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Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes
BACKGROUND: Anterior cruciate ligament (ACL) injuries are occurring with increasing frequency in the adolescent population. Outcomes after ACL reconstruction (ACLR) are inconsistently reported in homogeneous patient populations. PURPOSE/HYPOTHESIS: To evaluate outcomes after bone–patellar tendon–bon...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239981/ https://www.ncbi.nlm.nih.gov/pubmed/34250173 http://dx.doi.org/10.1177/23259671211011510 |
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author | Rauck, Ryan C. Apostolakos, John M. Nwachukwu, Benedict U. Schneider, Brandon L. Williams, Riley J. Dines, Joshua S. Altchek, David W. Pearle, Andrew Allen, Answorth Stein, Beth Shubin Dines, David Ranawat, Anil Kelly, Anne Kelly, Bryan Rose, Howard Maynard, Michael Strickland, Sabrina Coleman, Struan Hannafin, Jo MacGillivray, John Marx, Robert Warren, Russell Rodeo, Scott Fealy, Stephen O’Brien, Stephen Wickiewicz, Thomas |
author_facet | Rauck, Ryan C. Apostolakos, John M. Nwachukwu, Benedict U. Schneider, Brandon L. Williams, Riley J. Dines, Joshua S. Altchek, David W. Pearle, Andrew Allen, Answorth Stein, Beth Shubin Dines, David Ranawat, Anil Kelly, Anne Kelly, Bryan Rose, Howard Maynard, Michael Strickland, Sabrina Coleman, Struan Hannafin, Jo MacGillivray, John Marx, Robert Warren, Russell Rodeo, Scott Fealy, Stephen O’Brien, Stephen Wickiewicz, Thomas |
author_sort | Rauck, Ryan C. |
collection | PubMed |
description | BACKGROUND: Anterior cruciate ligament (ACL) injuries are occurring with increasing frequency in the adolescent population. Outcomes after ACL reconstruction (ACLR) are inconsistently reported in homogeneous patient populations. PURPOSE/HYPOTHESIS: To evaluate outcomes after bone–patellar tendon–bone (BTB) autograft ACLR in competitive high school–aged athletes by examining return to sport (RTS), patient satisfaction, and reinjury rates. Our hypothesis was that RTS rates and satisfaction will be high and reinjury rates will be low. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: An institutional ACL registry was utilized to identify competitive high school–aged athletes (14-18 years old) who underwent primary ACLR using BTB autograft with a minimum 2-year follow-up. A postoperative questionnaire was administered to determine rates and types of RTS, quality of sports performance, reinjury, and satisfaction. Uni- and multivariable analyses were used to identify demographic, sport-specific, and clinical factors related to RTS. RESULTS: A total of 53 patients were included (mean ± SD age at the time of surgery, 16.6 ± 1.34 years). Mean follow-up was 3.78 ± 0.70 years (range, 2.60-4.94 years). The overall ipsilateral ACL retear rate was 7.5% (n = 4). There were 10 subsequent ACL tears to the contralateral knee (19%). Forty-four (83%) patients successfully returned to at least their prior level of sport at a mean 10.5 ± 8.7 months (range, 3-48 months). Overall satisfaction was high, with 91% of patients very satisfied with the outcome. Higher confidence levels regarding performance of the reconstructed knee were associated with increased probability of RTS on multivariate analysis. CONCLUSION: BTB autograft ACLR results in high rates of RTS and satisfaction and low rates of subsequent ipsilateral ACL injuries in competitive high school–aged athletes. Patients with higher confidence in performance of the reconstructed knee are more likely to return to at least their prior level of sport. |
format | Online Article Text |
id | pubmed-8239981 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-82399812021-07-08 Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes Rauck, Ryan C. Apostolakos, John M. Nwachukwu, Benedict U. Schneider, Brandon L. Williams, Riley J. Dines, Joshua S. Altchek, David W. Pearle, Andrew Allen, Answorth Stein, Beth Shubin Dines, David Ranawat, Anil Kelly, Anne Kelly, Bryan Rose, Howard Maynard, Michael Strickland, Sabrina Coleman, Struan Hannafin, Jo MacGillivray, John Marx, Robert Warren, Russell Rodeo, Scott Fealy, Stephen O’Brien, Stephen Wickiewicz, Thomas Orthop J Sports Med Article BACKGROUND: Anterior cruciate ligament (ACL) injuries are occurring with increasing frequency in the adolescent population. Outcomes after ACL reconstruction (ACLR) are inconsistently reported in homogeneous patient populations. PURPOSE/HYPOTHESIS: To evaluate outcomes after bone–patellar tendon–bone (BTB) autograft ACLR in competitive high school–aged athletes by examining return to sport (RTS), patient satisfaction, and reinjury rates. Our hypothesis was that RTS rates and satisfaction will be high and reinjury rates will be low. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: An institutional ACL registry was utilized to identify competitive high school–aged athletes (14-18 years old) who underwent primary ACLR using BTB autograft with a minimum 2-year follow-up. A postoperative questionnaire was administered to determine rates and types of RTS, quality of sports performance, reinjury, and satisfaction. Uni- and multivariable analyses were used to identify demographic, sport-specific, and clinical factors related to RTS. RESULTS: A total of 53 patients were included (mean ± SD age at the time of surgery, 16.6 ± 1.34 years). Mean follow-up was 3.78 ± 0.70 years (range, 2.60-4.94 years). The overall ipsilateral ACL retear rate was 7.5% (n = 4). There were 10 subsequent ACL tears to the contralateral knee (19%). Forty-four (83%) patients successfully returned to at least their prior level of sport at a mean 10.5 ± 8.7 months (range, 3-48 months). Overall satisfaction was high, with 91% of patients very satisfied with the outcome. Higher confidence levels regarding performance of the reconstructed knee were associated with increased probability of RTS on multivariate analysis. CONCLUSION: BTB autograft ACLR results in high rates of RTS and satisfaction and low rates of subsequent ipsilateral ACL injuries in competitive high school–aged athletes. Patients with higher confidence in performance of the reconstructed knee are more likely to return to at least their prior level of sport. SAGE Publications 2021-06-24 /pmc/articles/PMC8239981/ /pubmed/34250173 http://dx.doi.org/10.1177/23259671211011510 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) 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 pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Rauck, Ryan C. Apostolakos, John M. Nwachukwu, Benedict U. Schneider, Brandon L. Williams, Riley J. Dines, Joshua S. Altchek, David W. Pearle, Andrew Allen, Answorth Stein, Beth Shubin Dines, David Ranawat, Anil Kelly, Anne Kelly, Bryan Rose, Howard Maynard, Michael Strickland, Sabrina Coleman, Struan Hannafin, Jo MacGillivray, John Marx, Robert Warren, Russell Rodeo, Scott Fealy, Stephen O’Brien, Stephen Wickiewicz, Thomas Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes |
title | Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes |
title_full | Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes |
title_fullStr | Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes |
title_full_unstemmed | Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes |
title_short | Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes |
title_sort | return to sport after bone–patellar tendon–bone autograft acl reconstruction in high school–aged athletes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239981/ https://www.ncbi.nlm.nih.gov/pubmed/34250173 http://dx.doi.org/10.1177/23259671211011510 |
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