A retrospective analysis of return to sports after 9 months in athletes in cases of anterior cruciate ligament reconstruction
Abstract
Background: The anterior cruciate ligament (ACL) is responsible for maintaining stability of the knee joint, particularly in activities involving pivoting or kicking. The knee loses its stability if the ACL is ruptured and the joint may become more damaged over time. ACL reconstruction is the surgical treatment of choice. Aim of this study is to analyze the rate of return to sports after 9 months in cases of anterior cruciate ligament reconstruction.
Material & Methods: All cases operated for ACL reconstruction between the year 2017- 2020 were studied .This group included 80 patients with traumatic twisting, pivoting injury while playing sports, diagnosed with ACl tear, with instability at the knee joint .Exclusion criteria included avulsion injuries, meniscus involvement, posterior collateral ligament involvement, collateral involvement and any fracture of either femur or tibia involvement. The Scoring system used is ACL RSI (anterior cruciate ligament return to sport and injury scale).
Results: Total eighty athletes were included in this study. There was no association of symmetrical muscle function or quadriceps strength .The patients with a lower ACL RSI (anterior cruciate ligament –return to sport and injury scale) score had a lower rate of return to sports after 9 months post ACL reconstruction as well as a higher rate of secondary ACL injury.
Conclusion: Athletes operated for ACL reconstruction showed a low rate of return to their sports after 9 months. One of the potential concerns was with returning to sports the re-injury rate to the reconstructed ACL or to the other structures (cartilage, menisci or other ligaments) (1-3). Approximately 1 in 4 patients who are 25 years of age or younger and return to high-risk sport after primary anterior cruciate ligament (ACL) reconstruction sustain a second ACL injury (4).
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