Young age and return to play increase the likelihood of subsequent ACL reconstruction in football players: Data from the Swedish National Knee Ligament Registry.

IF 3.3 2区医学 Q1 ORTHOPEDICS Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2025-01-08 DOI:10.1002/ksa.12580

Anne Fältström, Magnus Forssblad, Alexander Sandon

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Abstract

Purpose: To compare football players who have undergone one anterior cruciate ligament (ACL) reconstruction (ACLR) with those who have undergone a subsequent ACLR (revision or contralateral) regarding (1) demographics, (2) football-related factors and (3) injury-specific data.

Methods: Players who voluntarily completed a football-specific questionnaire available at the Swedish National Knee Ligament Registry website between April 2017 and September 2020 at the time of their primary ACL injury were included in the study. The questionnaire covered demographics, football-related activities and injury-specific factors. Subsequent ACLR registrations within 4 years of the primary ACLR were identified in December 2023. Data on game participation post-primary ACLR were retrieved from the Swedish Football Association's administrative system in September 2022.

Results: A total of 992 football players (66% men) were included, of whom 99 (10%) were registered for subsequent ACLRs. Univariable analysis showed that the following factors significantly increased the odds of a subsequent ACLR: female sex, younger age, a lower weight and body mass index, fewer years played, use of knee control exercises during warm-up, more likely to plan a return to football, more game participation registered following the primary ACLR, and shorter time between injury and ACLR. Multivariable logistic regression analysis indicated that the odds of undergoing subsequent ACLR decreased significantly with each additional year of age (odds ratio [OR], 0.87; 95% confidence interval [CI], 0.83‒0.92, p < 0.01). Players using knee control exercises during warm-up (OR, 1.71; 95% CI, 1.08‒2.72, p = 0.02), planning to return to football (OR, 2.74; 95% CI, 1.27‒5.91, p = 0.01), and participating in games after primary ACLR (OR, 1.81; 95% CI, 1.13‒2.91, p = 0.01) increased the odds of undergoing a subsequent ACLR.

Conclusions: Younger age and returning to play after an ACLR significantly increase the likelihood of undergoing a subsequent ACLR in football players.

Level of evidence: Level IV.

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年轻和重返赛场增加了足球运动员随后ACL重建的可能性：来自瑞典国家膝关节韧带登记处的数据。

目的：比较接受过一次前交叉韧带（ACLR）重建（ACLR）的足球运动员与随后接受过ACLR（翻修或对侧）的足球运动员在以下方面的差异：(1)人口统计学，(2)足球相关因素和(3)损伤特异性数据。方法：在2017年4月至2020年9月期间，在瑞典国家膝关节韧带登记处网站上自愿完成足球特定问卷的球员在其原发性前交叉韧带损伤时被纳入研究。调查问卷涵盖了人口统计、与足球有关的活动和受伤的具体因素。在主要ACLR的4年内，后续ACLR注册于2023年12月确定。2022年9月，从瑞典足协的行政系统中检索了初选后ACLR的比赛参与数据。结果：共纳入992名足球运动员（66%为男性），其中99名（10%）注册了后续的ACLRs。单变量分析显示，以下因素显著增加了随后ACLR的几率：女性、年龄较小、体重和体重指数较低、上场时间较短、在热身期间使用膝盖控制练习、更有可能计划重返足球、在初次ACLR后参加更多的比赛、受伤和ACLR之间的时间较短。多变量logistic回归分析显示，随着年龄的增加，随后进行ACLR的几率显著降低(优势比[OR]， 0.87；95%可信区间[CI]， 0.83-0.92， p结论：年龄越小和ACLR后重返赛场显著增加了足球运动员随后发生ACLR的可能性。证据等级：四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

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).