NCT04129827

Meniscal Lesions in Return to Sport After Anterior Cruciate Ligament Reconstruction

Retrospective Cohort Study on How Meniscal Lesions Affect Return to Sport After Anterior Cruciate Ligament Reconstruction in Young Non-professional Athletes

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 20 (actual)
• Sponsor: University of Bari · Academic / Other
• Sex: All
• Age: 18 Years – 35 Years
• Healthy volunteers: Accepted

Summary

Most athletes who undergo Anterior Cruciate Ligament Reconstruction (ACLR) plan to return to some level of sporting (RTS) activity. However, rates of return to pre-injury sport are often less than might be expected and many factors influence whether individuals return to sport after this surgery. This study aims to better understand the role of meniscal lesions in RTS and to assess the advantage of the integrated evaluation with clinical, biomechanical and psychological tests to decide the correct RTS timing in non-professional athletes undergoing ACLR.

Detailed description

Twenty non-professional athletes with acute ACL injury were recruited in the Orthopaedic and Trauma Unit of University Hospital of Bari. All the patients underwent an all-inside semitendinosus (ST) tendon autograft ACLR with Arthrex TightRope cortical fixation. The clinical outcomes (modified Cincinnati Rating System Questionnaire (mCRSQ), Tegner Activity Level Score (TALS), Tegner Lysholm Knee Scoring Scale (TLKSS)), the self-reported psychological scores (Tampa Scale of Kinesiophobia (TSK) and the ACL Return to Sport after Injury (ACL-RSI) score) and biomechanical outcomes (stability, jump, coordination and fatigue tests) were assessed postoperatively at 18 months.

Conditions

• ACL Injury
• Meniscus Lesion
• Sport Injury

Interventions

Type	Name	Description
OTHER	Clinical, self-reported psychological and biomechanical assessments	1. medical check up * active and passive Range Of Motion (ROM) * anterior drawer test * knee's alignment * modified cincinnati rating system questionnaire (mCRSQ) * tegner lysholm knee scoring scale (TLKS) * Tegner Activity Level Score (TALS) 2. self-reported psychological questionnaires * Tampa Scale of Kinesiophobia (TSK) * ACL Return to Sport after Injury (ACL-RSI) score 3. biomechanical tests * Stability test: to balance on one/two legs on a free to move disc for 30s * Jump test: i) a maximize jump with both legs; ii) a maximize jump with only one leg; three consecutive jumps; iv) jump coordination path where the patient had to perform a forward-backward-forward jump and a sideway jump on one leg * Coordination test: a square hurdle was used for the quick test, where the patient had to step in and out with both feet for a total of 15-rep as quickly as possible * fatigue test: to rise and sit from a chair for 30-rep as quickly and safely as possible

Timeline

• Start date: 2018-07-01
• Primary completion: 2018-12-21
• Completion: 2019-12-31
• First posted: 2019-10-17
• Last updated: 2021-10-08

Locations

1 site across 1 country: Italy