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Exploring influences and risk of bias of studies on return to sport and work after lateral ankle sprain:A systematic review and metaanalysis

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World Journal of Meta-Analysis 2024年第1期12卷 11-25页

作者： Priscilla A Maria Gwendolyn Vuurberg Gino MMJ Kerkhoffs Department of Orthopaedic Surgery and sports Medicine Amsterdam UMC-Location AMCAmsterdam 1105 AZNetherlands Amsterdam Movement Sciences Amsterdam UMCAmsterdam 1105 AZNetherlands Amsterdam Collaboration on Health and Safety in sports Amsterdam UMCAmsterdam 1105 AZNetherlands Academic Center for Evidencebased sports medicine Amsterdam UMCAmsterdam 1105 AZNetherlands Faculty of Medicine University of AmsterdamAmsterdam 1105 AZNetherlands Department of Radiology and Nuclear Medicine Rijnstate ArnhemArnhem 6815ADNetherlands Department of Radiology and Nuclear Medicine Amsterdam UMCAmsterdam 1105 AZNetherlands Faculty of Medicine University of AmsterdamAmsterdam1105 AZNetherlands

BACKGROUND Lateral ankle sprains are the most common traumatic musculoskeletal injuries of the lower extremity,with an incidence rate of 15%-20%.The high incidence and prevalence highlights the economic impact of this *** sprains lead to a high socioeconomic burden due to the combination of the high injury incidence and high medical *** to 40%of patients who suffer from an ankle sprain develop chronic ankle *** instability can lead to prolonged periods of pain,immobility and injury *** of factors that influence return to work(RTW)and return to sports(RTS)after a lateral ankle sprain(LAS)may help seriously reduce healthcare *** To explore which factors may potentially affect RTW and RTS after sustaining an *** EMBASE and PubMed were systematically searched for relevant studies published until June *** criteria were as follows:(1)Injury including LAS or chronic ankle instability;(2)Described any form of treatment;(3)Assessment of RTW or RTS;(4)Studies published in English;and(5)Study designs including randomized controlled clinical trials,clinical trials or cohort *** criteria were:(1)Studies involving children(age<16 year);or(2)Patients with concomitant ankle injury besides lateral ankle ligament damage.A quality assessment was performed for each of the included studies using established risk of bias *** quality of evidence was assessed using the GRADEpro tool in cases where outcomes were included in the quantitative analysis.A best evidence synthesis was performed in cases of qualitative outcome *** all studied outcomes suitable for quantitative analysis a forest plot was created to calculate the effect on RTW and *** A total of 8904 patients were included in 21 studies,10 randomized controlled trials,7 retrospective cohort studies and 4 prospective cohort *** studies were eligible for *** overall RTS rate ranged wer

关键词： Ankle sprain Prognostic factors Bias return to work return to sport Preoperative motivation

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Revision anterior cruciate ligament reconstruction:return to sports at a minimum 5-year follow-up

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World Journal of Orthopedics 2022年第9期13卷 812-824页

作者： Ezequiel Ortiz Juan Pablo Zicaro Ignacio Garcia Mansilla Carlos Yacuzzi Matias Costa-Paz Knee Division Hospital Italiano de Buenos AiresCiudad Autónoma 1181Buenos AiresArgentina

BACKGROUND Between 43%and 75%of patients who undergo primary anterior cruciate ligament(ACL)surgery return to sport ***,after a revision ACL reconstruction(ACLR)the rate of return to sports is variable.A few publications have reported returns to sports incidence between 56%to 100%after revision *** To determine return to sports and functional outcomes after a single-stage revision ACLR with a 5-year minimum follow-up at a single *** All patients operated between 2010 and 2016 with a minimum 5 years of followup were *** of sport,intensity,frequency,expectation,time to return to sport and failure rate were ***,Tegner and International Knee Documentation Committee forms were evaluated prior to the first ACLR surgery,at 6 mo after primary surgery and after revision ACLR at 5 years minimum of *** stability was tested with the knee arthrometer test(KT-1000 knee arthrometer,Medmetric Corp).RESULTS A total of 41 patients who underwent revision ACLR during that period of time were contacted and available for *** patient age at time of revision was 29 years old[interquartile range(IQR):24.0-36.0],and 39(95.0%)were *** median time from revision procedure to follow-up was 70 mo(IQR:58.0-81.0).Regarding return to sports,16(39.0%)were at the same level compared to preinjury period,and 25 patients(61.0%)returned at a lower ***-three percent categorized the sport as very important and 37.0%as *** patient(2.4%)failed with a recurrent ACL *** preoperative Lysholm and(SD)16]and 50(SD 11),*** follow-up,mean Lysholm and subjective International Knee Documentation Committee scores were 89(SD 8)and 82(SD 9)(P=0.0001).Mean Tegner score prior to primary ACLR was 6.7(SD 1.3),5.1(1.5 SD)prior to revision ACLR and 5.6(1.6 SD)at follow-up(P=0.0002).Overall,knee arthrometer test measurement showed an average of 6 mm(IQR:4.0-6.0)side-to-side difference of displacement pri

关键词： return to sport Revision anterior cruciate ligament Arthroscopy Knee Functional outcome

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Impact of Surgical Treatment of Patella Tendon Rupture Regarding return to sports in Yaounde

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Open Journal of Orthopedics 2022年第5期12卷 225-235页

作者： Olivier K. Muluem Loic Fonkoue Ngo Yamben Marie-Ange Sylvain N. Vofo Mohamadou E. Guemse Gael Dongmo Koufagued Kaldadak Daniel Handy Jean Bahebeck Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Yaounde General Hospital Yaounde Cameroon National Centre for the Rehabilitation of Patients with Disabilities Yaounde Cameroon Yaounde Military Hospital YaoundeCameroon

Introduction: Patella tendon rupture (PTR) is a cause of handicap in athletic patients. Surgery remains the actual therapeutic modality with a variety of techniques that permits a return to sport. Our objective was to evaluate the return to sporting activities after surgical repair of a PTR. Method: We conducted a retrospective cohort study over five years from January 2016 to April 2021. We included athletes from 18 to 65 years of operating for a PTR. We evaluated: the knee functional score, the level of satisfaction, Lysholm score, VISA-P questionnaire, and return to sports. Results: A total of twenty-one cases of PTR were identified. The median age was 36 years (18 - 63). After surgery, the median follow-up was 17 months (12 - 55). All patients were able to walk at 3 months. A total of 17 patients (85%) returned to sports. The median return to sports was 6 months (5 - 11). Patients who return to a similar sport with a similar initial level of sporting activity were 45% (9 patients). The median time to return to sports for patients at a similar level of sport was 7.5 months (6 - 13). Functional scores were satisfactory;with a VISA-P score of 90/100 (25 - 100) and a Lysholm score of 98/100 (40 - 100). Conclusion: Surgical repair of PTR in athletes offers good results regarding return to sports in terms of proportion and timing whatsoever the technique. The use of protection band wires is reserved for patients with relative satisfaction during suture repair.

关键词： Athletes return to sport Patella Tendon Surgical Treatment Protection Band Wire

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