在平均随访12年的前交叉韧带重建后，运动员重返运动和患者报告的结果

IF 2 Q2 ORTHOPEDICS

Journal of Experimental Orthopaedics Pub Date : 2025-05-19 DOI:10.1002/jeo2.70272

Yunseo Linda Park, Anja M. Wackerle, Brooke Collins, Ehab M. Nazzal, Joseph D. Giusto, Matthew Kolevar, James J. Irrgang, Jonathan D. Hughes, Volker Musahl

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引用次数: 0

摘要

目的本研究旨在评估武术运动员前交叉韧带重建（ACLR）的效果和损伤前运动恢复（RTPS）特征。方法选取年龄在14岁以上、接受过原发性ACLR的武术运动员为研究对象，随访至少1年。本研究将RTPS定义为达到受伤前的武术参与水平。患者完成了一份评估运动参与、再损伤和患者报告结果（PROs）的问卷调查，包括国际膝关节文献委员会主观膝关节表格（IKDC SKF）、Marx活动评分、Tegner活动量表和视觉模拟量表（VAS）。回顾性收集人口统计学、手术资料和术前PROs。患者被分为达到RTPS的患者和没有达到RTPS的患者。统计分析包括卡方检验、Fisher精确检验、Mann-Whitney U检验和t检验。p <； 0.05为统计学意义。结果52例参加武术训练者（平均年龄30.6±11.0岁，女性21%）完成问卷调查，平均随访12.1±7.8年。在该队列中，35名患者（67%）在受伤前参加过竞技、大学或精英武术。在那些根本没有重返武术的人中，害怕再次受伤是最常见的原因。RTPS率为58%。年龄，伤前武术参与（频率和竞争力）和手术特征在组间无差异。未达到RTPS的患者有更高的轻微和严重的术后并发症发生率（41%对13%，p = 0.02），包括僵硬、感染、积液和再损伤。RTPS组在最后随访时的IKDC SKF评分（71.4±11.7比68.4±7.2,p < 0.01）和Tegner活动评分（6.9比5.6,p = 0.04）具有统计学意义。所有研究参与者的移植物失败率为12%，组间无差异（p = 0.69）。RTPS组再损伤率为17%。结论武术运动员在ACLR后恢复到伤前水平的比率为58%。证据水平案例系列；IV级。

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Return to sport and patient reported outcomes in athletes participating in martial arts after anterior cruciate ligament reconstruction at mean follow-up of 12 years

Purpose

This study aims to assess anterior cruciate ligament reconstruction (ACLR) outcomes and return to pre-injury sports (RTPS) characteristics in athletes participating in martial arts.

Methods

Martial arts athletes over the age of 14 years who underwent primary ACLR with a minimum 1-year follow-up were eligible for this study. This study defined RTPS as reaching pre-injury levels of martial arts participation. Patients completed a questionnaire assessing sports participation, reinjury, and patient reported outcomes (PROs) including International Knee Documentation Committee Subjective Knee Form (IKDC SKF), Marx activity score, Tegner activity scale, and visual analogue scale (VAS). Demographics, surgical data, and preoperative PROs were collected retrospectively. Patients were grouped into those who achieved RTPS and those who did not. Statistical analyses included chi-square, Fisher's exact, Mann–Whitney U, and t-tests. Statistical significance was set at p < 0.05.

Results

Fifty-two individuals who participated in martial arts (mean age 30.6 ± 11.0 years, 21% female) completed the questionnaire at a mean follow-up of 12.1 ± 7.8 years. Of the cohort, 35 patients (67%) participated in competitive, varsity, or elite martial arts prior to injury. Of those who did not return to martial arts at all, fear of reinjury was the most common reason. The rate of RTPS was 58%. Age, pre-injury martial arts participation (frequency and competitiveness), and surgical characteristics did not differ between groups. Those who did not achieve RTPS had a higher rate of minor and major postoperative complication (41% vs. 13%, p = 0.02), which included stiffness, infection, effusion, and reinjury. The RTPS group reported statistically higher IKDC SKF scores (71.4 ± 11.7 vs. 68.4 ± 7.2, p < 0.01) and Tegner activity scores (6.9 vs. 5.6, p = 0.04) at final follow-up. Graft failure rate for all study participants was 12% and did not differ between groups (p = 0.69). Reinjury rate of the RTPS group was 17%.