High risk of new knee injuries, lower activity level and reduced knee function: A controlled follow-up of male football (soccer) players 6-9 years after primary anterior cruciate ligament reconstruction.
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引用次数: 0
Abstract
Objectives: To study the risk of new knee injuries and patient-reported outcomes in male football players at any playing level 6-9 years after primary anterior cruciate ligament reconstruction (ACLR) versus knee-healthy controls.
Design: Cohort study.
Methods: Football players (n = 384) who underwent an ACLR between 1 and 3 years previously and knee-healthy controls (n = 110) were surveyed regarding football playing status, activity level (Tegner Activity Scale), knee function (0-10 scale), satisfaction with current activity level (1-10), satisfaction with knee function (1-7), and new knee injuries.
Results: Ninety-three players with ACLR and 63 knee-healthy controls were included and followed for mean 5.4 years (6-9 years after primary ACLR for players with ACLR). Thirty-four players with ACLR (37 %) had sustained a new ACL injury (re-rupture or contralateral rupture) versus 5 (8 %) controls. Players with ACLR had almost 5-fold higher risk of new ACL injury than controls (risk ratio, 4.61; 95 % confidence interval, 1.91-11.13; p < 0.001). Compared with controls, players with ACLR played football to a lower extent (27 % vs 65 %, p < 0.001) had a lower activity level (Tegner: median [interquartile range], 4 [6] vs 9 [5], p < 0.001), knee function (median, 8 [3] vs 9 [2], p < 0.001), and satisfaction with activity level (median, 7 [3] vs 8 [3], p = 0.014) and knee function (median, 2 [2] vs 1 [1], p < 0.001).
Conclusions: One-third of male football players with ACLR sustained a new ACL injury within 6-9 years, with an almost 5-fold higher risk than controls. Players with ACLR had lower activity level and knee function and were less satisfied with knee function and activity level.
期刊介绍：
The Journal of Science and Medicine in Sport is the official journal of Sports Medicine Australia (SMA) and is an an international refereed research publication covering all aspects of sport science and medicine.
The Journal considers for publication Original research and Review papers in the sub-disciplines relating generally to the broad sports medicine and sports science fields: sports medicine, sports injury (including injury epidemiology and injury prevention), physiotherapy, podiatry, physical activity and health, sports science, biomechanics, exercise physiology, motor control and learning, sport and exercise psychology, sports nutrition, public health (as relevant to sport and exercise), and rehabilitation and injury management. Manuscripts with an interdisciplinary perspective with specific applications to sport and exercise and its interaction with health will also be considered.
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