Cited by 15Knee injuries and reconstruction techniquesSports injuries and preventionFoot and Ankle Surgery

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Greater self-efficacy, psychological readiness and return to sport amongst paediatric patients compared with adolescents and young adults, 8 and 12 months after ACL reconstruction

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Thorolfsson, Baldur, Piussi, Ramana, Snaebjornsson, Thorkell, Karlsson, Jon, Samuelsson, Kristian, Beischer, Susanne, Thomeé, Roland, Hamrin Senorski, Eric·2023·Knee Surgery, Sports Traumatology, Arthroscopy

Abstract

Purpose: The purpose of this study was to evaluate differences in rehabilitation‐specific outcomes between paediatric patients, adolescents and young adults within the first 2 years after anterior cruciate ligament (ACL) reconstruction. A further aim was to determine whether patient age was associated with an increased risk of not achieving symmetrical muscle function within the first 2 years after ACL reconstruction. Methods: The patient data in the present study were extracted from the rehabilitation outcome registry, Project ACL. Patients aged 11–25 years registered for primary ACL reconstruction with a hamstring tendon autograft between April 1, 2013 and November 23, 2020 were included. A total of 691 patients met the inclusion criteria and were included in the study; 41 paediatric patients (females 11–13, males 11–15 years), 347 adolescents (females 14–19, males 16–19 years) and 303 young adults (females 20–25, males 20–25 years). Results: The comparison between groups revealed that 70% of paediatric patients, 39% of adolescents and 35% of young adults had returned to knee‐strenuous sport at 8 months and that 90% of paediatric patients, 71% of adolescents and 62% of young adults had returned to sport at 12 months. Paediatric patients also reported higher scores compared with both the other patient groups on the Knee Self‐Efficacy Scale (K‐SES) and the Anterior Cruciate Ligament Return to Sport after Injury scale (ACL‐RSI) at 8 and 12 months. Conclusions: A larger proportion of paediatric patients had returned to sport compared with adolescents and young adults 8 and 12 months after ACL reconstruction. Paediatric patients also reported higher self‐efficacy and greater psychological readiness to return to sport at 8 and 12 months than the other two groups. No differences in terms of muscle function tests when comparing paediatric patients, adolescents and young adults were found. Level of evidence: II.

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  • Thorolfsson et al. (2023) reported a mean ACL-RSI score of 71 in a group of 347 adolescents with a mean age of 17.1 years at a similar post-operative timepoint.

    “This trend is corroborated by the work of Thorolfsson et al. (2023) who reported a mean ACL-RSI score of 71 in a group of 347 adolescents with a mean age of 17.1 years at a similar post-operative timepoint (Thorolfsson et al., 2023).”

    From The relationship between psychological readiness to return to sport and kinesiophobia in teens and young adults after anterior cruciate ligament reconstruction (2025) · cites this paper as Thorolfsson et al., 2023

    Table 2 (Results; page not provided) identifies 347 adolescents with a mean age of 17.1 years. Table 4 (Results, Patient-reported outcome measurements; page not provided) reports a mean ACL-RSI score of 71.0 at eight months, but only 243 adolescents contributed ACL-RSI scores at that follow-up, not all 347. (LLM, conf=0.88)

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Research works printed but not linked: 32

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Metadata

Authors
Thorolfsson, B., Piussi, R., Snaebjornsson, T., Karlsson, J., Samuelsson, K., Beischer, S., Thomeé, R., & Hamrin Senorski, E.
Affiliations
  • Department of Orthopaedics Sahlgrenska University Hospital Gothenburg Sweden
  • Sahlgrenska University Hospital (SE)
  • University of Gothenburg (SE)
  • Department of Health and Rehabilitation Institute of Neuroscience and Physiology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden
Venue
Knee Surgery, Sports Traumatology, Arthroscopy
Publisher
Wiley
Published
2023-10-20
Volume
31
Issue
12
Pages
5629-5640
ISSN
  • 0942-2056 (ISSN-L)
  • 1433-7347
OpenAlex
W4387798113
Cited by
15
References
0
Citations by year
2026: 4 · 2025: 7 · 2024: 4
FWCI
3.37
Type
journal article
Language
en
Open access
Locations
  • Knee Surgery Sports Traumatology Arthroscopy (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • University of Gothenburg
  • Göteborgs Universitet
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
Keywords
anterior cruciate ligament reconstruction, adolescents, young adults, return to sport, self-efficacy, psychological readiness, hamstring tendon graft
MeSH terms
Return to Sport, Anterior Cruciate Ligament Injuries, Adolescent, Child, Female, Humans, Knee Joint, Male, Anterior Cruciate Ligament, Self Efficacy, Young Adult

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