Park Yunseo Linda, Wackerle Anja M, Collins Brooke, Nazzal Ehab M, Giusto Joseph D, Kolevar Matthew, Irrgang James J, Hughes Jonathan D, Musahl Volker
University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA.
UPMC Freddie Fu Sports Medicine Center Pittsburgh Pennsylvania USA.
J Exp Orthop. 2025 May 19;12(2):e70272. doi: 10.1002/jeo2.70272. eCollection 2025 Apr.
This study aims to assess anterior cruciate ligament reconstruction (ACLR) outcomes and return to pre-injury sports (RTPS) characteristics in athletes participating in martial arts.
Martial arts athletes over the age of 14 years who underwent primary ACLR with a minimum 1-year follow-up were eligible for this study. This study defined RTPS as reaching pre-injury levels of martial arts participation. Patients completed a questionnaire assessing sports participation, reinjury, and patient reported outcomes (PROs) including International Knee Documentation Committee Subjective Knee Form (IKDC SKF), Marx activity score, Tegner activity scale, and visual analogue scale (VAS). Demographics, surgical data, and preoperative PROs were collected retrospectively. Patients were grouped into those who achieved RTPS and those who did not. Statistical analyses included chi-square, Fisher's exact, Mann-Whitney , and t-tests. Statistical significance was set at < 0.05.
Fifty-two individuals who participated in martial arts (mean age 30.6 ± 11.0 years, 21% female) completed the questionnaire at a mean follow-up of 12.1 ± 7.8 years. Of the cohort, 35 patients (67%) participated in competitive, varsity, or elite martial arts prior to injury. Of those who did not return to martial arts at all, fear of reinjury was the most common reason. The rate of RTPS was 58%. Age, pre-injury martial arts participation (frequency and competitiveness), and surgical characteristics did not differ between groups. Those who did not achieve RTPS had a higher rate of minor and major postoperative complication (41% vs. 13%, = 0.02), which included stiffness, infection, effusion, and reinjury. The RTPS group reported statistically higher IKDC SKF scores (71.4 ± 11.7 vs. 68.4 ± 7.2, < 0.01) and Tegner activity scores (6.9 vs. 5.6, = 0.04) at final follow-up. Graft failure rate for all study participants was 12% and did not differ between groups ( = 0.69). Reinjury rate of the RTPS group was 17%.
Martial arts athletes demonstrated a rate of 58% return to pre-injury participation levels after ACLR.
Case series; level IV.
本研究旨在评估参加武术运动的运动员前交叉韧带重建（ACLR）的结果以及恢复到受伤前运动水平（RTPS）的特征。
年龄在14岁以上、接受初次ACLR且随访至少1年的武术运动员符合本研究条件。本研究将RTPS定义为达到受伤前的武术参与水平。患者完成了一份问卷，评估运动参与情况、再次受伤情况以及患者报告的结局（PROs），包括国际膝关节文献委员会主观膝关节表（IKDC SKF）、马克思活动评分、泰格纳活动量表和视觉模拟量表（VAS）。回顾性收集人口统计学、手术数据和术前PROs。将患者分为实现RTPS的患者和未实现RTPS的患者。统计分析包括卡方检验、费舍尔精确检验、曼 - 惠特尼检验和t检验。设定统计学显著性为<0.05。
52名参加武术运动的个体（平均年龄30.6±11.0岁，21%为女性）在平均12.1±7.8年的随访时完成了问卷。在该队列中，35名患者（67%）在受伤前参加过竞技、大学代表队或精英武术运动。在那些根本没有恢复武术运动的患者中，对再次受伤的恐惧是最常见的原因。RTPS的发生率为58%。两组在年龄、受伤前的武术参与情况（频率和竞争力）以及手术特征方面没有差异。未实现RTPS的患者术后轻微和严重并发症的发生率较高（41%对13%，P = 0.02），包括僵硬、感染、积液和再次受伤。在最终随访时，RTPS组报告的IKDC SKF评分（71.4±11.7对68.4±7.2，P<0.01）和泰格纳活动评分（6.9对5.6，P = 0.04）在统计学上更高。所有研究参与者的移植物失败率为12%，两组之间没有差异（P = 0.69）。RTPS组的再次受伤率为17%。
武术运动员在ACLR后恢复到受伤前参与水平的发生率为58%。
病例系列；IV级。
