Institute of Sports Medicine and Science, Italian National Olympic Committee CONI, Rome, Italy.
Department of Orthopaedic Surgery and Traumatology, AOU Sant'Andrea, La Sapienza University of Rome, Rome, Italy.
Am J Sports Med. 2024 Jul;52(9):2237-2243. doi: 10.1177/03635465241256099. Epub 2024 Jun 13.
Return to sport (RTS) after treatment of an anterior cruciate ligament (ACL) tear is a critical parameter to assess the outcome of a surgical procedure. However, few studies have investigated RTS after ACL repair.
To evaluate RTS of a group of amateur soccer players at a minimum follow-up of 2 years after ACL repair.
Case series; Level of evidence, 4.
A retrospective review of all patients treated with acute ACL repair was conducted. A total of 50 amateur soccer players were included in the study. Patients were examined clinically or contacted to complete postoperative patient-reported outcome measures, namely the Knee injury and Osteoarthritis Outcome Score, the International Knee Documentation Committee questionnaire, the ACL-Return to Sport After Injury scale, and the Forgotten Joint Score-12.
The patients' mean age was 25.8 ± 7.7 years (range, 14-47 years), and the mean follow-up was 34.3 ± 10.7 months (range, 24-51.3 months). The median Tegner Activity Scale score was 9. The ACL repair failure rate was 16% (8/50). The mean time from repair to failure was 23.1 ± 12.7 months (range, 6-44 months), and the mean age of patients who sustained ACL repair failure was 19.9 ± 3.3 years (range, 14-24 years), significantly lower compared with patients who did not experience ACL repair failure (26.9 ± 7.9 years; range, 16-47 years; = .017). Multivariate analysis showed that age ≤21 years was the only significant risk factor for ACL repair failure (odds ratio, 5.45; confidence interval, 1.24-27.91; = .041). Excluding the 8 patients who experienced repair failure, 31 of 42 patients (73.8%) returned to soccer after ACL repair, with 29 of the 31 (93.5%) returning at their preinjury level of play. Moreover, patients who played competitive soccer and returned to their preinjury level of play were significantly younger than those who did not return to their preinjury level of play (mean, 21.1 ± 3.4 vs 29.2 ± 9.5 years, respectively; = .002) and had significantly better ACL-Return to Sport After Injury scores (mean, 96.6 ± 4 vs 87.8 ± 11, respectively; = .044).
In this study, 73.8% (n = 31) of patients returned to playing soccer, of whom 93.5% (n = 29) returned to their preinjury level after ACL repair. The failure rate was 16% (n = 8) and mainly involved patients ≤21 years old.
前交叉韧带（ACL）撕裂治疗后的重返运动（RTS）是评估手术结果的关键参数。然而，很少有研究调查 ACL 修复后的 RTS。
评估 ACL 修复后一组业余足球运动员的 RTS，随访时间至少为 2 年。
病例系列；证据水平，4 级。
对所有接受急性 ACL 修复的患者进行回顾性审查。共有 50 名业余足球运动员纳入本研究。对患者进行临床检查或联系以完成术后患者报告的结局测量，即膝关节损伤和骨关节炎结局评分、国际膝关节文献委员会问卷、ACL 损伤后重返运动量表和遗忘关节评分-12。
患者的平均年龄为 25.8±7.7 岁（范围，14-47 岁），平均随访 34.3±10.7 个月（范围，24-51.3 个月）。Tegner 活动量表评分中位数为 9。ACL 修复失败率为 16%（8/50）。修复至失败的平均时间为 23.1±12.7 个月（范围，6-44 个月），ACL 修复失败患者的平均年龄为 19.9±3.3 岁（范围，14-24 岁），显著低于未发生 ACL 修复失败的患者（26.9±7.9 岁；范围，16-47 岁；=.017）。多变量分析显示，≤21 岁是 ACL 修复失败的唯一显著危险因素（优势比，5.45；置信区间，1.24-27.91；=.041）。排除 8 例修复失败患者后，42 例患者中有 31 例（73.8%）在 ACL 修复后重返足球运动，其中 31 例中有 29 例（93.5%）恢复到受伤前的运动水平。此外，从事竞技足球运动并恢复到受伤前运动水平的患者明显比未恢复到受伤前运动水平的患者年轻（平均年龄分别为 21.1±3.4 岁和 29.2±9.5 岁，=.002），且 ACL 损伤后重返运动量表评分明显更好（平均分别为 96.6±4 分和 87.8±11 分，=.044）。
在这项研究中，73.8%（n=31）的患者重返足球运动，其中 93.5%（n=29）在 ACL 修复后恢复到受伤前的运动水平。失败率为 16%（n=8），主要涉及≤21 岁的患者。
