Satisfaction with playing pre-injury sports 1 year after anterior cruciate ligament reconstruction using a hamstring autograft

Ueda, Yuya; Matsushita, Takehiko; Shibata, Yohei; Takiguchi, Kohei; Ono, Kumiko; Kida, Akihiro; Ono, Rei; Nagai, Kazuo; Araki, Daisuke; Hoshino, Yuichi; Matsumoto, Tomoyuki; Niikura, Takahiro; Sakai, Yoshitada; Kuroda, Ryosuke

doi:10.1016/j.knee.2021.10.013

Cited by 7 publications

(5 citation statements)

References 29 publications

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“…To determine whether patients would RTS activities, we administered a questionnaire to inquire whether patients would return to playing sports within 12 and 24 months after surgery. 31 RTS was defined as participating in a match or practice game for any sports activities. We recorded the number of patients who sustained a second ACL injury during sports activity within 12 and 24 months after primary ACLR.…”

Section: Methodsmentioning

confidence: 99%

Association Between Psychological Readiness to Return to Sports at 3 Months Postoperatively and Risk of Second ACL Injury

Ueda,

Matsushita,

Shibata

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: Psychological readiness to return to sports (RTS) has been associated with second anterior cruciate ligament (ACL) injury. However, this relationship is controversial because covariates such as anatomic and knee function characteristics have not been adequately considered. Purpose/Hypothesis: To investigate whether psychological readiness in the early postoperative period can predict the occurrence of a second ACL injury within 24 months after primary ACL reconstruction (ACLR) using propensity score analysis. It was hypothesized that patients with high ACL–RSI after injury (ACL-RSI) scores at 3 months postoperatively would have a second ACL injury within the projected postoperative period. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 169 patients who underwent primary ACLR using hamstring tendon autografts between November 2017 and July 2021 and also underwent knee functional assessments at 3 months postoperatively. The ACL-RSI scale was used to assess psychological readiness for RTS. A second ACL injury was defined if ipsilateral or contralateral ACL injury was confirmed by examination within 24 months postoperatively. Based on a previous study showing that 65 was the highest cutoff value for the ACL-RSI score for RTS, we classified patients into 2 groups: those with high ACL-RSI scores (≥65; group H) and those with low ACL-RSI scores (<65; group L). We generated 1-to-1 matched pairs using propensity score analysis and used log-rank testing to compare the rate of second ACL injury between the 2 groups. Results: More patients returned to any sports activities within 12 months in group H than in group L (90% vs 73%; P = .03). A second ACL injury within 24 months postoperatively was identified in 7% of patients (13/169). The rate of second ACL injury was significantly higher in group H than in group L (17.6% vs 3.4%; P = .001). In 43 matched pairs extracted using propensity scoring, the rate of second ACL injury was also higher in group H than in group L (18.6% vs 4.7%; P = .04). Conclusion: Patients with a higher ACL-RSI score at 3 months exhibited a significantly higher incidence of second ACL injury within 24 months after primary ACLR.

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Section: Methodsmentioning

confidence: 99%

Association Between Psychological Readiness to Return to Sports at 3 Months Postoperatively and Risk of Second ACL Injury

Ueda,

Matsushita,

Shibata

et al. 2024

Orthopaedic Journal of Sports Medicine

Self Cite

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“…[ 2 ] not only believed that the athlete patients with ACLR who show a higher level of fear during their rehabilitation are less likely to achieve the RTS but also pointed out that such kind of patients have a higher risk of reinjury once they return to sports. By investigating 97 patients' satisfaction with their current process of returning to pre-injury exercise one year after the operation, it was found that fear was significantly correlated with satisfaction [ 31 ]. Markström et al.…”

Section: Psychological Factors Affecting Rts After Aclrmentioning

confidence: 99%

Current study on the influence of psychological factors on returning to sports after ACLR

Shi

et al. 2022

Heliyon

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“…For many patients with an anterior cruciate ligament (ACL) lesion, an isolated intra‐articular ACL reconstruction (ACLR) is sufficient to achieve an excellent functional outcome. However, the ACLR does not lead to a complete recovery for some patients (up to 30%) in terms of patient‐reported outcomes (PROs), knee kinematics, and return to sports [2, 36, 47, 52].…”

Section: Introductionmentioning

confidence: 99%

Lateral extraarticular tenodesis improves stability in non-anatomic ACL reconstructed knees: in vivo kinematic analysis

Perelli

Morales-Ávalos

Formagnana

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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To carry out an in vivo kinematic analysis to determine whether adding a lateral extraarticular tenodesis (LET) for those patients with subjective instability and objective residual laxity after a transtibial (TT) anterior cruciate ligament reconstruction (ACLR) reduces anteroposterior and rotational laxity and to evaluate the 2-year follow-up clinical outcomes to analyze whether biomechanical changes determine clinical improvement or not. Methods: A total of 19 patients with residual knee instability after TT ACLR who underwent a modified Lemaire LET were prospectively evaluated for at least 2-year follow-up. Preoperative, intraoperative, and 6 and 24-month postoperative kinematic analyses were carried out using the KiRA accelerometer and KT1000 arthrometer to look for residual anterolateral rotational instability and residual anteroposterior instability. Functional outcomes were measured with the single-leg vertical jump test and the single-leg hop test. Clinical outcomes were evaluated using the IKDC 2000, Lysholm, and Tegner scores. Results:A significant reduction in anterolateral rotational instability was detected with the patient under anesthesia (from 3 ± 1.2 to 1.1 ± 1.1 m/s2; p < 0.05) as well as with the patient awake (from 2.1 ± 0.8 to 0.7 ± 1.4 m/s2; p < 0.05). A significant reduction in anteroposterior instability was only present under anesthesia (from 3.4 ± 1.9 to 2.1 ± 1.1 mm; p < 0.05), while no difference was present without anesthesia (from 2.3 ± 1.1 to 1.6 ± 1 mm; n.s.). Postoperative analysis of knee laxity did not show any significant variation from the first to the last follow-up. Both the single-leg vertical jump test and single-leg hop test improved significantly at the last follow-up (both p < 0.05). The mean values of both the IKDC and Tegner scores showed an improvement (p < 0.05 and p < 0.05, respectively), whereas that was not the case with the Lysholm score (n.s.). Conclusions:The modified Lemaire LET can improve the kinematics of a non-anatomic ACL reconstructed knee with residual subjective and objective instability. These kinematic changes were able to lead to an improvement in subjective stability as well as the function of the knee in a small cohort of recreationally active patients. At 2-year follow-up, the kinematic changes as well as the level of activity of the patients and the IKDC score show their improvement sustained. Level of evidence: Level IV.

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Satisfaction with playing pre-injury sports 1 year after anterior cruciate ligament reconstruction using a hamstring autograft

Cited by 7 publications

References 29 publications

Association Between Psychological Readiness to Return to Sports at 3 Months Postoperatively and Risk of Second ACL Injury

Association Between Psychological Readiness to Return to Sports at 3 Months Postoperatively and Risk of Second ACL Injury

Current study on the influence of psychological factors on returning to sports after ACLR

Lateral extraarticular tenodesis improves stability in non-anatomic ACL reconstructed knees: in vivo kinematic analysis

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