Analysis of return to competition and repeat rupture for 298 anterior cruciate ligament reconstructions with patellar or hamstring tendon autograft in sportspeople

Autor: P. Trouve, G. Monnier, P.L. Puig, E. Laboute, B. Dubroca, L. Savalli, G. Sabot
Rok vydání: 2010
Předmět:
Male
Time Factors
Bone-Patellar Tendon-Bone Grafting
Patellar tendon autograft
Tendons
Hamstring tendon autograft
Arthroscopy
Recurrence
Ligament croisé antérieur
Surveys and Questionnaires
Medicine
Orthopedics and Sports Medicine
Young adult
Sport
education.field_of_study
medicine.diagnostic_test
Rehabilitation
Age Factors
Middle Aged
Treatment Outcome
medicine.anatomical_structure
Athletic Injuries
Female
Récidive
Anterior cruciate ligament
Sports
Adult
Reinjury
medicine.medical_specialty
Ligamentoplastie au tendon rotulien
Population
Knee Injuries
Transplantation
Autologous
Young Adult
Sex Factors
Patellar Ligament
Humans
education
Retrospective Studies
Rupture
Ligamentoplastie aux ischiojambiers
business.industry
Anterior Cruciate Ligament Injuries
Retrospective cohort study
Recovery of Function
Achievement
Patellar tendon
Surgery
Transplantation
Athletes
Physical therapy
Hamstring tendon
business
Follow-Up Studies
Zdroj: Annals of Physical and Rehabilitation Medicine. 53(10):598-614
ISSN: 1877-0657
DOI: 10.1016/j.rehab.2010.10.002
Popis: Objectives To establish the influence of the type of surgical technique, competitive level, type of sport and the time before returning to competition on the reinjury rate after anterior cruciate ligament (ACL) surgery. Methods The authors followed-up 540 competitive sportspeople who had undergone ACL surgery via patellar or hamstring tendon autograft (HTA) techniques in 2003 and 2004. The sportspeople (all of whom had competed at a regional or higher level) were asked to fill out a questionnaire during their fourth postoperative year. Results The 298 respondees (reply rate: 55.1%) had the same characteristics as the initial (operated) population. The reinjury rates after HTA and patellar tendon autograft (PTA) were 12.7 and 6.1%, respectively. There was no statistically significant difference between these two values (P = 0.14). Age and gender were not correlated with the frequency of reinjury. The reinjury rate rose slightly with increasing competitive level (regional level: 8.1%; national level: 10.4%; international level: 12.5%) but these differences were not statistically significant. Soccer had the highest reinjury rate (20.8%). Regardless of the surgical technique, sportspeople returning to competition within seven months of surgery had a greater risk of reinjury than those returning after this time point (15.3 versus 5.2%, P = 0.014). The risk dropped from 13.9 to 2.6% (P = 0.047) for PTA and from 16.6 to 7.6% (P = 0.2) for HTA. Of the four reinjuries in sportspeople returning to competition with the first six months postoperative, three occurred within one month of resumption. Conclusion Post-HTA reinjury rates are higher than post-PTA rates but the difference is not statistically significant. For sportspeople at a regional or higher level, the time interval before the return to competition has an influence on the risk of reinjury.
Databáze: OpenAIRE
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