Udit Dave, Trevor Poulson, Jared Rubin, Jacob T. Morgan, Nicole Chang, Myles Atkins, Luc Fortier, Johnathon R. McCormick, Andrew S. Bi, Nikhil N. Verma, Jorge Chahla
{"title":"优秀运动员在近端腘绳肌修复后比非优秀运动员更快更频繁地恢复运动，并发症发生率低：一项系统回顾。","authors":"Udit Dave, Trevor Poulson, Jared Rubin, Jacob T. Morgan, Nicole Chang, Myles Atkins, Luc Fortier, Johnathon R. McCormick, Andrew S. Bi, Nikhil N. Verma, Jorge Chahla","doi":"10.1002/ksa.12759","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>To evaluate patient-reported outcomes, return to sport (RTS) rates and complications following proximal hamstring (PH) repair in elite and non-elite athletes. We hypothesized that PH repair leads to improved patient-reported and clinical outcomes and high RTS rates with relatively few associated complications.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>In accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, PubMed, Embase and Cochrane Library databases were searched in August 2024. Studies were included if they evaluated athletes at various levels of competition who underwent PH repair and reported RTS rates, complication rates or patient-reported outcomes. Due to high heterogeneity between studies, qualitative comparative analysis was conducted.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The initial screen identified 1398 studies; 22 were included. Each study had non-comparative study design with low risk of bias. Overall, 168 patients across 6 studies were included in the elite athlete cohort, and 759 patients across 16 studies were included in the non-elite athlete cohort. Elite athletes had overall RTS rate of 95.6% with time to RTS from 3.0 to 7.0 months, and RTS at pre-injury level between 90.0% and 98.4%. RTS rate in non-elite athletes was 64.8%. Mean lower extremity functional scale scores were 77.9–78.0 in elite athletes and 73.8-89.0 in non-elite athletes. The overall complication rate in the elite athlete cohort was 11.6%, and in the non-elite cohort was 14.2%. Nerve-related symptoms were the most common complication in both cohorts, with rates of 2.9% and 10.9%, respectively.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Elite athletes are more likely to RTS following PH repair and do so faster compared to their non-elite counterparts. Minor neurologic complications account for the majority of complications in both patient cohorts, with minimal incidence of operative failure or other complications. This can guide preoperative decision-making and patient counselling based on a patient's athletic status and desire to RTS.</p>\n </section>\n \n <section>\n \n <h3> Level of Evidence</h3>\n \n <p>Level IV, systematic review of Levels III and IV studies.</p>\n </section>\n </div>","PeriodicalId":17880,"journal":{"name":"Knee Surgery, Sports Traumatology, Arthroscopy","volume":"33 9","pages":"3389-3404"},"PeriodicalIF":5.0000,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Elite athletes return to sport faster and more often than non-elite athletes with low complication rates following proximal hamstring repair: A systematic review\",\"authors\":\"Udit Dave, Trevor Poulson, Jared Rubin, Jacob T. Morgan, Nicole Chang, Myles Atkins, Luc Fortier, Johnathon R. McCormick, Andrew S. Bi, Nikhil N. Verma, Jorge Chahla\",\"doi\":\"10.1002/ksa.12759\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>To evaluate patient-reported outcomes, return to sport (RTS) rates and complications following proximal hamstring (PH) repair in elite and non-elite athletes. We hypothesized that PH repair leads to improved patient-reported and clinical outcomes and high RTS rates with relatively few associated complications.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>In accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, PubMed, Embase and Cochrane Library databases were searched in August 2024. Studies were included if they evaluated athletes at various levels of competition who underwent PH repair and reported RTS rates, complication rates or patient-reported outcomes. Due to high heterogeneity between studies, qualitative comparative analysis was conducted.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The initial screen identified 1398 studies; 22 were included. Each study had non-comparative study design with low risk of bias. Overall, 168 patients across 6 studies were included in the elite athlete cohort, and 759 patients across 16 studies were included in the non-elite athlete cohort. Elite athletes had overall RTS rate of 95.6% with time to RTS from 3.0 to 7.0 months, and RTS at pre-injury level between 90.0% and 98.4%. RTS rate in non-elite athletes was 64.8%. Mean lower extremity functional scale scores were 77.9–78.0 in elite athletes and 73.8-89.0 in non-elite athletes. The overall complication rate in the elite athlete cohort was 11.6%, and in the non-elite cohort was 14.2%. Nerve-related symptoms were the most common complication in both cohorts, with rates of 2.9% and 10.9%, respectively.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Elite athletes are more likely to RTS following PH repair and do so faster compared to their non-elite counterparts. Minor neurologic complications account for the majority of complications in both patient cohorts, with minimal incidence of operative failure or other complications. This can guide preoperative decision-making and patient counselling based on a patient's athletic status and desire to RTS.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Level of Evidence</h3>\\n \\n <p>Level IV, systematic review of Levels III and IV studies.</p>\\n </section>\\n </div>\",\"PeriodicalId\":17880,\"journal\":{\"name\":\"Knee Surgery, Sports Traumatology, Arthroscopy\",\"volume\":\"33 9\",\"pages\":\"3389-3404\"},\"PeriodicalIF\":5.0000,\"publicationDate\":\"2025-07-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Knee Surgery, Sports Traumatology, Arthroscopy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.12759\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Knee Surgery, Sports Traumatology, Arthroscopy","FirstCategoryId":"3","ListUrlMain":"https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/ksa.12759","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Elite athletes return to sport faster and more often than non-elite athletes with low complication rates following proximal hamstring repair: A systematic review
Purpose
To evaluate patient-reported outcomes, return to sport (RTS) rates and complications following proximal hamstring (PH) repair in elite and non-elite athletes. We hypothesized that PH repair leads to improved patient-reported and clinical outcomes and high RTS rates with relatively few associated complications.
Methods
In accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, PubMed, Embase and Cochrane Library databases were searched in August 2024. Studies were included if they evaluated athletes at various levels of competition who underwent PH repair and reported RTS rates, complication rates or patient-reported outcomes. Due to high heterogeneity between studies, qualitative comparative analysis was conducted.
Results
The initial screen identified 1398 studies; 22 were included. Each study had non-comparative study design with low risk of bias. Overall, 168 patients across 6 studies were included in the elite athlete cohort, and 759 patients across 16 studies were included in the non-elite athlete cohort. Elite athletes had overall RTS rate of 95.6% with time to RTS from 3.0 to 7.0 months, and RTS at pre-injury level between 90.0% and 98.4%. RTS rate in non-elite athletes was 64.8%. Mean lower extremity functional scale scores were 77.9–78.0 in elite athletes and 73.8-89.0 in non-elite athletes. The overall complication rate in the elite athlete cohort was 11.6%, and in the non-elite cohort was 14.2%. Nerve-related symptoms were the most common complication in both cohorts, with rates of 2.9% and 10.9%, respectively.
Conclusions
Elite athletes are more likely to RTS following PH repair and do so faster compared to their non-elite counterparts. Minor neurologic complications account for the majority of complications in both patient cohorts, with minimal incidence of operative failure or other complications. This can guide preoperative decision-making and patient counselling based on a patient's athletic status and desire to RTS.
Level of Evidence
Level IV, systematic review of Levels III and IV studies.
期刊介绍：
Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication.
The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance.
Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards.
Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).
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