Nwachukwu Benedict U, Anthony Shawn G, Lin Kenneth M, Wang Tim, Altchek David W, Allen Answorth A
a Department of Orthopaedic Surgery , Hospital for Special Surgery , New York , NY , USA.
b Mount Sinai St. Luke's and Mount Sinai West , The Mount Sinai Hospital Department of Orthopaedic Surgery , New York , NY , USA.
Phys Sportsmed. 2017 Sep;45(3):303-308. doi: 10.1080/00913847.2017.1325313. Epub 2017 May 8.
To investigate return to play (RTP) and functional performance after anterior cruciate ligament reconstruction (ACLR) in National Basketball Association (NBA) players and to perform a systematic review of the literature to understand RTP after ACLR in professional basketball.
NBA players undergoing ACLR between 2008 and 2014 by two surgeons were identified. RTP and performance were assessed based on a review of publically available statistics. A systematic review of the literature was performed using the MEDLINE database. Inclusion criteria were: English language, ACL surgery outcome, professional basketball and RTP outcome. We reviewed studies for RTP rates and RTP performance.
Our study included 12 professional basketball players with NBA level experience. Eleven of the 12 players returned to their prior level of play. Eight of the 9 (88.9%) players actively playing in the NBA returned to play in the NBA at a mean 9.8 months. Among players returning to NBA play, during RTP season 1, mean per game statistics decreased for the following: minutes, points, rebounds, assists, steals, blocks, turnovers and personal fouls - none of these changes reached statistical significance. Player efficiency ratings significantly declined from pre-injury (12.5) to the first RTP season (7.6) (p = 0.05). By RTP season 2, player performance metrics approximated pre-injury levels and were not significantly different. Six studies met inclusion criteria; reported RTP rates ranged from 78-86%. Identified studies similarly found a decline in functional performance after RTP.
There is a high rate (89%) of return to NBA play for NBA players undergoing ACLR. After RTP, however, there is a quantitative decline in initial season 1 RTP statistics with a significant decrease in player efficiency rating. By RTP season 2, performance metrics demonstrated an improvement compared to RTP season 1 but did not reach pre-injury functional performance, though performance metrics are not significantly different between pre-injury and RTP season 2.
调查美国职业篮球联赛（NBA）球员前交叉韧带重建术（ACLR）后的重返赛场（RTP）情况及功能表现，并对相关文献进行系统回顾，以了解职业篮球运动员ACLR后的RTP情况。
确定2008年至2014年间由两位外科医生进行ACLR的NBA球员。通过回顾公开可用的统计数据评估RTP和表现。使用MEDLINE数据库对文献进行系统回顾。纳入标准为：英文、ACL手术结果、职业篮球和RTP结果。我们审查了RTP率和RTP表现的研究。
我们的研究包括12名具有NBA级别经验的职业篮球运动员。12名球员中有11名恢复到了之前的比赛水平。9名（88.9%）仍在NBA积极参赛的球员平均在9.8个月后重返NBA赛场。在重返NBA比赛的球员中，在RTP赛季1期间，以下场均统计数据有所下降：上场时间、得分、篮板、助攻、抢断、盖帽、失误和个人犯规——这些变化均未达到统计学意义。球员效率评级从受伤前（12.5）显著下降至首个RTP赛季（7.6）（p = 0.05）。到RTP赛季2时，球员表现指标接近受伤前水平，且无显著差异。六项研究符合纳入标准；报告的RTP率在78%至86%之间。已确定的研究同样发现RTP后功能表现有所下降。
接受ACLR的NBA球员重返NBA赛场的比例很高（89%）。然而，RTP后，首个赛季1的RTP统计数据出现了定量下降，球员效率评级显著降低。到RTP赛季2时，表现指标与RTP赛季1相比有所改善，但未达到受伤前的功能表现，不过受伤前与RTP赛季2之间的表现指标无显著差异。
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