Arthroscopy: The Journal of Arthroscopic & Related Surgery
Systematic ReviewSport-Specific Outcomes After Anterior Cruciate Ligament Reconstruction
Section snippets
Methods
We performed a systematic review of the literature to evaluate outcomes among different sports in athletes after ACL reconstruction. We searched the PubMed, OVID, EMBASE, MEDLINE, and Cochrane Library databases on September 18, 2010, using the following search criteria: “(ACL or (anterior cruciate ligament)) and reconstruction and (basketball or soccer or football or skiing or handball or baseball or volleyball or snowboarding or gymnastics).” The specific sports used in the search criteria
Results
A total of 308 studies met the initial search criteria. Their abstracts were reviewed, and 49 full-text articles were retrieved for further evaluation. Review of full-text articles resulted in 8 studies that met the inclusion and exclusion criteria and were included in this systematic review (Fig 1). Two authors of this review performed quality appraisal of the 8 studies according to Wright et al.11 Table 1 summarizes patient demographics and clinical data from these studies.
Seven of the eight
Discussion
Outcomes from ACL reconstruction have been shown to depend on activity level.20, 21 Our systematic review found relatively sparse data on sport-specific outcomes after ACL reconstruction. As might be expected, patients appear to be more likely to return to activities such as bicycling and jogging after ACL reconstruction than to cutting and pivoting sports such as soccer and football. However, there was not enough evidence in the literature to test the hypothesis that return to competition
Conclusions
On the basis of the results of this systematic review, patients appear to be more likely to return to activities such as bicycling and jogging after ACL reconstruction than to cutting and pivoting sports such as soccer and football. There are relatively few data in the literature on sport-specific outcomes in athletes after ACL reconstruction. Considering the impact that such information may have on treatment indications and rehabilitation strategies for athletes, additional studies are needed
References (24)
- et al.
A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen
Arthroscopy
(2007) - et al.
Patellar tendon versus quadrupled bone-semitendinosus anterior cruciate ligament reconstruction: A prospective clinical investigation in athletes
Arthroscopy
(2003) - et al.
Performance outcomes of anterior cruciate ligament reconstruction in the National Basketball Association
Arthroscopy
(2009) - et al.
Allograft anterior cruciate ligament reconstruction in the young, active patient: Tegner activity level and failure rate
Arthroscopy
(2010) - et al.
Understanding and Preventing Noncontact ACL Injuries
(2007) - et al.
Prevention of non-contact anterior cruciate ligament injuries in soccer playersPart 1: Mechanisms of injury and underlying risk factors
Knee Surg Sports Traumatol Arthrosc
(2009) - et al.
Anterior cruciate ligament injuries: Etiology and prevention
Sports Med Arthrosc
(2010) - et al.
Prevention of non-contact anterior cruciate ligament injuries in soccer playersPart 2: A review of prevention programs aimed to modify risk factors and to reduce injury rates
Knee Surg Sports Traumatol Arthrosc
(2009) - et al.
A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players
Am J Sports Med
(2008) - et al.
Long-term health outcomes of youth sports injuries
Br J Sports Med
(2010)
Factors affecting return to sports after anterior cruciate ligament reconstruction with patellar tendon and hamstring graft: A prospective clinical investigation
Knee Surg Sports Traumatol Arthrosc
Cross-cultural comparison of patients undergoing ACL reconstruction in the United States and Norway
Knee Surg Sports Traumatol Arthrosc
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2017, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Our understanding of the role of sporting type as a modifier of outcome is limited. A prior review on sport-specific outcome after ACLR8 identified 8 applicable studies. Based on an analysis of this limited subset of studies, the authors suggested that patients engaged in cutting and pivoting sports such as soccer and football had worse outcome while patients involved in noncutting sports such as bicycling and running were more likely to have superior outcome.
The authors report no conflict of interest.