在初级ACL重建时的侧侧额外关节形增加了职业橄球运动员的职业生涯长度
Kyle Borque1, Dylan Ngo2, Mitzi Laughlin2
1Department of Orthopaedic Surgery, Houston Methodist Hospital, Houston, Texas, USA.
概括
在前十字带重建 (ACL-R) 过程中,年轻的年龄和侧部外关节形 (LET) 预测了职业橄球运动员的更长的职业生涯. LET显著增加了职业生涯的长寿,在5年内为职业球员提供18%的机会.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 前十字带 (ACL) 的伤害在职业橄球中很常见.
- 重建 (ACL-R) 是一种标准的治疗方法,但影响游戏回归 (RTP) 和职业生涯长寿的因素需要进一步调查.
- 了解这些因素对于优化运动员的职业生涯和回归运动协议至关重要.
研究的目的:
- 为了评估手术前和手术变量对RTP率和职业生涯持续时间的影响,在职业橄球运动员中进行初级ACL重建后.
- 确定成功回归职业橄球和ACL-R后持续参与的预测因素.
主要方法:
- 在2005-2019年间对118名职业橄球运动员 (125名ACL-R) 的回顾性评估.
- 纳入标准:受伤时的职业合同,至少2年后续.
- 单变量和多变量分析,包括Cox比例危险模型,以确定RTP和职业寿命的预测因素.
主要成果:
- 92% (115/125) 的运动员在平均9.6个月后回到职业橄球.
- 在ACL-R之后,职业生涯的平均持续时间为5.9年.
- 年龄较小 (p=0.006) 和并发的侧侧外关节形 (LET) (p=0.013) 预测了更长的职业生涯.
- 与单独使用ACL-R相比,LET显著增加了职业寿命 (HR=2.74,p=0.021).
- 没有任何因素显著预测RTP速率或时间.
结论:
- 在职业橄球运动员的初级ACL-R期间同时发生的LET,以及年轻的年龄,与职业生涯寿命的增加有关.
- 与LET一起接受ACL-R的运动员在5年内保持职业活动的可能性比单独接受ACL-R的运动员高18%.
- 在精英橄球运动员中,LET可能是ACL-R的一个有价值的辅助工具,以提高精英橄球运动员的长期职业可持续性.
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