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Cited by 1,465Knee injuries and reconstruction techniquesSports injuries and preventionFoot and Ankle Surgery

Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors

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Ardern, Clare L, Taylor, Nicholas F, Feller, Julian A, Webster, Kate E·2014·British Journal of Sports Medicine
DOI 10.1136/bjsports-2013-093398
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Abstract

Background: The aim of this study was to update our original systematic review of return to sport rates following anterior cruciate ligament (ACL) reconstruction surgery. Method: Electronic databases were searched from April 2010 to November 2013 for articles reporting the number of patients returning to sport following ACL reconstruction surgery. Return to sport rates, physical functioning and contextual data were extracted and combined using random-effects meta-analyses. Data from the original review (articles published up to April 2010) were combined with data from the updated search. Results: Sixty-nine articles, reporting on 7556 participants, were reviewed. On average, 81% of people returned to any sport, 65% returned to their preinjury level of sport and 55% returned to competitive level sport after surgery. Symmetrical hopping performance (d=0.3) and the contextual factors of younger age (d=−0.3), male gender (OR=1.4), playing elite sport (OR=2.5) and having a positive psychological response (d=0.3) favoured returning to the preinjury level sport. Receiving a hamstring tendon autograft favoured returning to competitive level sport (OR=2.4), whereas receiving a patellar tendon autograft favoured returning to the preinjury level sport (OR=1.2). Conclusions: Returning to sport varied according to different physical functioning and contextual factors, which could warrant additional emphasis in postoperative rehabilitation programmes to maximise participation.

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Crossref · 10.1136/bjsports-2013-093398

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  • ACL injury results in only 65% of individuals returning to their preinjury level of sport, with men 1.7 times more likely than women to do so.

    “ACL injury results in only 65% of individuals returning to their preinjury level of sport, with men 1.7 times more likely than women to do so.4”

    From Anterior cruciate ligament injury: towards a gendered environmental approach (2021) · cites this paper as [4]

    The Participation section reports that 65% returned to their preinjury level of sport, but this rate is for people following ACL reconstruction surgery, not ACL injury generally. The Person-related factors and Gender differences sections report an odds ratio of 1.4 for men versus women returning to their preinjury level; 1.7 applies to returning to competitive sport instead. (LLM, conf=0.92)

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  • Boys and men return to sport more quickly than girls and women after ACL injury.

    “Boys and men return to sport more quickly than girls and women after ACL injury, 4”

    From Anterior cruciate ligament injury: towards a gendered environmental approach (2021) · cites this paper as [4]

    The Person-related factors section reports that men had greater odds than women of returning to their preinjury or competitive level of sport after ACL reconstruction. It does not establish that they returned more quickly. The claim also extends the finding to boys and girls and to ACL injury generally, whereas the review concerns return after reconstruction surgery. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 5

  1. [1]1. Review on July 10, 2023 by guest. Protected by copyright. http://bjsm.bmj.com/ Br J Sports Med: first published as 10.1136/bjsports-2013-093398 on 25 August 2014. Downloaded from Review on July 10, 2023 by guest. Protected by copyright. http://bjsm.bmj.com/ Br J Sports Med: first published as 10.1136/bjsports-2013-093398 on 25 August 2014. Downloaded from REFERENCES
  2. [11]11. Khan K, ter Riet G, Popay J, et al. Conducting the review: study quality assessment. Undertaking systematic reviews of research on effectiveness: CRD's guidance for those carrying out or commissioning reviews Centre for Reviews and Dissemination, 2001.
  3. [31]31. Roos H, Ornell M, Gardsell P, et al. Soccer after anterior cruciate ligament injury: an incompatible combination? Acta Orthop Scand 1995;66:107-12.
  4. [50]50. Kondric M, Sindik J, Furjan-Mandic G, et al. Participation motivation and students' physical activity among sports students in three countries. J Sports Sci Med 2013;12:10-18.
  5. [52]52. Aglietti P, Giron F, Buzzi R, et al. Anterior cruciate ligament reconstruction: bone-patellar tendon-bone compared with double semitendinosus and gracilis tendon grafts-a prospective, randomized clinical trial. J Bone Joint Surg Am 2004;86:2143-55.

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Authors
Ardern, C. L., Taylor, N. F., Feller, J. A., & Webster, K. E.
Affiliations
La Trobe University (AU)
Corresponding author
Ardern, Clare L
ORCID
Venue
British Journal of Sports Medicine
Publisher
BMJ
Published
2014-08-25
Volume
48
Issue
21
Pages
1543-1552
ISSN
  • 0306-3674 (ISSN-L)
  • 1473-0480
DOI
10.1136/bjsports-2013-093398
OpenAlex
W2171531653
Semantic Scholar
76ad1877643057b321f7b50da229fbe7c69a1424
Cited by
1,465
References
65
Citations by year
2026: 141 · 2025: 202 · 2024: 182 · 2023: 148 · 2022: 139 · 2021: 149 · 2020: 131 · 2019: 121 · 2018: 79 · 2017: 77 · 2016: 58 · 2015: 32 · 2014: 4
FWCI
10.76
Type
journal article
Language
en
Open access
Locations
  • British Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
  • HighWire Press Open Archive (submittedVersion)
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, return to sport, competitive sports, physical function, hamstring tendon graft, patellar tendon autograft, contextual factors, postoperative rehabilitation, psychological reactions
MeSH terms
Anterior Cruciate Ligament Injuries, Athletic Injuries, Female, Humans, Male, Sex Factors, Tendons, Recovery of Function, Anterior Cruciate Ligament Reconstruction

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