2015 ISAKOS Biennial Congress ePoster #1284
Return to Play After ACL Ligament Reconstruction: French Experience
Antoine Gerometta, MD, Paris FRANCE
Christian Lutz, MD, Strasbourg FRANCE
Serge Herman, MD, Paris FRANCE
Nicolas Lefevre, MD, Paris FRANCE
Frederic Dubrana, Brest Cedex FRANCE
Patricia Thoreux-Dumas, Paris FRANCE
Julien Girard, Prof., Lille FRANCE
Yoann Bohu, MD, Paris FRANCE
Frederic Khiami, MD, Paris FRANCE
Société Française de Traumatologie du Sport, Paris, FRANCE
FDA Status Not Applicable
Summary: Factors influencing the return to sport were statistically the sport level before the injury and psychological scale, ACL-RSI score
The rupture of the anterior cruciate ligament is a common problem especially in young people, active and sporty, the source of significant morbidity in amateur and professional sports. One goal of ACL reconstruction is to return to the same sport at the same level. The purpose of this study was to evaluate the return to sport after anterior cruciate ligament reconstruction in a population of patients doing pivot sports.
Materials And Methods
A retrospective multicenter study including 239 athletes patients who underwent ACL reconstruction between January 2010 and June 2012 was done. Six centers were included in this study and 4 different types of graft were used. The inclusion criteria were an isolated anterior cruciate ligament with or without meniscal injury among athletes aged 15 to 50 years and practicing before the injury a pivot or pivot / contact sport, in competition or leisure. The mean follow up was 23.7 +/- 10.3 months. The average age was 28.5 years. All patients completed questionnaires on knee function (IKDC, Lysholm), Tegner score and concerning their sports on preoperative period and last follow up. The primary endpoint was the return to the sport, the level of recovery and the delay. Secondary endpoints were functional evaluation of the knee, a scale of patient satisfaction and psychological evaluation by ACL-RSI-Fr score.
At 23.7 months mean follow-up, 88% of patients returned to sport. 38% of patients returned to the same sport at the same level, 39% returned to the same sport at a lower level, 15% of patients changed sports and 8% have completely stopped all sports. The delay to return to run was 7.6 months, the delay to return to pivot sport was 10.2 months and the delay to return to sport in competition was 10.3 months, competitors returning faster. Among the athletes doing competitive sport before the injury, 47.5% returned to pivot sport in competition at the last follow up. Surgical technique, age, BMI and gender had no effect on the return to sport at the same or higher level compared before injury. The sport level before the injury had an influence on the return to sport. Sixty-seven percent of professionals returned to the same sport at the same level, 46% for competitors, 31% for regular sporting activities and 12.5% for occasional sporting activities. Subjects who returned to sports at the same or higher level than they had before the injury have significantly a higher ACL-RSI-Fr score than other patients.
Factors influencing the results were statistically the sport level before the injury and psychological scale, ACL-RSI score. Areas for improvement could be implemented to increase the rate of return to sport, including psychological support for athletes.