Farinelli Luca, Abermann Elisabeth, Meena Amit, Ueblacker Peter, Hahne Jochen, Fink Christian
Clinical Orthopaedics, Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona, Italy.
Gelenkpunkt-Sports and Joint Surgery, Innsbruck, Austria.
Orthop J Sports Med. 2023 Mar 3;11(3):23259671231153629. doi: 10.1177/23259671231153629. eCollection 2023 Mar.
Anterior cruciate ligament rupture represents a career-threatening injury for professional soccer players.
To analyze the pattern of injury, return to play (RTP), and performance of a consecutive series of elite professional soccer players after anterior cruciate ligament reconstruction (ACLR).
Case series; Level of evidence, 4.
We evaluated the medical records of 40 consecutive elite soccer players who underwent ACLR by a single surgeon between September 2018 and May 2022. Patient age, height, weight, body mass index, position, injury history, affected side, RTP time, minutes played per season (MPS), and MPS as a percentage of playable minutes before and after ACLR were retrieved from medical records and from publicly available media-based platforms.
Included were 27 male patients (mean ± SD age at surgery, 23.2 ± 4.3 years; range, 18-34 years). The injury occurred during matches in 24 players (88.9%), with a noncontact mechanism in 22 (91.7%). Meniscal pathology was found in 21 patients (77.8%). Lateral meniscectomy and meniscal repair were performed in 2 (7.4%) and 14 (51.9%) patients, respectively, and medial meniscectomy and meniscal repair were performed in 3 (11.1%) and 13 (48.1%) patients, respectively. A total of 17 players (63.0%) underwent ACLR with bone-patellar tendon-bone autograft and 10 (37.0%) with soft tissue quadriceps tendon. Lateral extra-articular tenodesis was added in 5 patients (18.5%). The overall RTP rate was 92.6% (25 of 27). Two athletes moved to a lower league after surgery. The mean MPS% during the last preinjury season was 56.69% ± 21.71%; this decreased significantly to 29.18% ± 20.6% ( < .001) in the first postoperative season and then increased to 57.76% ± 22.89% and 55.89% ± 25.8% in the second and third postoperative seasons. Two (7.4%) reruptures and 2 (7.4%) failed meniscal repairs were reported.
ACLR in elite UEFA soccer players was associated with a 92.6% rate of RTP and 7.4% rate of reinjury within 6 months after primary surgery. Moreover, 7.4% of soccer players moved to a lower league during the first season after surgery. Age, graft selection, concomitant treatments, and lateral extra-articular tenodesis were not significantly associated with prolonged RTP.
前交叉韧带断裂对职业足球运动员来说是一种危及职业生涯的损伤。
分析一系列连续的精英职业足球运动员在前交叉韧带重建（ACLR）后的损伤模式、重返赛场（RTP）情况和表现。
病例系列；证据等级，4级。
我们评估了2018年9月至2022年5月期间由同一位外科医生为40名连续的精英足球运动员进行ACLR的医疗记录。从医疗记录和公开可用的基于媒体的平台中获取患者的年龄、身高、体重、体重指数、位置、损伤史、患侧、RTP时间、每个赛季上场分钟数（MPS）以及ACLR前后MPS占可上场分钟数的百分比。
纳入27名男性患者（手术时平均年龄±标准差为23.2±4.3岁；范围为18 - 34岁）。24名球员（88.9%）的损伤发生在比赛期间，其中22名（91.7%）为非接触机制。21名患者（77.8%）发现半月板病变。分别有2名（7.4%）和14名（51.9%）患者进行了外侧半月板切除术和半月板修复，分别有3名（11.1%）和13名（48.1%）患者进行了内侧半月板切除术和半月板修复。共有17名球员（63.0%）采用自体骨 - 髌腱 - 骨移植进行ACLR，10名（37.0%）采用软组织股四头肌肌腱移植。5名患者（18.5%）增加了外侧关节外固定术。总体RTP率为92.6%（27名中的25名）。两名运动员术后转至较低级别联赛。受伤前最后一个赛季的平均MPS%为56.69%±21.71%；术后第一个赛季显著降至29.18%±20.6%（P <.001），然后在术后第二个和第三个赛季分别增至57.76%±22.89%和55.89%±25.8%。报告了2例（7.4%）再次断裂和2例（7.4%）半月板修复失败病例。
欧洲足球联盟（UEFA）精英足球运动员进行ACLR后，RTP率为92.6%，初次手术后6个月内再损伤率为7.4%。此外，7.4%的足球运动员在术后第一个赛季转至较低级别联赛。年龄、移植物选择、伴随治疗和外侧关节外固定术与RTP延长无显著相关性。
