McAleese Timothy, Welch Neil, King Enda, Moffatt Liam, Keane Niamh, Moran Kieran A, Jackson Mark, Withers Daniel, Moran Ray, Devitt Brian M
RCSI University of Medicine and Health Sciences, Dublin, Ireland.
UPMC Sports Surgery Clinic, Santry Demesne, Dublin, Ireland.
Orthop J Sports Med. 2025 Aug 6;13(8):23259671251352207. doi: 10.1177/23259671251352207. eCollection 2025 Aug.
BACKGROUND: The Gaelic games, specifically Gaelic football, hurling, and camogie, are high-intensity, level 1 field sports. However, there is a lack of data regarding the outcomes of anterior cruciate ligament reconstruction (ACLR) in Gaelic games players. PURPOSE: To evaluate the rates of return to play (RTP), ACL graft reinjury, contralateral ACL injury, and patient-reported outcome measures (PROMS) in a cohort of Gaelic footballers and hurling/camogie players at 2 years after ACLR. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A consecutive cohort of 1891 Gaelic games players who underwent primary ACLR between 2014 and 2018 was included. Patients were contacted at 2 years postoperatively with an overall follow-up rate of 93.4%. The rate of RTP, subsequent ACL injury, and PROMS were recorded. The PROMS evaluated were the Marx score, the ACL-Return to Sport after Injury (ACL-RSI), and the International Knee Documentation Committee (IKDC) score. RESULTS: The mean age was 23 ± 6 years, and 73.3% of athletes were male. RTP rates were 87.8% for Gaelic football and 89.5% for hurling/camogie, with 72.7% and 76.3% of athletes returning to an equivalent or higher level of performance, respectively. Female Gaelic footballers had a slightly lower RTP rate than males (83.8% vs 89.1%; < .016). The mean time to RTP was 10.8 ± 4 months. The rate of bone-patellar tendon-bone (BPTB) autograft reinjury was 3.3% (51/1547) versus 15.3% (33/216) for hamstring (HT) autografts ( < .001). Senior intercounty (elite) players had the lowest rate of contralateral ACL injury (8.1%, 14/173). Gaelic footballers and hurling/camogie players reported good outcomes with mean IKDC scores of 86.9 ± 9.8 versus 87.9 ± 8.9, ( = .064), mean Marx scores of 11 ± 4.7 versus 11.3 ± 4.6 ( = .309), and mean ACL-RSI scores of 74.1 ± 23.5 versus 75.8 ± 24.2 ( = .321), respectively. CONCLUSION: RTP rates among Gaelic games players were high, with the majority returning to an equivalent/higher level of performance. The rate of BPTB graft reinjury was low, considering the injury risk associated with returning to level 1 sport. Younger patients and those who underwent HT autograft reconstruction were at the highest risk of ACL graft reinjury. Overall, Gaelic games players reported good knee function and outcomes after ACLR.
背景：盖尔式运动，特别是盖尔式足球、曲棍球和女子曲棍球，是高强度的一级户外运动。然而，关于盖尔式运动运动员前交叉韧带重建（ACLR）的结果缺乏相关数据。 目的：评估盖尔式足球运动员以及曲棍球/女子曲棍球运动员在ACLR术后2年的重返比赛（RTP）率、ACL移植物再损伤率、对侧ACL损伤率以及患者报告的结局指标（PROMS）。 研究设计：队列研究；证据等级，2级。 方法：纳入了2014年至2018年间连续接受初次ACLR的1891名盖尔式运动运动员。术后2年对患者进行随访，总体随访率为93.4%。记录RTP率、随后的ACL损伤情况以及PROMS。所评估的PROMS包括马克思评分、ACL损伤后重返运动（ACL-RSI）评分以及国际膝关节文献委员会（IKDC）评分。 结果：平均年龄为23±6岁，73.3%的运动员为男性。盖尔式足球的RTP率为87.8%，曲棍球/女子曲棍球为89.5%，分别有72.7%和76.3%的运动员恢复到同等或更高水平的表现。女性盖尔式足球运动员的RTP率略低于男性（83.8%对89.1%；P<.016）。RTP的平均时间为10.8±4个月。髌腱骨（BPTB）自体移植物再损伤率为3.3%（51/1547），而腘绳肌（HT）自体移植物为15.3%（33/216）（P<.001）。高级县际（精英）球员对侧ACL损伤率最低（8.1%，14/173）。盖尔式足球运动员和曲棍球/女子曲棍球运动员报告了良好的结果，IKDC平均评分为86.9±9.8对87.9±8.9（P=.064），马克思平均评分为11±4.7对11.3±4.6（P=.309），ACL-RSI平均评分为74.1±23.5对75.8±24.2（P=.321）。 结论：盖尔式运动运动员的RTP率很高，大多数人恢复到同等/更高水平的表现。考虑到重返一级运动相关的损伤风险，BPTB移植物再损伤率较低。年轻患者和接受HT自体移植重建的患者ACL移植物再损伤风险最高。总体而言，盖尔式运动运动员在ACLR后报告了良好的膝关节功能和结果。
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