The majority of elite and professional athletes return to the preinjury level of activity after ACL reconstruction: A systematic review and meta-analysis.
Riccardo D'Ambrosi, Andrea Marchetti, Luca Farinelli, Amit Meena, Piero Franco, Luca Maria Sconfienza, Riccardo Cristiani, Elmar Herbst, Christoph Kittl, Mirco Herbort, Elisabeth Abermann, Christian Fink
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引用次数: 0
Abstract
Purpose: To compare return to play (RTP), time to RTP, level of RTP, and anterior cruciate ligament (ACL) graft failure among elite and professional athletes from different sports after anterior cruciate ligament reconstruction (ACLR).
Methods: The PubMed, Embase and Cochrane Library databases were searched to identify potentially relevant research articles that analysed RTP, time to RTP, level of RTP, and graft failure rate in elite and professional athletes after ACLR. An elite or professional athlete was defined as one who participates in national- or international-level competitions in professional or amateur sports-including academy players aged 15 years or over.
Results: A total of 49 studies met the inclusion criteria. Eleven different sports and 4463 knees were included in the final analysis. The pooled data revealed an RTP rate of 85.8% (95% confidence interval [CI] 82.8-88.5]. A lower RTP was observed in Australian football (67.8% [95% CI 54.1-80.1]; p < 0.001) and football (73.0% [95% CI 65.9-79.5]; p < 0.001) than in soccer (92.8% [95% CI 89.3-95.7]). Almost 90% of the athletes returned to their preinjury level. The meta-analysis revealed no difference (p > 0.05) in the level of RTP rate among the different studies, ranging from 79.0% (soccer) to 97.3% (basketball). The pooled mean time to RTP was 292 days (95% CI 268-316 days). The pooled ACL graft failure rate was estimated to be 7.0% for athletes.
Conclusions: Following ACLR, more than 85% of elite and professional athletes returned to play and almost 90% returned to their preinjury level, with a graft failure rate of 7.0% and a mean return to play at 292 days. Athletes and their treating physicians can utilise these findings to set reasonable expectations for their return to competition after ACLR.
Study registration: CRD42025632248.
Level of evidence: Systematic review and meta-analysis of level IV.
目的：比较不同运动项目优秀运动员和职业运动员前交叉韧带重建（ACLR）后的比赛恢复（RTP）、恢复时间、RTP水平和前交叉韧带（ACL）移植失败情况。方法：检索PubMed、Embase和Cochrane图书馆数据库，寻找可能相关的研究文章，分析精英和专业运动员ACLR后的RTP、到达RTP的时间、RTP水平和移植物失败率。精英或专业运动员被定义为参加国家级或国际级专业或业余体育比赛的人，包括15岁或以上的学院运动员。结果：49项研究符合纳入标准。最终的分析包括11种不同的运动和4463个膝盖。合并数据显示RTP率为85.8%(95%置信区间[CI] 82.8-88.5]。在不同的研究中，澳大利亚足球的RTP率水平较低（67.8% [95% CI 54.1-80.1]; p 0.05），范围从79.0%（足球）到97.3%（篮球）。到RTP的合并平均时间为292天（95% CI 268-316天）。运动员ACL移植失败率估计为7.0%。结论：ACLR术后，超过85%的优秀和专业运动员恢复比赛，近90%的运动员恢复到伤前水平，移植物失败率为7.0%，平均292天恢复比赛。运动员和治疗他们的医生可以利用这些发现为他们在ACLR后重返赛场设定合理的期望。研究注册：CRD42025632248。证据水平：IV级的系统评价和荟萃分析。
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