Return to recreational sports activity after anterior cruciate ligament reconstruction: a one- to six-year follow-up study

Arch Orthop Trauma Surg. 2015 Aug;135(8):1117-22. doi: 10.1007/s00402-015-2240-8. Epub 2015 May 22.

Abstract

Introduction: The aim of this study was to evaluate mid-term return to recreational sport in general population and identify factors related with sports return.

Methods: Retrospective evaluation of 99 recreational sports players (Tegner score of 6) with ACL arthroscopic reconstructions with hamstring autograft, between 2006-2011. 74 male and 25 female with middle age of 30 years (14-52). We made a questionnaire focused on sports level before injury and after surgery, and different scales: Lysholm, Tegner Activity Level, IKDC and a Likert scale for quantify their motivation for return to sports.

Results: With a medium follow-up of 36 months, 90 patients (91.9 %) had returned to recreational sport. 51 (51.52 %) had returned to sports at the same level, and these are those with lower BMI (average 23), higher IKDC and Lysholm scores (p < 0.01) and also they believe that sport is an important activity. Only 9 % of patients left sports. They were principally male athletes (88 %), with higher medium age (32), lesser time between injury and surgery (22 months), higher BMI (26), in comparison with athletes that return to sports.

Conclusions: The results suggest good mid-term return to recreational sports in general population. The following factors had a statistically significant influence on the return to sports activity: type of sport, sex and functional state of the operated knee (IKDC-Lysholm). Psychological and social factors may have a fundamental influence on return to sports activity.

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament / surgery*
  • Anterior Cruciate Ligament Injuries
  • Anterior Cruciate Ligament Reconstruction*
  • Arthroscopy
  • Athletic Injuries / surgery*
  • Body Mass Index
  • Female
  • Follow-Up Studies
  • Humans
  • Lysholm Knee Score
  • Male
  • Middle Aged
  • Retrospective Studies
  • Return to Sport / statistics & numerical data*
  • Sex Factors
  • Young Adult