Étude multicentrique française : reprise du sport après ligamentoplastie du ligament croisé antérieur chez les sportifs de pivot et pivot contact

Gerometta, Antoine; Lutz, C.; Herman, S.; Lefèvre, Nicolas; Dromzee, Éric; Dubrana, F.; Fazilleau, F.; Thoreux, Patricia; Yaoub, B.; Miletic, Bruno; Girard, Julien; Pasquier, Gilles; Bohu, Yoann; Henry, M.; Sauleau, V.; Khiami, F.

doi:10.1016/j.jts.2014.07.014

Cited by 4 publications

(10 citation statements)

References 17 publications

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“…However the time to resume the competition was almost identical and was about 11 months. Gerometta [5] makes much the same observation but with a delay of 2 months shorter than ours. In the same way, Anders in Australia finds a recovery rate of only 33% to 12 months out of a population of 503 competitors from various contact-pivot sports [11].…”

Section: Discussionsupporting

confidence: 82%

“…Our study shows that 96% of patients took up any sports practice at a mean follow-up of 30.5 months after ACL ligamentoplasty. This rate is comparable to that of Ardern in Australia (93% for an average follow-up of 39 months) [7], Gerometta [5] in France (92% for an average follow-up of 23.7 months). Ardern in a recent meta-analysis including 48 studies in the world or 5770 patients with an average follow-up of 41.5 months regains 82% of overall sports recovery.…”

Section: Discussionsupporting

confidence: 74%

“…He makes the same observation for the recovery times at the same level which was earlier, 6.6 months and 8.8 months. On the other hand, he finds a period of resumption of the competition at 10.3 months globally and 9.6 months when it comes to the return at the same level [5]. This is shorter than our time of 11.3 months.…”

Section: Discussioncontrasting

confidence: 54%

“…compatible with sporting pursuits, particularly those of high level [4]. The aim of surgical reconstruction is to allow athletes to return to their pre-injury sporting level, especially for competitors or all those involved in pivot sports [5]. However, in the literature, the good results of validated functional scores do not prejudge the return to sport, which implies the intervention of several other factors [5].…”

Section: Introductionmentioning

confidence: 99%

“…The aim of surgical reconstruction is to allow athletes to return to their pre-injury sporting level, especially for competitors or all those involved in pivot sports [5]. However, in the literature, the good results of validated functional scores do not prejudge the return to sport, which implies the intervention of several other factors [5]. The rates of return to the same sport at the same level are relatively low, around 50% on average [3].…”

Section: Introductionmentioning

confidence: 99%

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Return to Sport after ACL Reconstruction Using Hamstring Tendon: Analyzing 51 Cases from Malta's Hospital in Dakar

Cva¹,

Niane²,

Fonkoué³

et al. 2017

J Orthop Surg Tech

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The anterior cruciate ligament (ACL) rupture is a frequent lesion in athletes. It is incompatible with the practice of highlevel sport, especially pivot and contact-pivot ones. The purpose of the ACL reconstruction is to allow the athlete to resume the practice of same sport at the same level.The study involved 51 sports patients operated for ACL reconstruction at the Order of Malta's Hospital center in Dakar during the period from 1 January 2011 to 31 May 2014. The average age of patients was 26.3 years with a male predominance (92.15%). These were professional athletes in 37.25%, amateur in 31.37%, and leisure in 31.37% of the cases. The sport was contact-pivot in 96.6% of the cases, mainly football. The objective functional evaluation was performed using the Lysholm-Tegner scale and laximetry using the GNRB arthrometer. The overall sporting recovery rate was 96% with 54.9% recovery in the same sport at the same level. Professional athletes were 42 times more likely to resume the same sport at the same level as amateurs. Recovery times were 4.7 months for line sports, 9.2 months for pivot/contact-pivot and 11.3 months for the resumption of competition. These delays were shorter for professionals with a return to pivot sport at 8 months.Apprehension and fear of a new injury were the main reason for sport's downtime or decline. Functional and anatomical results were good with a mean Lysholm score of 91% and a GNRB differential of 2.87. No independent factor was predictive of returning to sport at the same level.Returning to sports activity is very likely after an ACL ligamentoplasty, but the return to the same sport at the same level is more uncertain, in the order of 55% despite satisfactory anatomical and functional results, confirming the important role of other factors such as psychological coaching and sport-specific rehabilitation.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 74%

Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Return to Sport after ACL Reconstruction Using Hamstring Tendon: Analyzing 51 Cases from Malta's Hospital in Dakar

Cva¹,

Niane²,

Fonkoué³

et al. 2017

J Orthop Surg Tech

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Arthroscopic anterior cruciate ligament reconstruction is a reliable option to treat knee instability in patients over 50 years old

Ovigue

Bouguennec

Graveleau

2020

Knee Surg Sports Traumatol Arthrosc

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Purpose To evaluate return to sport and clinical outcomes with at least 2 years followup after arthroscopic reconstruction ACL in population over 50 years-old. Methods: eighty-one patients aged 50 years or older underwent isolated, primary ACL reconstruction with hamstring autograft between 2014 and 2016. In all patients, a period of conservative treatment had failed (minimum 6 months), and they complained of functional instability and/or limitation during daily activity. Patients were assessed preoperatively and at the latest follow-up with a physical examination, return to sports activity, the Lysholm score, the International Knee Documentation Committee scoring system, the Knee injury and Osteoarthritis Outcome Score, and the Tegner activity scale. Data regarding complications and revision surgeries were collected at 2-year follow-up. Results At the last follow-up, significant improvement in outcome scores from pre-to postoperative assessments was found. The mean overall IKDC score increased from a preoperative mean of 54.4-82.9 (p < 0.001). Mean preoperative Lysholm score increased from a preoperative mean of 67.4-90.4 (p < 0.001). The mean overall KOOS score increased from a preoperative mean (p < 0.001). Median preoperative Tegner score was 5 (range 2-8) and median postoperative score was 5 (range 1-7). 86% of patients returned to the sport, 51% to their preinjury sports level. Tegner score, before accident, was the only positive influencing factor a return to pre-injury level of the sport. Conclusion Arthroscopic reconstruction ACL in patients over 50 years-old resulted in excellent functional outcomes, with most patients returning to sport and at the same level they had before the injury. Level of evidence Level IV.

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Intérêt de la rééducation accélérée après ligamentoplastie du LCA au tendon rotulien sous arthroscopie selon la technique de Kenneth Jones. À propos de 100 patients colligés au CHU Mustapha Pacha d’Alger

Abib-Djaafar

Guerchani

Kihal

2020

Journal de Traumatologie du Sport

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Étude multicentrique française : reprise du sport après ligamentoplastie du ligament croisé antérieur chez les sportifs de pivot et pivot contact

Cited by 4 publications

References 17 publications

Return to Sport after ACL Reconstruction Using Hamstring Tendon: Analyzing 51 Cases from Malta's Hospital in Dakar

Return to Sport after ACL Reconstruction Using Hamstring Tendon: Analyzing 51 Cases from Malta's Hospital in Dakar

Arthroscopic anterior cruciate ligament reconstruction is a reliable option to treat knee instability in patients over 50 years old

Intérêt de la rééducation accélérée après ligamentoplastie du LCA au tendon rotulien sous arthroscopie selon la technique de Kenneth Jones. À propos de 100 patients colligés au CHU Mustapha Pacha d’Alger

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