Lateral extra-articular tenodesis at primary ACL reconstruction increases career length in professional rugby players

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-08-22 DOI:10.1002/ksa.12434

Kyle Borque, Dylan Ngo, Mitzi Laughlin, Brenden Ronna, Ganesh Balendra, Vitor Hugo Pinheiro, Mary Jones, Andy Williams

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引用次数: 0

Abstract

Purpose

To assess the effect of preoperative and surgical factors on return to play (RTP) rates and career longevity of professional rugby athletes after primary anterior cruciate ligament (ACL) reconstruction (ACL-R).

Methods

A retrospective review of a consecutive cohort of professional rugby players undergoing primary ACL-R by the senior author between 2005 and 2019 was undertaken. Athletes were included if they were under contract with a professional rugby team at the time of injury and had a minimum of 2-year follow-up. Univariate and multivariate analyses were performed to determine significant predictors of RTP rate, time and career longevity.

Results

One hundred and eighteen rugby players with 125 ACL-Rs were identified. Return to professional rugby was achieved in 115/125 (92%) of cases at an average of 9.6 months and those athletes participated at the professional level for 5.9 ± 3.4 years after ACL-R. Younger age (p = 0.006) and ACL-R with a concomitant lateral extra-articular tenodesis (LET) (p = 0.013) were predictors of a longer career. A Cox proportional hazards model that controlled for age revealed that athletes who underwent ACL-R with an LET had increased career longevity compared to those with an ACL-R without LET (hazard ratio = 2.74, p = 0.021). No factors were significantly associated with RTP rate or RTP time.

Conclusion

In professional rugby players undergoing primary ACL-R, those having ACL-R with a concomitant LET and younger age predicted increased career longevity. Rugby players who underwent LET at the time of ACL-R had an 18% greater chance of still playing professionally at 5 years compared to those who underwent ACL-R alone.

Level of Evidence

Level III.

查看原文本刊更多论文

前交叉韧带初次重建时的外侧关节外腱鞘缩短了职业橄榄球运动员的职业生涯。

目的：评估术前和手术因素对初级前交叉韧带（ACL）重建术（ACL-R）后职业橄榄球运动员重返赛场（RTP）率和职业寿命的影响：方法：对 2005 年至 2019 年期间由资深作者接受初级前交叉韧带重建术的连续职业橄榄球运动员队列进行了回顾性研究。受伤时与职业橄榄球队签有合同且至少接受过两年随访的运动员均被纳入其中。进行了单变量和多变量分析，以确定RTP率、时间和职业寿命的重要预测因素：共有 118 名橄榄球运动员接受了 125 例前交叉韧带损伤治疗。115/125（92%）的病例在平均 9.6 个月后重返职业橄榄球赛场，这些运动员在前交叉韧带损伤后参加职业比赛的时间为 5.9 ± 3.4 年。年龄较小（p = 0.006）和同时进行外侧关节外腱鞘置换术（LET）（p = 0.013）的前交叉韧带重建术是延长职业生涯的预测因素。控制了年龄的考克斯比例危险模型显示，与接受了前交叉韧带重建并同时进行了外侧关节外腱鞘置换术（LET）的运动员相比，接受了前交叉韧带重建并同时进行了外侧关节外腱鞘置换术（LET）的运动员的职业生涯寿命更长（危险比 = 2.74，p = 0.021）。没有任何因素与RTP率或RTP时间明显相关：结论：在接受初级前交叉韧带重建术的职业橄榄球运动员中，接受前交叉韧带重建术并同时进行LET和年龄较小的运动员预示着职业寿命的延长。与单独接受前交叉韧带重建手术的球员相比，在接受前交叉韧带重建手术的同时接受LET手术的橄榄球运动员在5年后继续参加职业比赛的几率要高出18%：证据等级：III 级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).