ACL injury rate after surgery was 6% and was 19% lower in those passing the RTS test. The mean age of patients passing their first RTS-test was significantly higher than that of those who failed (p = 0.0027). Re-ruptures in those who passed the RTS test first time occurred late (>34 months), compared to those who failed first time, which all occurred early (<33 months) (p = 0.0015). The mean age of re-rupture was significantly less than those who did not sustain a re-rupture (p = 0.025). Conclusion: Passing a RTS-test following ACLR reduces ACL re-rupture by 36.21% and contralateral ACL injury by 19.15% at mid-term follow-up. Younger patients are more likely to fail a RTS-test and are at higher risk of contralateral ACL rupture. (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|