Minhas Shobhit V, Kester Benjamin S, Larkin Kevin E, Hsu Wellington K
Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, USA
Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, USA.
Am J Sports Med. 2016 Apr;44(4):1056-61. doi: 10.1177/0363546515623028. Epub 2016 Jan 22.
Professional basketball players have a high incidence of injuries requiring surgical intervention. However, no studies in the current literature have compared postoperative performance outcomes among common injuries to determine high- and low-risk procedures to these athletes' careers.
To compare return-to-play (RTP) rates and performance-based outcomes after different orthopaedic procedures in National Basketball Association (NBA) players and to determine which surgeries are associated with the worst postoperative change in performance.
Cohort study; Level of evidence, 3.
Athletes in the NBA undergoing anterior cruciate ligament reconstruction, Achilles tendon repair, lumbar discectomy, microfracture, meniscus surgery, hand/wrist or foot fracture fixation, and shoulder stabilization were identified through team injury reports and archives on public record. The RTP rate, games played per season, and player efficiency rating (PER) were determined before and after surgery. Statistical analysis was used to compare the change between pre- and postsurgical performance among the different injuries.
A total of 348 players were included. The RTP rates were highest in patients with hand/wrist fractures (98.1%; mean age, 27.0 years) and lowest for those with Achilles tears (70.8%; mean age, 28.4 years) (P = .005). Age ≥30 years (odds ratio [OR], 3.85; 95% CI, 1.24-11.91) and body mass index ≥27 kg/m(2) (OR, 3.46; 95% CI, 1.05-11.40) were predictors of not returning to play. Players undergoing Achilles tendon repair and arthroscopic knee surgery had a significantly greater decline in postoperative performance outcomes at the 1- and 3-year time points and had shorter career lengths compared with the other procedures.
NBA players undergoing Achilles tendon rupture repair or arthroscopic knee surgery had significantly worse performance postoperatively compared with other orthopaedic procedures.
职业篮球运动员因伤需要手术干预的发生率很高。然而，目前文献中尚无研究比较常见损伤术后的表现结果，以确定对这些运动员职业生涯的高风险和低风险手术。
比较美国职业篮球联赛（NBA）球员不同骨科手术后的重返赛场（RTP）率和基于表现的结果，并确定哪些手术与术后表现的最差变化相关。
队列研究；证据水平，3级。
通过球队伤病报告和公开记录档案，确定接受前交叉韧带重建、跟腱修复、腰椎间盘切除术、微骨折、半月板手术、手/腕或足部骨折固定以及肩关节稳定手术的NBA运动员。确定手术前后的RTP率、每个赛季的比赛场次和球员效率值（PER）。采用统计分析比较不同损伤手术前后表现的变化。
共纳入348名球员。手/腕部骨折患者的RTP率最高（98.1%；平均年龄27.0岁），跟腱撕裂患者的RTP率最低（70.8%；平均年龄28.4岁）（P = 0.005）。年龄≥30岁（比值比[OR]，3.85；95%置信区间，1.24 - 11.91）和体重指数≥27 kg/m²（OR，3.46；95%置信区间，1.05 - 11.40）是未能重返赛场的预测因素。与其他手术相比，接受跟腱修复和关节镜膝关节手术的球员在术后1年和3年的表现结果显著下降，职业生涯长度较短。
与其他骨科手术相比，接受跟腱断裂修复或关节镜膝关节手术的NBA球员术后表现明显更差。
