Cargando…

Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences

BACKGROUND: For competitive athletes, return to play (RTP) and return to preinjury levels of performance after anterior cruciate ligament (ACL) reconstruction are the main goals of surgery. Although outcomes of ACL surgery are well studied, details on factors influencing RTP in elite college footbal...

Descripción completa

Detalles Bibliográficos
Autores principales: Daruwalla, Jimmy H., Greis, Patrick E., Hancock, Robert, Xerogeanes, John W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
25
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555574/
https://www.ncbi.nlm.nih.gov/pubmed/26535351
http://dx.doi.org/10.1177/2325967114543901
_version_ 1782388230931349504
author Daruwalla, Jimmy H.
Greis, Patrick E.
Hancock, Robert
Xerogeanes, John W.
author_facet Daruwalla, Jimmy H.
Greis, Patrick E.
Hancock, Robert
Xerogeanes, John W.
author_sort Daruwalla, Jimmy H.
collection PubMed
description BACKGROUND: For competitive athletes, return to play (RTP) and return to preinjury levels of performance after anterior cruciate ligament (ACL) reconstruction are the main goals of surgery. Although outcomes of ACL surgery are well studied, details on factors influencing RTP in elite college football players have not been evaluated thoroughly. PURPOSE: To determine the rate of RTP following ACL surgery among National Collegiate Athletic Association (NCAA) Division 1 collegiate football athletes and to examine variables that may affect these rates. The hypothesis was that the RTP rate in this cohort will be influenced by factors reflecting skill and accomplishment; that is, athletes higher on the depth chart, those on scholarship, and those later in their careers will have higher RTP rates. It was also predicted that graft type and concomitant procedures may have an effect on RTP rates. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Using athlete- and surgery-specific data from participating institutions in 3 major Division 1 college football conferences, information on athletes who had ACL reconstruction from 2004 through 2010 was collected. Statistical analyses were performed to determine the RTP rate as a function of the variables, such as depth chart position, in the data collected. RESULTS: Of the 184-player cohort, 82% of the athletes, including 94% of starters, were able to RTP. Rates were greater among athletes higher on the depth chart (P = .004) and on scholarship (P = .008). Year of eligibility also affected RTP rates (P = .047), which increased from the redshirt and freshman year to the sophomore and junior years, but then decreased slightly into the senior and fifth-year senior seasons. The use of an autograft versus allograft was associated with increased RTP (P = .045). There was no significant difference (P = .18) between players who underwent an isolated ACL reconstruction versus those who underwent additional procedures. CONCLUSION: More than 80% of football players at the Division 1 level were able to RTP following ACL reconstruction. Factors representative of a player’s skill were associated with higher rates of RTP. Surgery-specific variables, in general, had no effect on RTP, except for the use of autograft, which was associated with a greater RTP rate.
format Online
Article
Text
id pubmed-4555574
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-45555742015-11-03 Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences Daruwalla, Jimmy H. Greis, Patrick E. Hancock, Robert Xerogeanes, John W. Orthop J Sports Med 25 BACKGROUND: For competitive athletes, return to play (RTP) and return to preinjury levels of performance after anterior cruciate ligament (ACL) reconstruction are the main goals of surgery. Although outcomes of ACL surgery are well studied, details on factors influencing RTP in elite college football players have not been evaluated thoroughly. PURPOSE: To determine the rate of RTP following ACL surgery among National Collegiate Athletic Association (NCAA) Division 1 collegiate football athletes and to examine variables that may affect these rates. The hypothesis was that the RTP rate in this cohort will be influenced by factors reflecting skill and accomplishment; that is, athletes higher on the depth chart, those on scholarship, and those later in their careers will have higher RTP rates. It was also predicted that graft type and concomitant procedures may have an effect on RTP rates. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Using athlete- and surgery-specific data from participating institutions in 3 major Division 1 college football conferences, information on athletes who had ACL reconstruction from 2004 through 2010 was collected. Statistical analyses were performed to determine the RTP rate as a function of the variables, such as depth chart position, in the data collected. RESULTS: Of the 184-player cohort, 82% of the athletes, including 94% of starters, were able to RTP. Rates were greater among athletes higher on the depth chart (P = .004) and on scholarship (P = .008). Year of eligibility also affected RTP rates (P = .047), which increased from the redshirt and freshman year to the sophomore and junior years, but then decreased slightly into the senior and fifth-year senior seasons. The use of an autograft versus allograft was associated with increased RTP (P = .045). There was no significant difference (P = .18) between players who underwent an isolated ACL reconstruction versus those who underwent additional procedures. CONCLUSION: More than 80% of football players at the Division 1 level were able to RTP following ACL reconstruction. Factors representative of a player’s skill were associated with higher rates of RTP. Surgery-specific variables, in general, had no effect on RTP, except for the use of autograft, which was associated with a greater RTP rate. SAGE Publications 2014-08-07 /pmc/articles/PMC4555574/ /pubmed/26535351 http://dx.doi.org/10.1177/2325967114543901 Text en © The Author(s) 2014 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle 25
Daruwalla, Jimmy H.
Greis, Patrick E.
Hancock, Robert
Xerogeanes, John W.
Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences
title Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences
title_full Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences
title_fullStr Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences
title_full_unstemmed Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences
title_short Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences
title_sort rates and determinants of return to play after anterior cruciate ligament reconstruction in ncaa division 1 college football athletes: a study of the acc, sec, and pac-12 conferences
topic 25
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555574/
https://www.ncbi.nlm.nih.gov/pubmed/26535351
http://dx.doi.org/10.1177/2325967114543901
work_keys_str_mv AT daruwallajimmyh ratesanddeterminantsofreturntoplayafteranteriorcruciateligamentreconstructioninncaadivision1collegefootballathletesastudyoftheaccsecandpac12conferences
AT greispatricke ratesanddeterminantsofreturntoplayafteranteriorcruciateligamentreconstructioninncaadivision1collegefootballathletesastudyoftheaccsecandpac12conferences
AT hancockrobert ratesanddeterminantsofreturntoplayafteranteriorcruciateligamentreconstructioninncaadivision1collegefootballathletesastudyoftheaccsecandpac12conferences
AT ratesanddeterminantsofreturntoplayafteranteriorcruciateligamentreconstructioninncaadivision1collegefootballathletesastudyoftheaccsecandpac12conferences
AT xerogeanesjohnw ratesanddeterminantsofreturntoplayafteranteriorcruciateligamentreconstructioninncaadivision1collegefootballathletesastudyoftheaccsecandpac12conferences