- 作者：David C. Flanigan ; Joshua S. Everhart ; Angela Pedroza ; Tyler Smith ; Christopher C. Kaeding
- 刊名：Arthroscopy: The Journal of Arthroscopic & Related Surgery
- 出版年：2013
- 出版时间：August, 2013
- 年：2013
- 卷：29
- 期：8
- 页码：1322-1329
- 全文大小：248 K
class=""h4"">Purpose
Our purpose was to determine patient-cited reasons for lack of return to sport after anterior cruciate ligament reconstruction.class=""h4"">Methods
All patients who underwent primary or revision anterior cruciate ligament reconstruction by 2 surgeons from 2007 to 2008 (N?= 171) were contacted for a telephone interview. Patients who did not return to preinjury levels by self-assessment were then asked to cite contributing factors from a predetermined list. These included non-knee-related life events, persistent knee symptoms, fear of reinjury (kinesiophobia), and choice-related options (such as lack of interest or time).
class=""h4"">Results
Of the 135 patients who completed the interview, 62 (46 % ) reported a return to preinjury activity levels (returners) whereas 73 (54 % ) did not (non-returners). Returners (26.4 ¡À 10.9 years) were younger than non-returners (30.0 ¡À 9.8 years) (P?= .04). Persistent knee symptoms (68 % ) and kinesiophobia (52 % ) were more commonly cited as reasons for not returning to sport than non-knee-related life events (29 % ), including children, job/education, or health problems (P < .001 for symptoms and P?= .004 for kinesiophobia). Among non-returners who cited knee symptoms, 50 % concurrently cited kinesiophobia and 24 % cited life events.
class=""h4"">Conclusions
A lack of return to preinjury activity levels is common after anterior cruciate ligament reconstruction. A majority of patients who do not return to their preinjury activities cite persistent knee symptoms, particularly pain, as a contributing factor, and only a minority of patients cite job and family demands or a lack of interest. Finally, fear of reinjury was cited by half of the patients who did not return to sport.
class=""h4"">Level of Evidence
Level III, retrospective comparative study.