Return-to-Sport and Performance After Anterior Cruciate Ligament Reconstruction in National Basketball Association Players
Return-to-Sport and Performance After Anterior Cruciate Ligament Reconstruction in National Basketball Association Players
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DOI：
10.1177/1941738113495788
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发表时间：
2013-11-01
影响因子：
3.3
通讯作者：
Cole, Brian J.
中科院分区：
文献类型：
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作者：
Harris, Joshua D.;Erickson, Brandon J.;Cole, Brian J.
背景：前交叉韧带（ACL）断裂是NBA球员的重要损伤。假设：接受ACL重建（ACLR）的NBA球员有很高的运动恢复率（RTS），手术后一个赛季的RTS，术前和术后的表现没有差异，病例（ACLR）和对照组（无ACL撕裂）之间的RTS率或表现没有差异。研究设计：病例对照。方法：对NBA球员进行ACLR评估。年龄、身体质量指数（BMI）、体位和NBA经验的匹配对照在接受ACLR的同一年被选择。在案例和对照之间比较RTS和性能。对组内变量和组间变量进行配对样本学生t检验、卡方检验和线性回归分析。结果：58名NBA球员在NBA期间经历了ACLR。球员平均年龄为25.7±3.5岁。40%的前交叉韧带撕裂发生在第四节。50名球员（86%）在NBA玩RTS， 7名球员（12%）在国际篮联（FIBA）或发展联盟玩RTS。NBA中98%的球员在ACLR之后的一个赛季（11.6 +/- 4.1个月）选择了RTS。2名球员（3.1%）需要修改ACLR。ACLR后的职业生涯长度为4.3±3.4年。手术后RTS游戏的表现显著下降（P < 0.05）；场均上场时间、得分和篮板；还有投篮命中率。然而，在指数年之后，控制组的表现在每个赛季的比赛中显著下降；场均得分、篮板、助攻、封盖和抢断；还有投篮命中率和罚球命中率。除了每个赛季的比赛外，病例和对照组之间没有显著差异。结论：NBA在ACLR后存在较高的RTS率。几乎所有的玩家都在手术后的赛季进行RTS。成绩较损伤前显著下降；然而，这与对照组没有显著差异。ACL返现率低。临床相关性：NBA ACLR术后RTS发生率高，与对照组相比RTS表现无差异。
Background: Anterior cruciate ligament (ACL) rupture is a significant injury in National Basketball Association (NBA) players.Hypotheses: NBA players undergoing ACL reconstruction (ACLR) have high rates of return to sport (RTS), with RTS the season following surgery, no difference in performance between pre-and postsurgery, and no difference in RTS rate or performance between cases (ACLR) and controls (no ACL tear).Study Design: Case-control.Methods: NBA players undergoing ACLR were evaluated. Matched controls for age, body mass index (BMI), position, and NBA experience were selected during the same years as those undergoing ACLR. RTS and performance were compared between cases and controls. Paired-sample Student t tests, chi-square, and linear regression analyses were performed for comparison of within-and between-group variables.Results:Fifty-eight NBA players underwent ACLR while in the NBA. Mean player age was 25.7 +/- 3.5 years. Forty percent of ACL tears occurred in the fourth quarter. Fifty players (86%) RTS in the NBA, and 7 players (12%) RTS in the International Basketball Federation (FIBA) or D-league. Ninety-eight percent of players RTS in the NBA the season following ACLR (11.6 +/- 4.1 months from injury). Two players (3.1%) required revision ACLR. Career length following ACLR was 4.3 +/- 3.4 years. Performance upon RTS following surgery declined significantly (P < 0.05) regarding games per season; minutes, points, and rebounds per game; and field goal percentage. However, following the index year, controls' performances declined significantly in games per season; points, rebounds, assists, blocks, and steals per game; and field goal and free throw percentage. Other than games per season, there was no significant difference between cases and controls.Conclusion: There is a high RTS rate in the NBA following ACLR. Nearly all players RTS the season following surgery. Performance significantly declined from preinjury level; however, this was not significantly different from controls. ACL retear rate was low.Clinical Relevance: There is a high RTS rate in the NBA after ACLR, with no difference in performance upon RTS compared with controls.