CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2019; 60(02): 035-038
DOI: 10.1055/s-0039-1695017
Original Article | Artículo Original
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Return to Play after Anterior Cruciate Ligament Reconstruction among Amateur Soccer Players

Volver a jugar después del ligamento cruzado anterior reconstrucción entre futbolistas aficionados
1   Clínica MEDS, Santiago, Chile
,
Samuel Malig
1   Clínica MEDS, Santiago, Chile
,
Cristián Fontboté
1   Clínica MEDS, Santiago, Chile
,
Camilo Azar
1   Clínica MEDS, Santiago, Chile
,
1   Clínica MEDS, Santiago, Chile
,
Roberto Yáñez
1   Clínica MEDS, Santiago, Chile
› Institutsangaben
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Publikationsverlauf

29. September 2018

12. Juni 2019

Publikationsdatum:
03. September 2019 (online)

Abstract

Objective The aim of the present study is to assess the return to play among amateur soccer league players after anterior cruciate ligament (ACL) reconstruction.

Materials and Method The surgical protocols of ACL reconstruction surgeries performed in a sports medicine clinic from July 1st, 2013, to June 30th, 2014, were included in the study. Only the charts of amateur soccer league players who played once or twice a week were selected. The follow-up time was calculated as the number of months between surgery and the telephone survey. At the follow-up, the current status of the soccer playing was recorded. Those patients who were no longer playing in a team were asked what kind of sport they were currently practicing, as well as the main reason for not returning to team playing.

Results A total of 61 (25.6%) patients met the inclusion criteria. The mean follow-up time was of 22.4 ± 3.4 months. At the follow-up, 30 (49.1%) patients were playing in amateur soccer teams. Among the patients who were no longer playing in a team, 19 (61.2%) were playing soccer occasionally, 11 (35.4%) were practicing other sports, and 1 developed a sedentary life style. The reasons for not returning to team playing were: fear of reinjury in 26%; knee symptoms in 26%; lack of confidence in the knee in 23%, family or job commitments in 23%; and not being eligible to participate in competitive sports in 2%.

Conclusion After an average of two years of ACL reconstruction, only half of the amateur soccer league players return to play.

 
  • References

  • 1 FIFA. (2007). Big Count 2006: Statistical Summary Report, FIFA Communications Division. Available at: http://fifa.com/mm/document/fifafacts/bcoffsurv/bigcount.statspackage_7024.pdf . Accessed 20 June 2018
  • 2 Rishiraj N, Taunton JE, Lloyd-Smith R, Woollard R, Regan W, Clement DB. The potential role of prophylactic/functional knee bracing in preventing knee ligament injury. Sports Med 2009; 39 (11) 937-960
  • 3 Fridén T, Zätterström R, Lindstrand A, Moritz U. Anterior-cruciate-insufficient knees treated with physiotherapy. A three-year follow-up study of patients with late diagnosis. Clin Orthop Relat Res 1991; (263) 190-199
  • 4 Tegner Y, Lysholm J, Gillquist J, Oberg B. Two-year follow-up of conservative treatment of knee ligament injuries. Acta Orthop Scand 1984; 55 (02) 176-180
  • 5 Webb JM, Corry IS, Clingeleffer AJ, Pinczewski LA. Endoscopic reconstruction for isolated anterior cruciate ligament rupture. J Bone Joint Surg Br 1998; 80 (02) 288-294
  • 6 Cole BJ, Ernlund LS, Fu FH. Soft tissue problems of the knee. In: Baratz ME, Watson AD, Imbriglia JE. , eds. Orthopaedic Surgery: The Essentials. New York: Thieme Medical Publishers, Inc.; 1999: 551-560
  • 7 Starman JS, Ferretti M, Järvelä T, Buoncristiani A, Fu FH. Anatomy and biomechanics of the anterior cruciate ligament. In: Prodromos CC. , ed. The Anterior Cruciate Ligament: Reconstruction and Basic Science. Philadelphia: Elsevier; 2008: 3-11
  • 8 Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 2014; 48 (21) 1543-1552
  • 9 Warner SJ, Smith MV, Wright RW, Matava MJ, Brophy RH. Sport-specific outcomes after anterior cruciate ligament reconstruction. Arthroscopy 2011; 27 (08) 1129-1134
  • 10 Brophy RH, Schmitz L, Wright RW. , et al. Return to play and future ACL injury risk after ACL reconstruction in soccer athletes from the Multicenter Orthopaedic Outcomes Network (MOON) group. Am J Sports Med 2012; 40 (11) 2517-2522
  • 11 Söderman K, Pietilä T, Alfredson H, Werner S. Anterior cruciate ligament injuries in young females playing soccer at senior levels. Scand J Med Sci Sports 2002; 12 (02) 65-68
  • 12 von Porat A, Roos EM, Roos H. High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: a study of radiographic and patient relevant outcomes. Ann Rheum Dis 2004; 63 (03) 269-273
  • 13 Waldén M, Hägglund M, Magnusson H, Ekstrand J. ACL injuries in men's professional football: a 15-year prospective study on time trends and return-to-play rates reveals only 65% of players still play at the top level 3 years after ACL rupture. Br J Sports Med 2016; 50 (12) 744-750
  • 14 Zaffagnini S, Grassi A, Marcheggiani Muccioli GM. , et al. Return to sport after anterior cruciate ligament reconstruction in professional soccer players. Knee 2014; 21 (03) 731-735
  • 15 Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 1985; (198) 43-49
  • 16 Ardern CL, Taylor NF, Feller JA, Whitehead TS, Webster KE. Sports participation 2 years after anterior cruciate ligament reconstruction in athletes who had not returned to sport at 1 year: a prospective follow-up of physical function and psychological factors in 122 athletes. Am J Sports Med 2015; 43 (04) 848-856
  • 17 Smith FW, Rosenlund EA, Aune AK, MacLean JA, Hillis SW. Subjective functional assessments and the return to competitive sport after anterior cruciate ligament reconstruction. Br J Sports Med 2004; 38 (03) 279-284
  • 18 Ekstrand J. A 94% return to elite level football after ACL surgery: a proof of possibilities with optimal caretaking or a sign of knee abuse?. Knee Surg Sports Traumatol Arthrosc 2011; 19 (01) 1-2
  • 19 Gobbi A, Francisco R. 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 2006; 14 (10) 1021-1028
  • 20 Lee DY, Karim SA, Chang HC. Return to sports after anterior cruciate ligament reconstruction - a review of patients with minimum 5-year follow-up. Ann Acad Med Singapore 2008; 37 (04) 273-278
  • 21 Kvist J, Ek A, Sporrstedt K, Good L. Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2005; 13 (05) 393-397