Outcomes of revision anterior cruciate ligament reconstruction in soccer players : a cohort study.
Outcomes of revision anterior cruciate ligament reconstruction in soccer players : a cohort study.
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DOI：
10.1302/2633-1462.212.bjo-2021-0145.r1
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发表时间：
2021-12
期刊：
影响因子：
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通讯作者：
MARS Group
中科院分区：
文献类型：
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作者：
MARS Group
关于足球运动员翻修前交叉韧带重建（rACLR）的结果的信息有限，特别是关于恢复运动和额外膝关节手术的发生率。本研究的目的是报道rACLR术后的恢复情况，并检验患者性别和移植物选择与rACLR术后足球运动员恢复比赛和未来膝关节手术可能性相关的假设。参与前瞻性多中心队列的足球运动员被联系，以收集他们参与足球和在rACLR后重返比赛的辅助数据。关于他们是否以及何时返回游戏以及他们当前的游戏状态的信息被记录下来。如果他们目前不踢足球，他们会被问及停止踢足球的主要原因。还收集了患者指数rACLR后任何后续膝关节手术的信息。球员人口统计数据和移植物选择从他们在rACLR的基线入学数据中收集。对95名足球运动员进行了76%（33名男性，39名女性）的足球专项随访。95%的患者收集了术后信息（男性44例，女性46例）。总体而言，63%的运动员在指数矫正手术后平均9.6个月（SD 5.8）恢复了足球运动，但在手术后平均6.4年（SD 1.3），参与足球运动的比例下降到19%。患者性别或移植物选择与恢复运动、恢复运动时间或长期恢复运动没有显著关联。女性比男性更有可能在rACLR后进行后续膝关节手术(20% (9/46)vs 5% (2/44)；P = 0.050)。男性和女性的移植物复发撕裂率相似（5.6%;5/90）。大约三分之二的足球运动员在rACLR后重返运动，但参与率随着时间的推移显着下降。在rACLR时，患者性别和移植物选择与恢复无关。女性足球运动员比男性足球运动员在rACLR后面临更高的额外膝关节手术风险。本文引用本文：《骨外科杂志》2021；2(12):1043-1048。
There is limited information on outcomes of revision ACL reconstruction (rACLR) in soccer (association football) athletes, particularly on return to sport and the rate of additional knee surgery. The purpose of this study was to report return to soccer after rACLR, and to test the hypothesis that patient sex and graft choice are associated with return to play and the likelihood of future knee surgery in soccer players undergoing rACLR. Soccer athletes enrolled in a prospective multicentre cohort were contacted to collect ancillary data on their participation in soccer and their return to play following rACLR. Information regarding if and when they returned to play and their current playing status was recorded. If they were not currently playing soccer, they were asked the primary reason they stopped playing. Information on any subsequent knee surgery following their index rACLR was also collected. Player demographic data and graft choice were collected from their baseline enrolment data at rACLR. Soccer-specific follow-up was collected on 76% (33 male, 39 female) of 95 soccer athletes. Subsequent surgery information was collected on 95% (44 male, 46 female). Overall, 63% of athletes returned to soccer a mean 9.6 months (SD 5.8) after index revision surgery but participation in soccer decreased to 19% at a mean of 6.4 years (SD 1.3) after surgery. There was no significant association of patient sex or graft choice with return to play, time of return to play, or long-term return to play. Females were more likely than males to have subsequent knee surgery following rACLR (20% (9/46) vs 5% (2/44); p = 0.050). The rate of recurrent graft tear (5.6%; 5/90) was similar between males and females. Approximately two-thirds of soccer players return to sport after rACLR, but the rate of participation drops significantly over time. Neither patient sex nor graft choice at the time of rACLR were associated with return to play. Female soccer players face a higher risk for additional knee surgery after rACLR than male soccer players. Cite this article: Bone Jt Open 2021;2(12):1043–1048.