RETURN TO SPORTS FOLLOWING KNEE OSTEOTOMY IN COMPETITIVE ATHLETES - CASE SERIES.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253301e278744

Daniel Meirelles, Alexandre Carneiro Bitar, Caio D'Elia, Guilherme Garofo, Alberto Terrível, Wagner Castropil

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Abstract

Objectives: To analyze the return to the sport and the level of sports practice in a longitudinal cohort of athletes treated with osteotomy around the knee.

Methods: Active athletes who underwent osteotomy or knee surgery to treat knee osteoarthritis were included, and their data was collected retrospectively. The primary outcomes were maximum physical activity level before and after the surgery (Tegner score), time to return to maximum activities and reoperation.

Results: Twenty athletes with a mean age of 33 years at the time of surgery (standard deviation 8.9 (SD)) and with a mean follow-up of 9.8 years (SD 4) were included. The mean maximum Tegner score achieved before surgery was 8.6 (SD 1.4). Nineteen patients returned to sports (95%), and 13 returned to the same prior level (65%). The median time to return to the maximum level was 13 months (mean 17.9, SD 12.4). The mean maximum postoperative Tegner score was 7.5 (SD 2.0), slightly lower than the maximum achieved before surgery (mean difference:1.1, CI:0.2-1.9, P=0.026).

Conclusion: The results of this study suggest that, after osteotomies around the knee, athletes present a high rate of return to sports activities, with most returning at the same level as before the surgery. Level of Evidence IV; Case series.

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竞技运动员膝关节截骨术后恢复运动-病例系列。

目的：分析膝周截骨术后运动员的运动恢复情况和运动训练水平。方法：回顾性收集接受截骨术或膝关节手术治疗膝关节骨性关节炎的现役运动员的资料。主要指标为手术前后的最大体力活动水平（Tegner评分）、恢复最大活动的时间和再次手术。结果：纳入20名运动员，手术时平均年龄为33岁（标准差8.9 (SD)），平均随访9.8年（SD 4）。术前Tegner评分平均最高为8.6 （SD 1.4）。19名患者恢复运动（95%），13名患者恢复到相同的先前水平（65%）。恢复到最高水平的中位时间为13个月（平均值17.9，标准差12.4）。术后Tegner评分平均最高为7.5 (SD 2.0)，略低于术前最高评分（平均差1.1,CI:0.2 ~ 1.9， P=0.026）。结论：本研究结果表明，在膝关节周围截骨后，运动员恢复体育活动的比例很高，大多数运动员的恢复水平与手术前相同。证据水平IV；系列。

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

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.