首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes
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Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes

机译:在高中老年运动员骨髌骨肌腱 - 骨骼自体移植ACL重建后返回运动

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Background: Anterior cruciate ligament (ACL) injuries are occurring with increasing frequency in the adolescent population. Outcomes after ACL reconstruction (ACLR) are inconsistently reported in homogeneous patient populations. Purpose/Hypothesis: To evaluate outcomes after bone–patellar tendon–bone (BTB) autograft ACLR in competitive high school–aged athletes by examining return to sport (RTS), patient satisfaction, and reinjury rates. Our hypothesis was that RTS rates and satisfaction will be high and reinjury rates will be low. Study Design: Case series; Level of evidence, 4. Methods: An institutional ACL registry was utilized to identify competitive high school–aged athletes (14-18 years old) who underwent primary ACLR using BTB autograft with a minimum 2-year follow-up. A postoperative questionnaire was administered to determine rates and types of RTS, quality of sports performance, reinjury, and satisfaction. Uni- and multivariable analyses were used to identify demographic, sport-specific, and clinical factors related to RTS. Results: A total of 53 patients were included (mean ± SD age at the time of surgery, 16.6 ± 1.34 years). Mean follow-up was 3.78 ± 0.70 years (range, 2.60-4.94 years). The overall ipsilateral ACL retear rate was 7.5% (n = 4). There were 10 subsequent ACL tears to the contralateral knee (19%). Forty-four (83%) patients successfully returned to at least their prior level of sport at a mean 10.5 ± 8.7 months (range, 3-48 months). Overall satisfaction was high, with 91% of patients very satisfied with the outcome. Higher confidence levels regarding performance of the reconstructed knee were associated with increased probability of RTS on multivariate analysis. Conclusion: BTB autograft ACLR results in high rates of RTS and satisfaction and low rates of subsequent ipsilateral ACL injuries in competitive high school–aged athletes. Patients with higher confidence in performance of the reconstructed knee are more likely to return to at least their prior level of sport.
机译:背景:在青少年群体中随着频率的增加,发生前十字韧带(ACL)损伤。 ACL重建(ACLR)后的结果在均质患者群体中不一致地报道。目的/假设:通过检查返回体育(RTS),患者满意度和重新评估骨骼高中老年运动员骨头髌骨 - 骨骼(BTB)自体移植物的成果。我们的假设是RTS汇率和满意度将是高位的,Reinjury率将很低。研究设计:案例系列;证据级别,4.方法:使用机构ACL登记处用于识别使用BTB IFIALER移植的主要ACLR的竞争高中学龄运动员(14-18岁),最低2年随访。管理术后问卷,以确定RTS,体育绩效质量,重新评估和满意度的速率和类型。统一和多变量分析用于识别与RTS相关的人口统计学,体育特异性和临床因素。结果:共用了53名患者(手术时平均±SD年龄,16.6±1.34岁)。平均随访时间为3.78±0.70岁(范围,2.60-4.94岁)。总体外侧ACL固量值率为7.5%(n = 4)。对侧膝关节有10个后续ACL泪液(19%)。四十四(83%)患者成功返回至少在平均10.5±8.7个月(范围,3-48个月)之前返回至少他们的运动水平。总体满意度很高,91%的患者对结果非常满意。关于重建膝关节的性能的更高置信水平与RTS对多变量分析的概率增加有关。结论:BTB自体移植ACLR导致竞争高中老年运动员在竞争性高中老年运动员中的rts和满意度和低速率。对重建膝盖表现较高的患者更有可能返回至少他们的体育水平。

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