Hayes Emmitt, Meulenkamp Bradley, Matache Bogdan, Pickell Michael
Division of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, Canada.
Foot Ankle Orthop. 2024 Nov 29;9(4):24730114241300153. doi: 10.1177/24730114241300153. eCollection 2024 Oct.
Few studies assess rates of return to play and postinjury performance in National Hockey League (NHL) players who sustain Achilles tendon ruptures. Our objective was to determine the rate of return to play and performance impact among NHL players who undergo surgical repair of Achilles tendon tears.
NHL players who sustained an Achilles tendon rupture between 2001 and 2021 were identified using a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome was expected wins above replacement per 60 minutes played. A position, draft year, and index season performance matched cohort was created. Pre- and postinjury outcomes were compared between cases and controls with a paired test.
We identified 15 cases (9 forwards, 5 defencemen, 1 goaltender). Fourteen of 15 (93%) players returned to play. Preinjury, postinjury year 1, and postinjury year 2 expected wins above replacement were 0.05, 0.05, 0.05 respectively ( > .05). There was no significant difference in performance between cases and controls at any time point.
Achilles tendon tears are associated with a high rate of return to play in the NHL and are not associated with a significant change in offensive, defensive, or overall performance-based metrics.
Level III, case-control study.
很少有研究评估国家冰球联盟（NHL）中跟腱断裂球员的复出率和伤后表现。我们的目的是确定接受跟腱撕裂手术修复的NHL球员的复出率和对表现的影响。
使用公开的伤病数据库识别出2001年至2021年间发生跟腱断裂的NHL球员。收集手术前1年和手术后2年的人口统计学和结果数据。我们的主要结果是每上场60分钟高于替补的预期胜场数。创建了一个位置、选秀年份和指数赛季表现匹配的队列。通过配对t检验比较病例组和对照组伤前和伤后的结果。
我们确定了15例病例（9名前锋、5名后卫、1名守门员）。15名球员中有14名（93%）恢复比赛。伤前、伤后第1年和伤后第2年高于替补的预期胜场数分别为0.05、0.05、0.05（P>0.05）。在任何时间点，病例组和对照组之间的表现均无显著差异。
在NHL中，跟腱撕裂与较高的复出率相关，并且与基于进攻、防守或整体表现的指标的显著变化无关。
III级，病例对照研究。
