Evidence map›Paper›PMID 39285398›Full record

ArticleBMC musculoskeletal disorders2024

In non-elite athletes, women are more likely to return to sports after anterior cruciate ligament reconstruction: a retrospective cohort study.

Bart J Robben, Martine C Keuning, Rutger G Zuurmond, Martin Stevens, Sjoerd K Bulstra

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Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Bart J RobbenDepartment of Orthopedic Surgery, Isala Zwolle, PO Box 10400, Zwolle, 8000 GK, The Netherlands. bjrobben@gmail.com.
Martine C KeuningDepartment of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, PO Box 30.001, Groningen, 8000 GK, The Netherlands.
Rutger G ZuurmondDepartment of Orthopedic Surgery, Isala Zwolle, PO Box 10400, Zwolle, 8000 GK, The Netherlands.
Martin Stevens *Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, PO Box 30.001, Groningen, 8000 GK, The Netherlands.
Sjoerd K Bulstra *Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, PO Box 30.001, Groningen, 8000 GK, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe desire to return to sports (RTS) and return to performance at preinjury level (RTSP) is a common motivator for athletes undergoing anterior cruciate ligament (ACL) reconstructive surgery. However, for non-elite athletes little is known about the patient and surgical variables influencing RTS/RTSP. Purpose was to determine which patient or surgical variables had an effect on RTS/RTSP in non-elite athletes. We also analyzed whether patients that RTS and RTSP have more confidence in the knee and less difficulty pivoting.

methodsA single-centre retrospective cohort study. All patients who had undergone primary hamstring ACL reconstruction within a 5-year period were included. Patients were asked about their pre- and postoperative sports participation using the Tegner Activity Score (TAS) as well as about their RTS/RTSP. Confidence in the knee and difficulty with pivoting were asked about. To determine the potential adverse effect of patient variables at the time of surgery (sex, age, height, weight, TAS preop) and surgical variables (graft diameter, surgical technique, concomitant injury) influencing RTS/RTSP, univariate and multivariate logistic regression analysis were used.

results370 ACL reconstructions were included. Average follow-up was 4.6 years (SD 1.4). RTS rate was 65% and RTSP 43%. Median preinjury TAS was 7 (Q1:6, Q3:8)), postoperative 6 (Q1:4, Q3:7). Multivariate analysis showed that women were more likely to RTS (OR 2.40, 1.16-4.97). A lower preinjury TAS (OR 0.80, 0.67-0.95) resulted in higher RTSP levels. None of the surgical variables had a significant influence on RTS or RTSP. Patients who returned to sports or to preinjury-level performance displayed significantly more confidence in the operated knee and less difficulty pivoting than non-returning patients.

conclusionOur study shows that 65% of non-elite athletes with an ACL reconstruction returned to sports, 43% at preinjury level. Women were over twice more likely to RTS than men. Preinjury TAS significantly influences RTSP, with a lower preinjury TAS leading to a higher percentage of RTSP. Patients returning to both scored better in their self-reported confidence in the knee and difficulty pivoting than non-returning patients. LEVEL OF EVIDENCE: Retrospective cohort III.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionReturn to SportAdolescentAdultAthletesAthletic InjuriesCohort StudiesFemaleFollow-Up StudiesHumansMaleRecovery of FunctionRetrospective StudiesSex FactorsTreatment OutcomeAnterior cruciate ligamentPatient variablesReconstructionReturn to level of sportsReturn to sportSurgical variables

Identifiers

PMID39285398
PMCPMC11403877

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.