Return to preinjury pivoting sports after anterior cruciate ligament reconstruction is different between males and females, as are the patient-reported reasons.

IF 3.3 2区医学 Q1 ORTHOPEDICS Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2025-01-16 DOI:10.1002/ksa.12588

Jay R Ebert, Liza Kneebone, Peter Edwards, Ross Radic, Peter D'Alessandro

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Abstract

Purpose: To investigate return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR), differences based on sex and concomitant meniscal repair, and identify reasons why patients do not RTS.

Methods: Overall, 232 patients undergoing ACLR, with or without concomitant meniscal repair, that were actively participating in pivoting sports at the time of injury, were prospectively recruited. At 2 years, return to preinjury pivoting sport was investigated and, if they had returned, whether they felt their performance was at (or better) or below preinjury status. Specific reasons for not returning were identified. RTS rates and reasons for not returning were compared based on sex and meniscal repair.

Results: Overall, 140 patients (60.3%) had returned to their preinjury pivoting sport, of which 98 (70.0%) felt they were performing at (or beyond) preinjury status. While a significantly greater (p = 0.024) percentage of males (66.9%) versus females (52.4%) had returned to pivoting sports by 2 years, no differences (p = 0.708) were seen based on concomitant meniscal repair. Overall, 92 patients (39.7%) had not RTS, with primary reasons being loss of interest (21.7%), too busy due to their work and/or family environment (22.8%), or fear of reinjury or lacking confidence (17.4%). Other less-reported reasons included ongoing knee issues (6.5%) or not feeling physically ready (5.4%).

Conclusions: This study outlined specific reasons why community-level patients do not RTS, with RTS status (and reasons for not returning to preinjury pivoting sports) differing between males and females, with the latter returning at a significantly lower rate overall.

Level of evidence: Level IV.

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前交叉韧带重建后恢复损伤前旋转运动在男性和女性之间是不同的，患者报告的原因也是如此。

目的：探讨前交叉韧带重建术（ACLR）后恢复运动（RTS）的情况、性别差异和伴随的半月板修复，并确定患者不恢复运动（RTS）的原因。方法：总的来说，232例接受ACLR的患者，有或没有合并半月板修复，在受伤时积极参与旋转运动，被前瞻性招募。2年后，研究人员调查了他们回到受伤前的旋转运动，如果他们回来了，他们是否觉得自己的表现达到（或更好）或低于受伤前的状态。没有返回的具体原因已经确定。基于性别和半月板修复比较RTS率和不返回的原因。结果：总体而言，140例（60.3%）患者恢复了损伤前的旋转运动，其中98例（70.0%）患者感觉他们的运动达到（或超过）损伤前的状态。虽然男性（66.9%）与女性（52.4%）在2年后恢复旋转运动的比例（p = 0.024）显著高于女性（p = 0.024），但在伴有半月板修复的情况下，没有发现差异（p = 0.708）。总体而言，92名患者（39.7%）没有RTS，主要原因是失去兴趣（21.7%），由于工作和/或家庭环境太忙（22.8%），或害怕再受伤或缺乏信心（17.4%）。其他较少报道的原因包括持续的膝盖问题（6.5%）或感觉身体没有准备好（5.4%）。结论：该研究概述了社区级别患者不进行RTS的具体原因，男性和女性的RTS状态（以及不重返损伤前旋转运动的原因）不同，后者的总体复发率明显较低。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).