August 15, 2018
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Several patient factors predicted return to sport 1 year after ACL reconstruction

Results published in The American Journal of Sports Medicine showed male sex, younger age, a high pre-injury level of physical activity and the absence of concomitant injuries to the medial collateral ligament and meniscus positively predicted return to sport 1 year after ACL reconstruction.

Researchers used the Tegner activity scale to evaluate return to sport among 272 patients from a rehabilitation-specific register and the Swedish National Knee Ligament Register 12 months after ACL reconstruction. Researchers defined return to knee strenuous sport as a Tegner activity scale score of 6 or greater.

Multivariate analysis showed male sex, younger age at the time of ACL reconstruction, a higher pre-injury score on the Tegner activity scale and an absence of injury to the meniscus and medial collateral ligament yielded a favorable odds ratio for returning to sport. Researchers also found patients who had an absence of cartilage injury were also more likely to return to sport in the univariable analysis.

“To set proper expectations, it is important to inform patients with concomitant injuries at the time of ACL reconstruction that [return to sport] RTS may not be possible during the first year after surgery,” the authors wrote. – by Casey Tingle

Disclosures: The authors report no relevant financial disclosures.