Moretti Lorenzo, Bortone Ilaria, Delmedico Michelangelo, Cassano Danilo Giuseppe, Caringella Nuccio, Bizzoca Davide, Moretti Biagio
Orthopaedic and Trauma Unit, Department of Translational Biomedicine and Neuroscience "DiBraiN," University of Bari "Aldo Moro," Bari, Italy.
Orthop J Sports Med. 2023 Aug 2;11(8):23259671231177309. doi: 10.1177/23259671231177309. eCollection 2023 Aug.
Performing meniscal repair with anterior cruciate ligament reconstruction (ACLR) has been shown to contribute to the long-term preservation of knee health and gait biomechanics.
To evaluate the role of meniscal repair in the performance of semiprofessional soccer players who returned to sport after ACLR.
Case series; Level of evidence, 4.
This study included 51 male soccer players (mean ± SD age, 28.82 ± 5.33 years) who underwent ACLR at a single institution between July 2018 and July 2019. The players were divided into 3 groups according to surgery type: ACLR only (n = 30), ACLR with lateral meniscal repair (n = 9), and ACLR with medial meniscal repair (n = 12). Outcomes were evaluated through clinical examination, self-reported health questionnaires (Cincinnati Knee Rating System, Tegner activity score, Tegner Lysholm Knee Scoring Scale, Tampa Scale of Kinesiophobia, and ACL-Return to Sport After Injury), and biomechanical performance evaluations (balance, strength, coordination, and symmetry tests). Parametric and nonparametric tests were carried out for multiple comparisons.
The mean ± SD follow-up time was 20.75 ± 9.38 months. Although no significant differences emerged in clinical and self-reported health status, almost all the physical parameters tested resulted in lower performance in players treated with ACLR and meniscal repair. Moreover, patients with ACLR with lateral meniscal repair reported higher pain and fear of reinjury, with lower outcomes in terms of strength, symmetry, and coordination as compared with the other 2 groups. Balance abilities were significantly affected in players who underwent meniscal repair as compared with those who underwent ACLR only.
The findings showed that biomechanical performance measures and fear of reinjury were significantly worse in soccer players with associated meniscal repair at a minimum 1-year follow-up, especially in those with a lateral meniscal tear.
在前交叉韧带重建（ACLR）时进行半月板修复已被证明有助于长期保持膝关节健康和步态生物力学。
评估半月板修复在ACLR后恢复运动的半职业足球运动员表现中的作用。
病例系列；证据等级，4级。
本研究纳入了2018年7月至2019年7月在单一机构接受ACLR的51名男性足球运动员（平均年龄±标准差，28.82±5.33岁）。根据手术类型将运动员分为3组：单纯ACLR组（n = 30）、ACLR联合外侧半月板修复组（n = 9）和ACLR联合内侧半月板修复组（n = 12）。通过临床检查、自我报告的健康问卷（辛辛那提膝关节评分系统、特格纳活动评分、特格纳-利绍姆膝关节评分量表、坦帕运动恐惧量表和ACLR-伤后恢复运动）以及生物力学性能评估（平衡、力量、协调性和对称性测试）来评估结果。进行参数检验和非参数检验以进行多重比较。
平均随访时间±标准差为20.75±9.38个月。虽然在临床和自我报告的健康状况方面没有出现显著差异，但几乎所有测试的身体参数在接受ACLR和半月板修复治疗的运动员中表现都较低。此外，与其他两组相比，ACLR联合外侧半月板修复的患者报告有更高的疼痛和再次受伤恐惧，在力量、对称性和协调性方面的结果更低。与仅接受ACLR的运动员相比，接受半月板修复的运动员的平衡能力受到显著影响。
研究结果表明，在至少1年的随访中，伴有半月板修复的足球运动员的生物力学性能指标和再次受伤恐惧明显更差，尤其是外侧半月板撕裂的运动员。
