CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(06): 703-708
DOI: 10.1055/s-0039-1697017
Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Treatment of Anterior Cruciate Ligament Injuries in Professional Soccer Players by Orthopedic Surgeons[*]

Article in several languages: português | English
Gustavo Gonçalves Arliani
1  Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brasil
,
2  Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brasil
,
Renan Gonçalves Leão
2  Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brasil
,
Paulo Schmidt Lara
1  Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brasil
,
Benno Ejnisman
1  Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brasil
,
Moisés Cohen
1  Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

20 April 2018

06 August 2018

Publication Date:
13 December 2019 (online)

Abstract

Objective To describe the treatment provided by specialists for ACL lesions in professional soccer players.

Methods A cross-sectional study in which orthopedic surgeons affiliated to soccer teams competing in the Brazilian Soccer Championship answered a questionnaire about the treatment of ACL injuries in professional soccer players.

Results The specialists wait between one to four weeks after the ACL injury to perform the surgical treatment. They use a single incision and single-bundle reconstruction, assisted by arthroscopy, femoral tunnel drilling by an accessory medial portal, and quadruple flexor tendon autografts or patellar tendon autografts. After three to four months, the players are allowed to run in a straight line; after four to six months, they begin to practice exercises with the ball without contact with other athletes; and, after six to eight months, they return to play. The main parameter used to determine the return to play is the isokinetic strength test. The specialists estimate that more than 90% of elite soccer players return to playing professionally after an ACL reconstruction, and 60 to 90% return to play at their prior or at a greater level of performance.

Conclusion The present article successfully describes the main surgical practices and post-surgery management adopted by specialists in this highly-specific population of patients.

* Study developed at the Department of Orthopedics and Traumatology, Centro de Traumatologia do Esporte (CETE), , Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brazil.