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Advantages and Potential Consequences of Return to Sport After ACL Reconstruction: Quality of Life, Reinjury Rates, and Knee Osteoarthritis

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Book cover Return to Sport after ACL Reconstruction and Other Knee Operations

Abstract

The topic of return to sport (RTS) after anterior cruciate ligament (ACL) reconstruction has become the subject of increased scrutiny as a result of publications citing high reinjury rates upon return to high-risk sports postoperatively, as well as disappointing percentages of athletes who are able to RTS. Because the majority of patients who undergo ACL reconstruction are young athletes, the ability to return these individuals to their desired sports levels is paramount and is highly correlated with overall satisfaction and quality of life. This chapter discusses long-term data from ACL reconstruction studies, including reinjury rates and the factors that are most likely related to increased risk of developing arthritis. Reinjury rates (to the ACL in either knee) differ among studies, and it is unclear whether reinjuries are due to younger patient age or participation in high-risk activities per se; failure to restore normal neuromuscular indices (to both knees) may be one major source of this problem. The majority of ACL reconstruction studies show favorable results in terms of improved knee stability and function, and the rates of osteoarthritis (OA) vary widely. Whether RTS after ACL reconstruction correlates with eventual symptomatic OA is unknown at present.

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  1. Cincinnati Sports Medicine and Orthopaedic Center, The Noyes Knee Institute, Cincinnati, OH, USA

    Frank R. Noyes

  2. Noyes Knee Institute, Cincinnati, OH, USA

    Sue Barber-Westin

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  1. Professor of Orthopaedic Surgery, Emeritus, University of Cincinnati, College of Medicine, Noyes Knee Institute, Cincinnati, OH, USA

    Frank R. Noyes

  2. Noyes Knee Institute, Cincinnati, OH, USA

    Sue Barber-Westin

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Noyes, F.R., Barber-Westin, S. (2019). Advantages and Potential Consequences of Return to Sport After ACL Reconstruction: Quality of Life, Reinjury Rates, and Knee Osteoarthritis. In: Noyes, F., Barber-Westin, S. (eds) Return to Sport after ACL Reconstruction and Other Knee Operations. Springer, Cham. https://doi.org/10.1007/978-3-030-22361-8_1

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