Anterior Cruciate Ligament Injury, Return to Play, and Reinjury in the Elite Collegiate Athlete Analysis of an NCAA Division I Cohort
Anterior Cruciate Ligament Injury, Return to Play, and Reinjury in the Elite Collegiate Athlete Analysis of an NCAA Division I Cohort
复制标题
DOI：
10.1177/0363546514524164
复制
发表时间：
2014-07-01
影响因子：
4.8
通讯作者：
Spang, Jeffrey T.
中科院分区：
文献类型：
--
作者：
Kamath, Ganesh V.;Murphy, Timothy;Spang, Jeffrey T.
背景资料：对于优秀大学生运动员前交叉韧带（ACL）重建后的移植物存活率、再损伤率和职业生涯长度知之甚少。本研究的目的是检查ACL重建的结果在美国大学体育协会（NCAA）司I级运动员coherent.Study设计：病例系列;证据等级，4.方法：回顾性图表审查进行了所有司I级运动员在一个单一的公立大学，从2000年至2009年，直到完成资格。运动员被分为2个队列：那些谁接受了学院前ACL重建（PC组）和那些谁接受了学院内重建（IC组）。移植物存活率，再手术率，和职业生涯的长度informations.Results：35名运动员被确定与precollegiate重建和54与intracollegiate重建。PC组原始移植物的损伤率为17.1%，对侧ACL损伤率为20.0%。对于IC组，ACL移植物的再损伤率为1.9%，膝内ACL重建后对侧ACL损伤率为11.1%。PC组的运动员使用了他们总资格的78%（平均3.11年）。IC组的运动员平均使用了他们剩余NCAA资格的77%; IC组中88.3%的人在受伤后一年额外参加了非红衫军。PC组的再手术率为51.4%，IC组为20.4%。结论：I级运动员ACL重建后的再手术率和再损伤率较高。膝关节前ACL重建术与移植物或对侧膝关节的ACL重复再损伤率非常高（37.1%）相关。大多数运动员在成功重建后能够重返赛场。
Background: Graft survivorship, reinjury rates, and career length are poorly understood after anterior cruciate ligament (ACL) reconstruction in the elite collegiate athlete. The purpose of this study was to examine the outcomes of ACL reconstruction in a National Collegiate Athletic Association (NCAA) Division I athlete cohort.Study Design: Case series; Level of evidence, 4.Methods: A retrospective chart review was performed of all Division I athletes at a single public university from 2000 to 2009 until completion of eligibility. Athletes were separated into 2 cohorts: those who underwent precollegiate ACL reconstruction (PC group) and those who underwent intracollegiate reconstruction (IC group). Graft survivorship, reoperation rates, and career length information were collected.Results: Thirty-five athletes were identified with precollegiate reconstruction and 54 with intracollegiate reconstruction. The PC group had a 17.1% injury rate with the original graft, with a 20.0% rate of a contralateral ACL injury. For the IC group, the reinjury rates were 1.9% with an ACL graft, with an 11.1% rate of a contralateral ACL injury after intracollegiate ACL reconstruction. The athletes in the PC group used 78% of their total eligibility (average, 3.11 years). The athletes in the IC group used an average of 77% of their remaining NCAA eligibility; 88.3% of those in the IC group played an additional non-redshirt year after their injury. The reoperation rate for the PC group was 51.4% and was 20.4% for the IC group.Conclusion: Reoperation and reinjury rates are high after ACL reconstruction in the Division I athlete. Precollegiate ACL reconstruction is associated with a very high (37.1%) rate of repeat ACL reinjuries to the graft or opposite knee. The majority of athletes are able to return to play after successful reconstruction.