Return to sport activity after Anterior Cruciate Ligament Reconstruction: A 10-6 years follow up

BackhroundsBackground: Now ACL reconstruction surgery is widely accepted in patients, but itsproblems and consequences over the years, especially in athletes, are still being examined.Therefore, the aim of this study was to investigate the long-term effects of ACL regenerationin athletes.MethodsMethod: A total of 426 patients with ACL damage were studied during the years -20122008. In addition to investigation of the chondral lesion, osteoarthritis and meniscus tearother factors like sex, age, BMI, level of sport activity, pain and type of graft was evaluatedin patients and the effect of these factors on the return to sport was also investigated inathletes. In patients within the first 2 years after ACL-R and last follow up Lachman test,ACL-QOL, KOOS score, IKDC and LKS was measured. In this study, the risk of ACL rupture onthe opposite knee and same side was also investigated.ResultsResult: During 2 years and last follow-up in patient’s knee stability) according to Lachmantest and KT1000-), knee function (according to KOOS score، IKDC، LKS) and quality of life(according to ACL-QOL) improved. Overall, rate of return to sport similar to pre injury inthe last follow up was %64.08 and among the variables mentioned in the return to sport,chondral lesion was a limiting factor that caused a lack of return to sport similar to preinjuryin %80 of patients. While more than %60 of the patients with meniscus tear could returnto sport similar to preinjury. Also, the rate of return to sport similar to preinjury was higherin men, people under 30 and BMI 25-20. The risk of ACL rupture in the last follow was also%4.22 on the same knee and %10.57 on the other knee. ConclusionsConclusions: Despite the improvement of patients after ACL-R during long-term follow-upin athletes, chondral lesion reduces the return to sport while this item does not apply tomeniscus tears