Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, U.S.A..
Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, U.S.A.
Arthroscopy. 2019 Jan;35(1):158-162. doi: 10.1016/j.arthro.2018.08.007.
To determine whether the length of time between primary anterior cruciate ligament reconstruction (ACLR) and return to sport (RTS) predicted the need for revision ACLR in National Football League (NFL) athletes.
All NFL players who underwent ACLR from 2009 to 2015 were identified. The date of index ACLR and date of return to NFL regular-season game play after surgery were recorded. The length of time between ACLR and RTS was compared between players who required revision ACLR and those who did not. Correlation coefficients were used to assess whether players who RTS sooner sustained recurrent anterior cruciate ligament injury at an earlier date.
A total of 130 NFL players (average age, 25.3 ± 3.2 years) who underwent ACLR and returned to sport were identified. The average time to RTS after ACLR was 49.7 weeks after surgery. Of the players, 23 (18%) required revision ACLR. There was no significant difference in the length of time between ACLR and RTS in players who did not require revision ACLR (50.2 ± 10.1 weeks) and those who did (48.3 ± 11.0 weeks, P = .40). Time to RTS was not found to correlate with time to reinjury in athletes requiring revision ACLR (R = 0.21; 95% confidence interval, -0.18 to 0.54). A large proportion of players (56%) sustained a reinjury within the first 10 weeks of returning to NFL game play.
Our study found that timing of RTS after ACLR was not a significant risk factor for revision surgery in NFL athletes. Time to RTS was also not shown to correlate with time to reinjury.
Level III, case-control study.
确定前交叉韧带重建（ACLR）后至重返运动（RTS）的时间间隔是否可预测美国国家橄榄球联盟（NFL）运动员需要进行 ACLR 翻修。
确定了 2009 年至 2015 年间接受 ACLR 的所有 NFL 球员。记录了手术时的 ACLR 索引日期和手术后重返 NFL 常规赛的日期。比较了需要进行 ACLR 翻修的患者和无需进行 ACLR 翻修的患者之间 ACLR 与 RTS 之间的时间间隔。使用相关系数来评估 RTS 时间更早的患者是否更早发生复发性前交叉韧带损伤。
共确定了 130 名接受 ACLR 并重返运动的 NFL 球员（平均年龄 25.3 ± 3.2 岁）。ACL 重建后 RTS 的平均时间为手术后 49.7 周。在这些患者中，23 名（18%）需要进行 ACLR 翻修。无需进行 ACLR 翻修的患者（50.2 ± 10.1 周）和需要进行 ACLR 翻修的患者（48.3 ± 11.0 周，P =.40）之间，ACLR 与 RTS 之间的时间间隔无显著差异。在需要进行 ACLR 翻修的患者中，RTS 时间与再损伤时间之间没有相关性（R = 0.21；95%置信区间，-0.18 至 0.54）。很大一部分患者（56%）在重返 NFL 比赛后的前 10 周内再次受伤。
我们的研究发现，ACL 重建后 RTS 的时间间隔不是 NFL 运动员进行 ACLR 翻修的重要危险因素。RTS 时间也与再损伤时间无关。
III 级，病例对照研究。
