Journal of Orthopaedics and Trauma· 2021
Sports life after anterior cruciate ligament reconstruction
- 0citations
- 2021year
Short summary
Athletes often fail to return to pre-injury sport levels after ACL reconstruction due to surgical, rehabilitation, psychological, and social factors. Younger athletes face a higher risk of re-injury, and while reconstruction may slightly reduce osteoarthritis risk, it does not prevent long-term knee degeneration.
AI-generated from the title and abstract; the full text is not read.
Key points
- Return to pre-injury sport levels after ACL reconstruction is often lower than expected.
- Multiple factors, including surgical, rehabilitation, social, and psychological elements, influence return to sport.
- Younger athletes are at a considerable risk for multiple ACL injuries post-reconstruction.
- ACL reconstruction offers limited protection against long-term knee degeneration and osteoarthritis.
AI-generated from the title and abstract; the full text is not read.
Abstract
Most athletes who undergo anterior cruciate ligament (ACL) reconstruction surgery plan to return to some level of sporting activity. However, rates of return to pre-injury sport are often less than might be expected and many factors influence whether individuals return to sport after this surgery. They include surgical and rehabilitation factors as well as social, psychological and demographic characteristics. The fate of the younger athlete who sustains an ACL injury is a topic that has received recent attention due to accumulating evidence that younger athletes are at considerable risk for not only one, but multiple ACL injuries. Little is known about how to determine when it is safe to return to sport following ACL reconstruction or how to predict whether an athlete will be able to successfully return. The notion that a set of return to sport criteria can be applied to reduce the risk of further injury has become popular with many different criteria proposed. Another risk of returning to sport following ACL reconstruction is that of sustaining injury to the menisci or articular surfaces, which may in turn increase the risk of developing osteoarthritis. Although there is some evidence that ACL reconstruction reduces the risk of osteoarthritis there is stronger evidence that it does little to protect the knee from long term degeneration. Therefore, it should be recognized that return to sport following ACL reconstruction is associated with a risk of further injury and potential development of osteoarthritis.
The authors' abstract, as published at the source. Journal of Orthopaedics and Trauma, 2021 · DOI ↗
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Field: Surgery
SurgeryMedicine