Education and Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, Via Casteldebole 8/4, Bologna, Italy.
Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Via Di Barbiano, 1/10, 40136, Bologna, Italy.
Knee Surg Sports Traumatol Arthrosc. 2020 Feb;28(2):463-469. doi: 10.1007/s00167-019-05649-2. Epub 2019 Aug 3.
To assess the rate of return to sport (RTS) following revision Anterior Cruciate Ligament Reconstruction (ACLR) in a rehabilitation-based cohort of patients. A secondary goal of the study was to evaluate the association between compliance in post-operative rehabilitation and RTS rate.
The study cohort included 79 sport-active patients (62 males, 17 females, 30.0 ± 10.2 years old) who underwent revision ACLR surgery and followed the same functional-oriented rehabilitation protocol. Patients were evaluated using a RTS survey: return to any kind of sport participation, return to the same pre-injury sport, return to the same sport at the same pre-injury level. With regards to compliance in post-operative rehabilitation, patients were then grouped in (1) Fully Compliant (FC), (2) Moderately Compliant (MC), (3) Scarcely Compliant (SC), and (4) Non-Compliant (NC).
At an average follow-up of 29 ± 12 months, 86% of the patients returned to some kind of sport activity, 62% returned to the same pre-injury sport activity and 59% returned to the same pre-injury level of sport activity. While no surgical aspects were correlated with RTS, higher BMI was found to have a negative influence (p = 0.033). Regardless of the type of sport, compliance significantly affected RTS at the same pre-injury level (p = 0.006): 86% in FC, 67% in MC, 50% in SC, and 45% in NC. For each compliance goal achieved, the probability of RTS increased by 68% (OR = 1.68; p = 0.027).
RTS at the same pre-injury level after revision ACLR is challenging. A higher compliance in rehabilitation significantly increases the chances of RTS.
IV.
在以康复为基础的患者队列中评估前交叉韧带重建（ACLR）后重返运动（RTS）的比率。本研究的次要目标是评估术后康复依从性与 RTS 率之间的关系。
研究队列包括 79 名运动活跃的患者（62 名男性，17 名女性，30.0±10.2 岁），他们接受了 ACLR 手术，并遵循相同的面向功能的康复方案。患者使用 RTS 调查进行评估：重返任何类型的运动参与，重返相同的受伤前运动，重返相同的运动在相同的受伤前水平。关于术后康复的依从性，患者随后被分为（1）完全依从（FC），（2）中度依从（MC），（3）轻度依从（SC）和（4）不依从（NC）。
平均随访 29±12 个月后，86%的患者恢复了某种运动活动，62%的患者恢复了相同的受伤前运动活动，59%的患者恢复了相同的受伤前运动水平。虽然没有手术方面与 RTS 相关，但发现更高的 BMI 有负面影响（p=0.033）。无论运动类型如何，依从性对相同受伤前水平的 RTS 有显著影响（p=0.006）：FC 为 86%，MC 为 67%，SC 为 50%，NC 为 45%。对于每个实现的依从性目标，RTS 的可能性增加了 68%（OR=1.68；p=0.027）。
在 ACLR 后恢复到相同的受伤前水平的 RTS 具有挑战性。康复依从性较高可显著增加 RTS 的机会。
IV。
