Results and Performance After Microfracture in National Basketball Association Athletes

Background Microfracture technique is commonly used to treat symptomatic chondral lesions of the knee. Performance outcomes and attrition rates associated with this injury/surgery in National Basketball Association athletes are unclear. Hypothesis National Basketball Association players undergoing m...

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Veröffentlicht in:The American journal of sports medicine 2009-05, Vol.37 (5), p.943-948
Hauptverfasser: Namdari, Surena, Baldwin, Keith, Anakwenze, Okechukwu, Park, Min-Jung, Russell Huffman, G., Sennett, Brian J.
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container_end_page 948
container_issue 5
container_start_page 943
container_title The American journal of sports medicine
container_volume 37
creator Namdari, Surena
Baldwin, Keith
Anakwenze, Okechukwu
Park, Min-Jung
Russell Huffman, G.
Sennett, Brian J.
description Background Microfracture technique is commonly used to treat symptomatic chondral lesions of the knee. Performance outcomes and attrition rates associated with this injury/surgery in National Basketball Association athletes are unclear. Hypothesis National Basketball Association players undergoing microfracture for symptomatic chondral lesions of the knee will have demonstrable differences in performance compared with preinjury and with matched controls. Study Design Case control study; Level of evidence, 3. Methods We evaluated 24 National Basketball Association players who underwent microfracture between 1997 and 2006. Descriptive data and performance data for the first full season preceding and following the index surgery were collected. Data were obtained from 48 matched controls. Univariate/multivariate statistical methods were used to assess change in performance and return to play. Results Thirty-three percent (8 of 24) of National Basketball Association athletes who underwent microfracture surgery never returned to play in the National Basketball Association. Fourteen players returned to play in the National Basketball Association for >1 season. Within-group comparisons revealed that points scored ( P = .008) and minutes played ( P = .045) were reduced postoperatively. No performance variables were significantly different when averaged over 40 minutes of play. When compared with controls, cases experienced a significant decline in points per game ( P = .013). Multiple regression analysis revealed that cases were 8.15 times less likely to remain in the National Basketball Association than controls ( P = .005) after the index year. Conclusion Players undergoing microfracture for knee chondral injuries are at risk for not returning to the National Basketball Association postoperatively. With the exception of points per game, athletes returning exhibited similar performance postoperatively compared with matched controls.
doi_str_mv 10.1177/0363546508330150
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Performance outcomes and attrition rates associated with this injury/surgery in National Basketball Association athletes are unclear. Hypothesis National Basketball Association players undergoing microfracture for symptomatic chondral lesions of the knee will have demonstrable differences in performance compared with preinjury and with matched controls. Study Design Case control study; Level of evidence, 3. Methods We evaluated 24 National Basketball Association players who underwent microfracture between 1997 and 2006. Descriptive data and performance data for the first full season preceding and following the index surgery were collected. Data were obtained from 48 matched controls. Univariate/multivariate statistical methods were used to assess change in performance and return to play. Results Thirty-three percent (8 of 24) of National Basketball Association athletes who underwent microfracture surgery never returned to play in the National Basketball Association. Fourteen players returned to play in the National Basketball Association for &gt;1 season. Within-group comparisons revealed that points scored ( P = .008) and minutes played ( P = .045) were reduced postoperatively. No performance variables were significantly different when averaged over 40 minutes of play. When compared with controls, cases experienced a significant decline in points per game ( P = .013). Multiple regression analysis revealed that cases were 8.15 times less likely to remain in the National Basketball Association than controls ( P = .005) after the index year. Conclusion Players undergoing microfracture for knee chondral injuries are at risk for not returning to the National Basketball Association postoperatively. With the exception of points per game, athletes returning exhibited similar performance postoperatively compared with matched controls.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546508330150</identifier><identifier>PMID: 19251677</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: American Orthopaedic Society for Sports Medicine</publisher><subject>Adult ; Arthroplasty, Subchondral ; Arthroscopy ; Athletes ; Basketball - injuries ; Biological and medical sciences ; Body Mass Index ; Cartilage, Articular - injuries ; Diseases of the osteoarticular system ; Endoscopy ; Fractures ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Knee ; Knee Injuries - surgery ; Male ; Medical sciences ; Orthopedics ; Professional basketball ; Recovery of Function ; Regeneration ; Sports injuries ; Sports medicine ; Task Performance and Analysis ; Young Adult</subject><ispartof>The American journal of sports medicine, 2009-05, Vol.37 (5), p.943-948</ispartof><rights>2009 American Orthopaedic Society for Sports Medicine</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-aaf84361fdfc4ba220d65bcef82b6cda1de34f13cd713939caf53b4fd0ff4ed53</citedby><cites>FETCH-LOGICAL-c423t-aaf84361fdfc4ba220d65bcef82b6cda1de34f13cd713939caf53b4fd0ff4ed53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546508330150$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546508330150$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21806,27911,27912,43608,43609</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21452302$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19251677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Namdari, Surena</creatorcontrib><creatorcontrib>Baldwin, Keith</creatorcontrib><creatorcontrib>Anakwenze, Okechukwu</creatorcontrib><creatorcontrib>Park, Min-Jung</creatorcontrib><creatorcontrib>Russell Huffman, G.</creatorcontrib><creatorcontrib>Sennett, Brian J.</creatorcontrib><title>Results and Performance After Microfracture in National Basketball Association Athletes</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background Microfracture technique is commonly used to treat symptomatic chondral lesions of the knee. Performance outcomes and attrition rates associated with this injury/surgery in National Basketball Association athletes are unclear. Hypothesis National Basketball Association players undergoing microfracture for symptomatic chondral lesions of the knee will have demonstrable differences in performance compared with preinjury and with matched controls. Study Design Case control study; Level of evidence, 3. Methods We evaluated 24 National Basketball Association players who underwent microfracture between 1997 and 2006. Descriptive data and performance data for the first full season preceding and following the index surgery were collected. Data were obtained from 48 matched controls. Univariate/multivariate statistical methods were used to assess change in performance and return to play. Results Thirty-three percent (8 of 24) of National Basketball Association athletes who underwent microfracture surgery never returned to play in the National Basketball Association. Fourteen players returned to play in the National Basketball Association for &gt;1 season. Within-group comparisons revealed that points scored ( P = .008) and minutes played ( P = .045) were reduced postoperatively. No performance variables were significantly different when averaged over 40 minutes of play. When compared with controls, cases experienced a significant decline in points per game ( P = .013). Multiple regression analysis revealed that cases were 8.15 times less likely to remain in the National Basketball Association than controls ( P = .005) after the index year. Conclusion Players undergoing microfracture for knee chondral injuries are at risk for not returning to the National Basketball Association postoperatively. With the exception of points per game, athletes returning exhibited similar performance postoperatively compared with matched controls.</description><subject>Adult</subject><subject>Arthroplasty, Subchondral</subject><subject>Arthroscopy</subject><subject>Athletes</subject><subject>Basketball - injuries</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cartilage, Articular - injuries</subject><subject>Diseases of the osteoarticular system</subject><subject>Endoscopy</subject><subject>Fractures</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Knee</subject><subject>Knee Injuries - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedics</subject><subject>Professional basketball</subject><subject>Recovery of Function</subject><subject>Regeneration</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Task Performance and Analysis</subject><subject>Young Adult</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1v1DAQxS1ERZfCnROKhOAWsD2xkxyXii-pLQiBOFoTZ9zNko_icYT475tlI0CVOM3h_ebNzBshnij5UqmyfCXBgimskRWAVEbeExtljM4BrLkvNgc5P-in4iHzXkqpSls9EKeq1kbZstyIb5-J5z5xhmObfaIYpjjg6CnbhkQxu-x8nEJEn-ZIWTdmV5i6acQ-e438nVKDfZ9tmSff_Raybdr1lIgfiZOAPdPjtZ6Jr2_ffDl_n198fPfhfHuR-0JDyhFDVYBVoQ2-aFBr2VrTeAqVbqxvUbUERVDg21JBDbXHYKApQitDKKg1cCZeHH1v4vRjJk5u6NhT3-NI08zOlqoyUFcL-OwOuJ_muFzCTtWy0mBLfbCTR2o5mzlScDexGzD-ckq6Q-TubuRLy9PVeG4Gav82rBkvwPMVQPbYL2mOvuM_nFaF0SD1wuVHjvGa_tnu_4NX3113vfvZRXI8LO9Y1gCHe4bSGVcXALcO-qMg</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Namdari, Surena</creator><creator>Baldwin, Keith</creator><creator>Anakwenze, Okechukwu</creator><creator>Park, Min-Jung</creator><creator>Russell Huffman, G.</creator><creator>Sennett, Brian J.</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>Results and Performance After Microfracture in National Basketball Association Athletes</title><author>Namdari, Surena ; Baldwin, Keith ; Anakwenze, Okechukwu ; Park, Min-Jung ; Russell Huffman, G. ; Sennett, Brian J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-aaf84361fdfc4ba220d65bcef82b6cda1de34f13cd713939caf53b4fd0ff4ed53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Arthroplasty, Subchondral</topic><topic>Arthroscopy</topic><topic>Athletes</topic><topic>Basketball - injuries</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Cartilage, Articular - injuries</topic><topic>Diseases of the osteoarticular system</topic><topic>Endoscopy</topic><topic>Fractures</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Knee</topic><topic>Knee Injuries - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedics</topic><topic>Professional basketball</topic><topic>Recovery of Function</topic><topic>Regeneration</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Task Performance and Analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Namdari, Surena</creatorcontrib><creatorcontrib>Baldwin, Keith</creatorcontrib><creatorcontrib>Anakwenze, Okechukwu</creatorcontrib><creatorcontrib>Park, Min-Jung</creatorcontrib><creatorcontrib>Russell Huffman, G.</creatorcontrib><creatorcontrib>Sennett, Brian J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Namdari, Surena</au><au>Baldwin, Keith</au><au>Anakwenze, Okechukwu</au><au>Park, Min-Jung</au><au>Russell Huffman, G.</au><au>Sennett, Brian J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results and Performance After Microfracture in National Basketball Association Athletes</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>37</volume><issue>5</issue><spage>943</spage><epage>948</epage><pages>943-948</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background Microfracture technique is commonly used to treat symptomatic chondral lesions of the knee. Performance outcomes and attrition rates associated with this injury/surgery in National Basketball Association athletes are unclear. Hypothesis National Basketball Association players undergoing microfracture for symptomatic chondral lesions of the knee will have demonstrable differences in performance compared with preinjury and with matched controls. Study Design Case control study; Level of evidence, 3. Methods We evaluated 24 National Basketball Association players who underwent microfracture between 1997 and 2006. Descriptive data and performance data for the first full season preceding and following the index surgery were collected. Data were obtained from 48 matched controls. Univariate/multivariate statistical methods were used to assess change in performance and return to play. Results Thirty-three percent (8 of 24) of National Basketball Association athletes who underwent microfracture surgery never returned to play in the National Basketball Association. Fourteen players returned to play in the National Basketball Association for &gt;1 season. Within-group comparisons revealed that points scored ( P = .008) and minutes played ( P = .045) were reduced postoperatively. No performance variables were significantly different when averaged over 40 minutes of play. When compared with controls, cases experienced a significant decline in points per game ( P = .013). Multiple regression analysis revealed that cases were 8.15 times less likely to remain in the National Basketball Association than controls ( P = .005) after the index year. Conclusion Players undergoing microfracture for knee chondral injuries are at risk for not returning to the National Basketball Association postoperatively. With the exception of points per game, athletes returning exhibited similar performance postoperatively compared with matched controls.</abstract><cop>Los Angeles, CA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>19251677</pmid><doi>10.1177/0363546508330150</doi><tpages>6</tpages></addata></record>
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subjects Adult
Arthroplasty, Subchondral
Arthroscopy
Athletes
Basketball - injuries
Biological and medical sciences
Body Mass Index
Cartilage, Articular - injuries
Diseases of the osteoarticular system
Endoscopy
Fractures
Humans
Investigative techniques, diagnostic techniques (general aspects)
Knee
Knee Injuries - surgery
Male
Medical sciences
Orthopedics
Professional basketball
Recovery of Function
Regeneration
Sports injuries
Sports medicine
Task Performance and Analysis
Young Adult
title Results and Performance After Microfracture in National Basketball Association Athletes
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