High return to play rate following treatment of multiple-ligament knee injuries in 136 elite athletes
Purpose The purpose of the study is to assess return to play rate and timing of elite athletes treated for multi-ligament knee injuries with modern surgical techniques. Methods A retrospective review was performed of all professional or national/international level athletes treated for a multi-ligam...
Gespeichert in:
| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2022-10, Vol.30 (10), p.3393-3401 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 3401 |
|---|---|
| container_issue | 10 |
| container_start_page | 3393 |
| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 30 |
| creator | Borque, Kyle A. Jones, Mary Balendra, Ganesh Willinger, Lukas Pinheiro, Vitor Hugo Anand, Bobby Singh Williams, Andy |
| description | Purpose
The purpose of the study is to assess return to play rate and timing of elite athletes treated for multi-ligament knee injuries with modern surgical techniques.
Methods
A retrospective review was performed of all professional or national/international level athletes treated for a multi-ligament knee injury by the senior author in the period from February 2001 to October 2019, with a minimum of 2-year follow-up. The study cohort consisted of 136 elite athletes who underwent surgery of two or more knee ligaments. Outcomes measures were return to play (RTP), defined as return to elite level sport, return to play time, and further surgical procedures.
Results
One hundred and twenty (88.2%) athletes returned to elite level sport at an average of 12.8 months from operation. In unicruciate injuries, ACL and PCL-based injuries had similar return to play rates (89.1% vs. 87.5% respectfully, n.s.) although mean RTP time was longer in those with PCL-based injuries (15.2 vs. 11.9 months,
p
|
| doi_str_mv | 10.1007/s00167-022-06926-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2638953337</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2638953337</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-fbc0b34e7e3e32673af6e3c70ba32518f7df63df1bed7ef27c86821e64ac1c5b3</originalsourceid><addsrcrecordid>eNp9kU1P5DAMhiPECgaWP8ABReLCJWwSt8n0iBBfEtJeds9R2nFmMqTtkKRC_PvNMgNIHDjZsh-_tvwScir4peBc_0qcC6UZl5Jx1UjFYI_MRAXANFR6n8x4U0kmea0OyVFKa85LWjUH5BBqqRsNzYzgvV-uaMQ8xYHmkW6CfaXRZqRuDGF88cOS5og29zhkOjraTyH7TUAW_NK-FZ8GROqH9RQ9ppJQAYpi8EXD5lXAjOkn-eFsSHiyi8fk7-3Nn-t79vj77uH66pF1oOvMXNvxFirUCAhSabBOIXSatxZkLeZOL5yChRMtLjQ6qbu5mkuBqrKd6OoWjsnFVncTx-cJUza9Tx2GYAccp2SkgnlTA4Au6PkXdD2WH5TrjNRCQtUIJQslt1QXx5QiOrOJvrfx1Qhu_ptgtiaYYoJ5M8FAGTrbSU9tj4uPkfevFwC2QCqtYYnxc_c3sv8AlZeSvg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2712349162</pqid></control><display><type>article</type><title>High return to play rate following treatment of multiple-ligament knee injuries in 136 elite athletes</title><source>Wiley Online Library Journals Frontfile Complete</source><source>Springer Nature - Complete Springer Journals</source><creator>Borque, Kyle A. ; Jones, Mary ; Balendra, Ganesh ; Willinger, Lukas ; Pinheiro, Vitor Hugo ; Anand, Bobby Singh ; Williams, Andy</creator><creatorcontrib>Borque, Kyle A. ; Jones, Mary ; Balendra, Ganesh ; Willinger, Lukas ; Pinheiro, Vitor Hugo ; Anand, Bobby Singh ; Williams, Andy</creatorcontrib><description>Purpose
The purpose of the study is to assess return to play rate and timing of elite athletes treated for multi-ligament knee injuries with modern surgical techniques.
Methods
A retrospective review was performed of all professional or national/international level athletes treated for a multi-ligament knee injury by the senior author in the period from February 2001 to October 2019, with a minimum of 2-year follow-up. The study cohort consisted of 136 elite athletes who underwent surgery of two or more knee ligaments. Outcomes measures were return to play (RTP), defined as return to elite level sport, return to play time, and further surgical procedures.
Results
One hundred and twenty (88.2%) athletes returned to elite level sport at an average of 12.8 months from operation. In unicruciate injuries, ACL and PCL-based injuries had similar return to play rates (89.1% vs. 87.5% respectfully, n.s.) although mean RTP time was longer in those with PCL-based injuries (15.2 vs. 11.9 months,
p
< 0.01). Bicruciate injuries had longer RTP times compared to unicruciate injuries (mean RTP 16.0vs. 12.4 months,
p
< 0.05) but were able to return at a similar rate (83.3% vs. 88.9%, n.s.). Medial and lateral sided injuries had similar RTP rates (89.3% vs. 87.9%, n.s.) though lateral sided injuries took longer before returning to play (13.4 vs. 11.6 months,
p
< 0.05). Further surgery was required in 54 (39.9%) patients including 25 (18.4%) manipulations under anaesthesia. Four (2.9%) of the athletes underwent revision ligament surgery.
Conclusion
Modern surgical techniques used in the treatment of multi-ligament knee injuries can lead to high return to play rates in elite athletes.
Level of evidence
IV.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-022-06926-3</identifier><identifier>PMID: 35279739</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anesthesia ; Anterior cruciate ligament ; Athletes ; Injuries ; Knee ; Ligaments ; Medicine ; Medicine & Public Health ; Orthopedics ; Sports Medicine ; Surgery ; Surgical techniques</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022-10, Vol.30 (10), p.3393-3401</ispartof><rights>The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2022</rights><rights>2022. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).</rights><rights>The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-fbc0b34e7e3e32673af6e3c70ba32518f7df63df1bed7ef27c86821e64ac1c5b3</citedby><cites>FETCH-LOGICAL-c375t-fbc0b34e7e3e32673af6e3c70ba32518f7df63df1bed7ef27c86821e64ac1c5b3</cites><orcidid>0000-0002-9293-8922</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-022-06926-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-022-06926-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35279739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Borque, Kyle A.</creatorcontrib><creatorcontrib>Jones, Mary</creatorcontrib><creatorcontrib>Balendra, Ganesh</creatorcontrib><creatorcontrib>Willinger, Lukas</creatorcontrib><creatorcontrib>Pinheiro, Vitor Hugo</creatorcontrib><creatorcontrib>Anand, Bobby Singh</creatorcontrib><creatorcontrib>Williams, Andy</creatorcontrib><title>High return to play rate following treatment of multiple-ligament knee injuries in 136 elite athletes</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of the study is to assess return to play rate and timing of elite athletes treated for multi-ligament knee injuries with modern surgical techniques.
Methods
A retrospective review was performed of all professional or national/international level athletes treated for a multi-ligament knee injury by the senior author in the period from February 2001 to October 2019, with a minimum of 2-year follow-up. The study cohort consisted of 136 elite athletes who underwent surgery of two or more knee ligaments. Outcomes measures were return to play (RTP), defined as return to elite level sport, return to play time, and further surgical procedures.
Results
One hundred and twenty (88.2%) athletes returned to elite level sport at an average of 12.8 months from operation. In unicruciate injuries, ACL and PCL-based injuries had similar return to play rates (89.1% vs. 87.5% respectfully, n.s.) although mean RTP time was longer in those with PCL-based injuries (15.2 vs. 11.9 months,
p
< 0.01). Bicruciate injuries had longer RTP times compared to unicruciate injuries (mean RTP 16.0vs. 12.4 months,
p
< 0.05) but were able to return at a similar rate (83.3% vs. 88.9%, n.s.). Medial and lateral sided injuries had similar RTP rates (89.3% vs. 87.9%, n.s.) though lateral sided injuries took longer before returning to play (13.4 vs. 11.6 months,
p
< 0.05). Further surgery was required in 54 (39.9%) patients including 25 (18.4%) manipulations under anaesthesia. Four (2.9%) of the athletes underwent revision ligament surgery.
Conclusion
Modern surgical techniques used in the treatment of multi-ligament knee injuries can lead to high return to play rates in elite athletes.
Level of evidence
IV.</description><subject>Anesthesia</subject><subject>Anterior cruciate ligament</subject><subject>Athletes</subject><subject>Injuries</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical techniques</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1P5DAMhiPECgaWP8ABReLCJWwSt8n0iBBfEtJeds9R2nFmMqTtkKRC_PvNMgNIHDjZsh-_tvwScir4peBc_0qcC6UZl5Jx1UjFYI_MRAXANFR6n8x4U0kmea0OyVFKa85LWjUH5BBqqRsNzYzgvV-uaMQ8xYHmkW6CfaXRZqRuDGF88cOS5og29zhkOjraTyH7TUAW_NK-FZ8GROqH9RQ9ppJQAYpi8EXD5lXAjOkn-eFsSHiyi8fk7-3Nn-t79vj77uH66pF1oOvMXNvxFirUCAhSabBOIXSatxZkLeZOL5yChRMtLjQ6qbu5mkuBqrKd6OoWjsnFVncTx-cJUza9Tx2GYAccp2SkgnlTA4Au6PkXdD2WH5TrjNRCQtUIJQslt1QXx5QiOrOJvrfx1Qhu_ptgtiaYYoJ5M8FAGTrbSU9tj4uPkfevFwC2QCqtYYnxc_c3sv8AlZeSvg</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Borque, Kyle A.</creator><creator>Jones, Mary</creator><creator>Balendra, Ganesh</creator><creator>Willinger, Lukas</creator><creator>Pinheiro, Vitor Hugo</creator><creator>Anand, Bobby Singh</creator><creator>Williams, Andy</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9293-8922</orcidid></search><sort><creationdate>20221001</creationdate><title>High return to play rate following treatment of multiple-ligament knee injuries in 136 elite athletes</title><author>Borque, Kyle A. ; Jones, Mary ; Balendra, Ganesh ; Willinger, Lukas ; Pinheiro, Vitor Hugo ; Anand, Bobby Singh ; Williams, Andy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-fbc0b34e7e3e32673af6e3c70ba32518f7df63df1bed7ef27c86821e64ac1c5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anesthesia</topic><topic>Anterior cruciate ligament</topic><topic>Athletes</topic><topic>Injuries</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Borque, Kyle A.</creatorcontrib><creatorcontrib>Jones, Mary</creatorcontrib><creatorcontrib>Balendra, Ganesh</creatorcontrib><creatorcontrib>Willinger, Lukas</creatorcontrib><creatorcontrib>Pinheiro, Vitor Hugo</creatorcontrib><creatorcontrib>Anand, Bobby Singh</creatorcontrib><creatorcontrib>Williams, Andy</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Borque, Kyle A.</au><au>Jones, Mary</au><au>Balendra, Ganesh</au><au>Willinger, Lukas</au><au>Pinheiro, Vitor Hugo</au><au>Anand, Bobby Singh</au><au>Williams, Andy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High return to play rate following treatment of multiple-ligament knee injuries in 136 elite athletes</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>30</volume><issue>10</issue><spage>3393</spage><epage>3401</epage><pages>3393-3401</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of the study is to assess return to play rate and timing of elite athletes treated for multi-ligament knee injuries with modern surgical techniques.
Methods
A retrospective review was performed of all professional or national/international level athletes treated for a multi-ligament knee injury by the senior author in the period from February 2001 to October 2019, with a minimum of 2-year follow-up. The study cohort consisted of 136 elite athletes who underwent surgery of two or more knee ligaments. Outcomes measures were return to play (RTP), defined as return to elite level sport, return to play time, and further surgical procedures.
Results
One hundred and twenty (88.2%) athletes returned to elite level sport at an average of 12.8 months from operation. In unicruciate injuries, ACL and PCL-based injuries had similar return to play rates (89.1% vs. 87.5% respectfully, n.s.) although mean RTP time was longer in those with PCL-based injuries (15.2 vs. 11.9 months,
p
< 0.01). Bicruciate injuries had longer RTP times compared to unicruciate injuries (mean RTP 16.0vs. 12.4 months,
p
< 0.05) but were able to return at a similar rate (83.3% vs. 88.9%, n.s.). Medial and lateral sided injuries had similar RTP rates (89.3% vs. 87.9%, n.s.) though lateral sided injuries took longer before returning to play (13.4 vs. 11.6 months,
p
< 0.05). Further surgery was required in 54 (39.9%) patients including 25 (18.4%) manipulations under anaesthesia. Four (2.9%) of the athletes underwent revision ligament surgery.
Conclusion
Modern surgical techniques used in the treatment of multi-ligament knee injuries can lead to high return to play rates in elite athletes.
Level of evidence
IV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35279739</pmid><doi>10.1007/s00167-022-06926-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9293-8922</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022-10, Vol.30 (10), p.3393-3401 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2638953337 |
| source | Wiley Online Library Journals Frontfile Complete; Springer Nature - Complete Springer Journals |
| subjects | Anesthesia Anterior cruciate ligament Athletes Injuries Knee Ligaments Medicine Medicine & Public Health Orthopedics Sports Medicine Surgery Surgical techniques |
| title | High return to play rate following treatment of multiple-ligament knee injuries in 136 elite athletes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T08%3A12%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=High%20return%20to%20play%20rate%20following%20treatment%20of%20multiple-ligament%20knee%20injuries%20in%20136%20elite%20athletes&rft.jtitle=Knee%20surgery,%20sports%20traumatology,%20arthroscopy%20:%20official%20journal%20of%20the%20ESSKA&rft.au=Borque,%20Kyle%20A.&rft.date=2022-10-01&rft.volume=30&rft.issue=10&rft.spage=3393&rft.epage=3401&rft.pages=3393-3401&rft.issn=0942-2056&rft.eissn=1433-7347&rft_id=info:doi/10.1007/s00167-022-06926-3&rft_dat=%3Cproquest_cross%3E2638953337%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2712349162&rft_id=info:pmid/35279739&rfr_iscdi=true |