高水平男性运动员初次与翻修前交叉韧带重建术中使用股四头肌腱自体移植物后的重返运动结局
简介
本研究回顾性分析了140名接受股四头肌腱自体移植物进行ACL重建的高活跃度男性运动员，比较了初次重建（93例）与翻修重建（47例）后的重返运动（RTS）结局。术后2-3年随访结果显示，初次重建组中，98.9%的运动员重返了某种运动，90.3%重返受伤前运动项目，73.1%重返相同或更高水平；其中70.2%自评运动能力恢复至伤前水平。翻修重建组中，85.1%重…
英文摘要
PURPOSE: To evaluate return-to-sport (RTS) outcomes following primary and revision anterior cruciate ligament reconstruction (ACLR) using quadriceps tendon autografts in a highly active male athletic population. METHODS: This retrospective cohort study included 140 highly active male athletes who underwent ACLR with a quadriceps tendon autograft by a single surgeon between 2014 and 2021. Participants were divided into primary (n = 93) and revision (n = 47) groups. All participants were surveyed regarding RTS outcomes at 2-3 years postoperatively. Survey outcomes included return to some kind of sport, return to preinjury sport (any level), return to preinjury sport at the same or higher level and self-perceived ability to perform at the pre-injury level. Descriptive statistics were calculated and presented. RESULTS: In the primary reconstruction cohort, 98.9% of athletes successfully returned to some sport, 90.3% to their pre-injury sport, and 73.1% to their pre-injury sport at the same or higher level. Of those who returned to their pre-injury sport, 70.2% reported performing at their pre-injury level. Of those who returned to their pre-injury sport at the same or higher level, 79.4% reported performing at their pre-injury level. In the revision cohort, 85.1% of athletes successfully returned to some sport, 57.4% to their pre-injury sport and 40.4% to their pre-injury sport at the same or higher level. Of athletes in the revision cohort who returned to their pre-injury sport, 55.6% reported performing at their pre-injury level. Of those who returned at the same or higher level, 57.9% reported performing at their pre-injury level. CONCLUSION: Quadriceps tendon autografts yielded high RTS rates in highly active male athletes after primary reconstruction and rates in the revision setting comparable to previous literature. A high proportion of the patients felt they could perform as well as prior to their injury. LEVEL OF EVIDENCE: Level III, retrospective cohort study.