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Failure to return to preinjury activity level after hamstring anterior cruciate ligament reconstruction: Factors involved and considerations in goal setting.

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  • معلومة اضافية
    • Author-Supplied Keywords:
      Anterior cruciate ligament reconstruction
      psychological factors
      return to play
      social factors
    • NAICS/Industry Codes:
      711219 Other Spectator Sports
    • Abstract:
      Background: Recent interest in the return to sports, following anterior cruciate ligament reconstruction, has focused on the influence of psychological factors. However, many factors contribute to this endpoint. This study aimed to investigate the ability of nonprofessional athletes to return alongside the reasons for failure. Materials and Methods: We retrospectively studied 101 postreconstruction patients with followup in excess of 12 months. All patients underwent hamstring autograft anterior cruciate reconstruction. The Cincinnati Sports Activity Scale was used to define activity level preinjury, postinjury, and postreconstruction. Structured questionnaires were used to identify factors in those who did not return to the same level. Results: Seventy percent of patients returned to their preinjury activity score. Of the 30% of patients who failed, age, reconstruction type, and associated pathology were unrelated. However, reconstruction within 6 months of injury resulted in increased return to preinjury score (P < 0.05). Failure was associated with continued knee symptoms (57%), lifestyle changes (27%), anxiety (27%), fear (23%), and other musculoskeletal problems (10%). Considerable interplay was found between these factors. Failure to return was associated with increased further surgery, but this was successful in only one-third of patients. Conclusion: Psychological factors are important (and may require targeted input), but return-to-sport is multifactorial. Ongoing symptoms may prompt further surgery, but this is frequently unsuccessful in achieving return. Patient-specific goals should be sought and revisited throughout the rehabilitation program. Acknowledging psychological barriers, in those aiming to return to the same level, may help achieve this goal. In other patients, success may be return to a desired lower level. Understanding the patient's expectations is important in goal setting. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Indian Journal of Orthopaedics is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Exeter Knee Reconstruction Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter
    • Full Text Word Count:
      4560
    • ISSN:
      0019-5413
    • Accession Number:
      10.4103/ortho.IJOrtho_186_18
    • Accession Number:
      139058905
  • Citations
    • ABNT:
      KOSY, J. et al. Failure to return to preinjury activity level after hamstring anterior cruciate ligament reconstruction: Factors involved and considerations in goal setting. Indian Journal of Orthopaedics, [s. l.], v. 53, n. 6, p. 714–720, 2019. DOI 10.4103/ortho.IJOrtho_186_18. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=139058905&custid=s8280428. Acesso em: 5 abr. 2020.
    • AMA:
      Kosy J, Phillips J, Edordu A, Pankhania R, Schranz P, Mandalia V. Failure to return to preinjury activity level after hamstring anterior cruciate ligament reconstruction: Factors involved and considerations in goal setting. Indian Journal of Orthopaedics. 2019;53(6):714-720. doi:10.4103/ortho.IJOrtho_186_18.
    • APA:
      Kosy, J., Phillips, J., Edordu, A., Pankhania, R., Schranz, P., & Mandalia, V. (2019). Failure to return to preinjury activity level after hamstring anterior cruciate ligament reconstruction: Factors involved and considerations in goal setting. Indian Journal of Orthopaedics, 53(6), 714–720. https://doi.org/10.4103/ortho.IJOrtho_186_18
    • Chicago/Turabian: Author-Date:
      Kosy, Jonathan, Jonathan Phillips, Adaeze Edordu, Rahul Pankhania, Peter Schranz, and Vipul Mandalia. 2019. “Failure to Return to Preinjury Activity Level after Hamstring Anterior Cruciate Ligament Reconstruction: Factors Involved and Considerations in Goal Setting.” Indian Journal of Orthopaedics 53 (6): 714–20. doi:10.4103/ortho.IJOrtho_186_18.
    • Harvard:
      Kosy, J. et al. (2019) ‘Failure to return to preinjury activity level after hamstring anterior cruciate ligament reconstruction: Factors involved and considerations in goal setting’, Indian Journal of Orthopaedics, 53(6), pp. 714–720. doi: 10.4103/ortho.IJOrtho_186_18.
    • Harvard: Australian:
      Kosy, J, Phillips, J, Edordu, A, Pankhania, R, Schranz, P & Mandalia, V 2019, ‘Failure to return to preinjury activity level after hamstring anterior cruciate ligament reconstruction: Factors involved and considerations in goal setting’, Indian Journal of Orthopaedics, vol. 53, no. 6, pp. 714–720, viewed 5 April 2020, .
    • MLA:
      Kosy, Jonathan, et al. “Failure to Return to Preinjury Activity Level after Hamstring Anterior Cruciate Ligament Reconstruction: Factors Involved and Considerations in Goal Setting.” Indian Journal of Orthopaedics, vol. 53, no. 6, Nov. 2019, pp. 714–720. EBSCOhost, doi:10.4103/ortho.IJOrtho_186_18.
    • Chicago/Turabian: Humanities:
      Kosy, Jonathan, Jonathan Phillips, Adaeze Edordu, Rahul Pankhania, Peter Schranz, and Vipul Mandalia. “Failure to Return to Preinjury Activity Level after Hamstring Anterior Cruciate Ligament Reconstruction: Factors Involved and Considerations in Goal Setting.” Indian Journal of Orthopaedics 53, no. 6 (November 2019): 714–20. doi:10.4103/ortho.IJOrtho_186_18.
    • Vancouver/ICMJE:
      Kosy J, Phillips J, Edordu A, Pankhania R, Schranz P, Mandalia V. Failure to return to preinjury activity level after hamstring anterior cruciate ligament reconstruction: Factors involved and considerations in goal setting. Indian Journal of Orthopaedics [Internet]. 2019 Nov [cited 2020 Apr 5];53(6):714–20. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=139058905&custid=s8280428