ACL injury in football: a literature overview of the prevention program

Abstract

SummaryBackground: The ACL prevention programs are addressed to the control and/or modification of the so-called "modifiable risk factors". All these programs focus on different intervention strategies aimed to decrease the ACL injury risk, particularly in female athletes population. Purpose: To furnish an overview of the most used ACL injury prevention program through a narrative review. Conclusion: In literature there are many reports on prevention programs whose common denominator is the proper alignment of the lower limb joints and proper motor control during movements that are considered at risk for ACL integrity, as the landing phase after a jump. Nevertheless, some programs would appear more effective than others. In any cases a major problem remains the lack of sufficient compliance in respect of prevention programs. Finally, it is important to remember that the ethiology of ACL injuries is multifactorial. For this reason a prevention program able to prevent all the risk situations is utopian. Study design: Narrative review.

ACL injury incidence, severity and patterns in professional male soccer players in a Middle Eastern league

“… 1 5 The debate on time to return to play is controversial, with rerupture and early onset of osteoarthritis at the forefront of this debate. 7 …”

“…While there is a plethora of data documenting ACL injury rates in professional male sports, 7 there is no such data for professional soccer players competing in the Middle East. Accordingly, the aim of this study was to ascertain the incidence, burden and patterns of ACL injuries in professional players competing in a professional football league in Qatar across five consecutive seasons.…”

Programa preventivo de lesión de ligamento cruzado anterior en fútbol femenino durante períodos de confinamiento

“…Además, en su misma investigación, aseguran que las rupturas de LCA en mujeres provocaron más del 40 % de la totalidad de ausencias por lesión. De esta forma, la ruptura del LCA en mujeres supone, en promedio, el 58 % de totalidad de lesiones de LCA, con tendencia importante a asociarse con otras lesiones graves en la rodilla (Volpi et al, 2016).…”

“…Para el diseño del programa de prevención de lesión de LCA durante períodos de confinamiento (Figura 2), se ha seguido el modelo propuesto por Van Tiggelen et al (2008), el cual resume e integra los modelos previos de van Mechelen et al (1992) y Meeuwisse (1994), al igual que se han considerado los conceptos incorporados por los modelos de Bahr & Krosshaug (2005) y McIntosh (2005. Muy importante resulta la inclusión del criterio de adherencia a las medidas de prevención, factor que ayuda a determinar la eficacia de los programas preventivos (Bisciotti et al, 2016). El primer paso para el diseño del programa de prevención fue establecer las dimensiones del problema, recabando datos de la incidencia y severidad de la lesión de LCA en el fútbol femenino, identificando el sector poblacional, en términos de especialización, al que se iba a dirigir la intervención.…”

Defensive Antibacterial Coating (DAC®) for prevention of infection in ACL reconstruction: a feasibility study

“…DAC is effective with various antibiotics and antibiofilm agents in vitro (7) and is safe and effective in vivo in rabbit models Defensive Antibacterial Coating (DAC ® ) for prevention of infection in ACL reconstruction: a feasibility study of highly contaminated implant both with (8) and without systemic antibiotic prophylaxis (9). Infection of the graft after arthroscopic ACL reconstruction is an uncommon but devastating post-operative complication, and many factors may lead to infection, including comorbidities, such as diabetes, smoking, previous surgery or concomitant open surgical procedures (10)(11)(12)(13)(14)(15). Increased operative time, additional or larger incisions, long tourniquet inflation time, or use of a drain may also contribute (10)(11)(12)16).…”