Early versus standard return to play following ACL reconstruction: impact on volume of play and career longevity in 180 professional European soccer players: a retrospective cohort study.

IF 3 2区 医学 Q1 ORTHOPEDICS
Michael Battaglia, Justin W Arner, Kaare S Midtgaard, Daniel B Haber, Liam A Peebles, Annalise M Peebles, Phob Ganokroj, Ryan J Whalen, Matthew T Provencher, Guglielmo Torre, Riccardo Ciatti, Pier Paolo Mariani
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引用次数: 0

Abstract

Background: Patients typically follow a 7-9-month return to play (RTP) protocol following anterior cruciate ligament reconstruction (ACLR); however, much of these data have been based on non-elite athletes. The purpose of this study is to understand whether professional soccer players returning to competition < 6-months following ACLR will have an increased risk of graft failure, play fewer seasons postoperatively, and have lower volume of play compared with those returning > 6 months.

Materials and methods: A total of 180 male professional European soccer players were enrolled and underwent ACLR with a single surgeon between April 2008 and December 2016 and returned to sport < 6 months (early RTP group, n = 92) or > 6 months (standard RTP group, n = 88). Time from intervention to RTP (days), same season returns, total games and average minutes played in return season, seasons played after surgery, and playing status were recorded.

Results: The early RTP group returned to soccer sooner (142.8 ± 21.4 days) than the standard RTP group (276.2 ± 118.9) (p < 0.01), and more players returned the same season as the injury in the early RTP group (n = 55/92, 62.5%) than the standard RTP group (n = 18/88, 20.5%) (p < 0.01). The difference in average minutes per game in the first season back was not statistically significant (early RTP, 56.7 ± 22.3 min; standard RTP 49.9 ± 29.8 min, p = 0.094). The early RTP group had significantly longer careers following ACLR (5.7 ± 2.2 seasons) than the standard RTP group (4.7 ± 2.4 seasons) (p = 0.005). The early RTP group sustained more reruptures (n = 4, 4.4%) than the standard RTP group (n = 1, 1.1%).

Conclusions: Professional European soccer players returning to competition < 6 months following ACLR did not have poorer outcomes than those who returned > 6 months despite the fact that there were three more failures. However, the early RTP group players were more likely to return during the same season, had longer careers after ACLR, and played a similar number of games and minutes per game, but had more graft failures.

Level of evidence: Retrospective cohort study level IV.

Trial registration: Retrospectively registered according to prot. Professionisti_OSS_22.

前交叉韧带重建后的早期与标准恢复:对180名欧洲职业足球运动员比赛量和职业生涯寿命的影响:一项回顾性队列研究
背景:患者通常在前交叉韧带重建(ACLR)后7-9个月恢复比赛(RTP)方案;然而,这些数据大多是基于非精英运动员。本研究的目的是了解职业足球运动员是否在6个月后重返赛场。材料与方法:在2008年4月至2016年12月期间,共招募了180名欧洲男性职业足球运动员,由一名外科医生进行了ACLR手术,并于6个月后恢复运动(标准RTP组,n = 88)。记录从干预到RTP的时间(天),同一赛季的回归,回归赛季的总场次和平均上场时间,手术后的出场时间,以及比赛状态。结果:早期RTP组比标准RTP组(276.2±118.9)早(142.8±21.4天)重返赛场。(p)结论:欧洲职业足球运动员尽管比标准RTP组多3次失败,但仍能在6个月后重返赛场。然而,早期的RTP组球员更有可能在同一赛季复出,在ACLR之后有更长的职业生涯,每场比赛的出场次数和上场时间相似,但有更多的移植失败。证据水平:回顾性队列研究iv级。试验注册:根据prot回顾性注册。Professionisti_OSS_22。
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来源期刊
Journal of Orthopaedics and Traumatology
Journal of Orthopaedics and Traumatology Medicine-Orthopedics and Sports Medicine
CiteScore
4.30
自引率
0.00%
发文量
56
审稿时长
13 weeks
期刊介绍: The Journal of Orthopaedics and Traumatology, the official open access peer-reviewed journal of the Italian Society of Orthopaedics and Traumatology, publishes original papers reporting basic or clinical research in the field of orthopaedic and traumatologic surgery, as well as systematic reviews, brief communications, case reports and letters to the Editor. Narrative instructional reviews and commentaries to original articles may be commissioned by Editors from eminent colleagues. The Journal of Orthopaedics and Traumatology aims to be an international forum for the communication and exchange of ideas concerning the various aspects of orthopaedics and musculoskeletal trauma.
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