RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION

V. H. Pinheiro; M. Jones; K. Borque; G. Balendra; N. White; S. Ball; A. Williams

doi:10.1302/1358-992X.2022.7.080

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RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION

The British Association for Surgery of the Knee (BASK) May 2022 Meeting, Newport, Wales, 17–18 May 2022.

V. H. Pinheiro
M. Jones
K. Borque
G. Balendra
N. White
S. Ball
A. Williams

RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION

Pinheiro VH, Jones M, Borque K, et al. RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION. Orthop Procs. 2022;104-B(SUPP_7):80-80. doi:10.1302/1358-992X.2022.7.080

Pinheiro, V. H., et al. “RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION.” Orthopaedic Proceedings, vol. 104-B, no. SUPP_7, 2022, pp. 80-80., https://doi.org/10.1302/1358-992X.2022.7.080

Pinheiro, V. H., Jones, M., Borque, K., Balendra, G., White, N., Ball, S., & Williams, A. (2022). RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION. Orthopaedic Proceedings, 104-B(SUPP_7), 80-80. https://doi.org/10.1302/1358-992X.2022.7.080

Pinheiro, V. H., Jones, M., Borque, K., Balendra, G., White, N., Ball, S. et al. (2022) “RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION.” Orthopaedic Proceedings, 104-B(SUPP_7), pp. 80-80. Available at: https://doi.org/10.1302/1358-992X.2022.7.080

Pinheiro, V. H., M. Jones, K. Borque, G. Balendra, N. White, S. Ball, and A. Williams. “RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION.” Orthopaedic Proceedings 104-B, no. SUPP_7 (2022): 80-80. https://doi.org/10.1302/1358-992X.2022.7.080

Pinheiro VH, Jones M, Borque K, Balendra G, White N, Ball S, et al. RATES AND LEVELS OF ELITE SPORT PARTICIPATION AT FIVE YEARS AFTER REVISION ACL RECONSTRUCTION. Orthop Procs. 2022 Jul 1;104-B(SUPP_7):80-80. https://doi.org/10.1302/1358-992X.2022.7.080

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Abstract

Introduction

Elite athletes sustaining a graft re-rupture after ACL reconstruction (ACL-R) undergo revision reconstruction to enable their return to elite sport. The aim of this study was to determine the rate of return to play (RTP) and competition levels at 2 and 5 years post revision ACL-R.

Methodology

A consecutive series of revision ACL-R in elite athletes undertaken by the senior author between 2009 and 2019 was retrospectively reviewed. Outcome measures were RTP rates and competition level.

Results

Forty-nine athletes underwent revision ACL-R and were included. 87.8% returned to elite sport of which 75.5% were at the same level. At 2 years post-surgery, 79.6% were still playing, 51% at the same level; and at 5 years 44.4% were still playing, 20% at the same level. Athletes with > 50% thickness chondral lesions were less likely to RTP (66.7% vs 94.6%, p = 0.026) and maintain the same competition level (50% vs 83.8%, p = 0.047). Those with medial meniscus pathology were less likely to RTP at the pre-injury level (64.5% vs 94.4%, p = 0.036). Median career length after revision ACL-R was 73 months (95% CI, 43.4 to 102.6), 23 months at the same level (95% CI, 13.6 to 32.4). The probability of still playing at 5 years post-surgery was 55.9% with 22.5% chance of maintaining pre-injury competition level.

Conclusion

RTP rates and competition level of elite athletes decreased over time after revision ACL-R. Chondral pathology of > 50% thickness were associated with lower RTP rates and competition levels.