DETERMINANTS OF RETURN TO PLAY AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

To systematically review and meta-analyze the performance of return to play (RTP) and non-RTP patients in different assessment tools after anterior cruciate ligament reconstructions (ACLR). Out of 182 studies searched on PubMed, 11 presented RTP and non-RTP groups assessing the performance of young...

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Bibliographic Details
Published in:Acta ortopedica brasileira 2020-12, Vol.28 (6), p.303-310
Main Authors: Andrade, AndrÉ LuÍs Lugnani DE, Sardeli, Amanda Veiga, Livani, Bruno, Belangero, William Dias
Format: Article
Language:English
Subjects:
Anterior Cruciate Ligament Reconstruction
Arthroplasty
Knee
Original
ORTHOPEDICS
Sports
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Summary:To systematically review and meta-analyze the performance of return to play (RTP) and non-RTP patients in different assessment tools after anterior cruciate ligament reconstructions (ACLR). Out of 182 studies searched on PubMed, 11 presented RTP and non-RTP groups assessing the performance of young individuals, practitioners of different sports, with different tools. There was higher limb symmetry (7.13% [95%CI 4.55; 9.70], < 0.001), Tegner activity scale (2.41 [95%CI 0.18; 4.64], = 0.03), functional scores such as International Knee Documentation Committee (x7.44 [95%CI 4.69; 10.19], < 0.001), Knee Osteoarthritis Outcome score for quality of life (14.75 [95%CI 10.96; 18.54], < 0.001) and for sports/recreation (11.86 [95%CI 8.87; 14.86], < 0.001); and lower knee laxity (-0.25 mm [95%CI -0.36; -0.14], < 0.001) in RTP compared to non-RTP patients following ACLR. We confirmed that these different tools can differentiate RTP for non-RTP patients, which may contribute to the physician's decision about the ideal time for RTP.
ISSN:1413-7852
1809-4406
1809-4406
DOI:10.1590/1413-785220202806236114