营养科学研究杂志

抽象的

Return to Sports and Functional Outcome after Primary Anterior Cruciate Ligament Reconstruction in Jamaica

Wayne Palmer, Ayana Crichlow and Akshai Mansingh

Objective: The aim of this study was to assess the function and number of patients who returned to sports after undergoing primary anterior cruciate ligament reconstruction. Methods: The study consisted of two arms, a retrospective and a prospective arm. For the retrospective arm, the medical records of patients who underwent primary anterior cruciate ligament reconstruction between January 1, 2005 and December 31, 2010 were reviewed. For the prospective arm: patients seen between January 1st, 2011 and December 31st, 2011 were reviewed. The subjects were then contacted and evaluated by the Tegner-Lysholm Score, the International Knee Documentation Committee (IKDC) score, clinical knee examination and KT-1000 arthrometer. The patient’s ability to return to sports was documented. The data was analyzed using EXCEL 2008 and SPSS version 20 for Mac. Results: Seventy three (73) patients were identified, of which 46 were included in the study. Thirty two (32) patients participated in competitive sports. Majority of the patients were males (32/46), average age was 27 years (range 16 -51) at the time of surgery. All patients underwent single bundle arthroscopic-assisted anterior cruciate ligament reconstruction with ipsilateral patella bone-tendon bone autograft. After surgery 36 (78%) patients returned to sports. The majority of patients had good knee-impairment function. Patients took approximately 9 months (range 2-19) to return to sports. 24 (66%) patients returned to their pre-injury level and 12 (34%) patients returned to a lower level. Ten (10) patients did not return to sports. Fear of re-injury was the most common reason. Conclusion: Despite good short and long-term knee outcome scores, athletes were still fearful of re-injury and this prevented them from returning to their previous level of sports.