Factors Affecting Return to Sports After Anterior Cruciate Ligament Reconstruction in Young Athletes at A Tertiary Care Hospital in Pakistan

Shahid Munir; Wajahat  Maqbool; Shehryar  Wattoo; Ali  Raza; Hammad  Rafique; Ahmed Tariq  Malik

doi:10.51253/pafmj.v75i3.10601

Authors

Shahid Munir Department of Orthopaedic Surgery, Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Wajahat Maqbool Department of Orthopaedic Surgery, Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Shehryar Wattoo Department of Orthopaedic Surgery, Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Ali Raza Department of Orthopaedic Surgery, Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Hammad Rafique Department of Orthopaedic Surgery, Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Ahmed Tariq Malik Department of Orthopaedic Surgery, Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i3.10601

Keywords:

Anterior cruciate ligament reconstruction, Anterior drawer test, Pivot shift test, Sports.

Abstract

Objective: To look for the factors associated with return to sports after anterior cruciate ligament reconstruction in young athletes at a tertiary care hospital in Pakistan.

Study Design: Prospective longitudinal study.

Place and Duration of Study: Department of Orthopaedic Surgery, Combined Military Hospital, Lahore Pakistan from Jul 2020 to Jun 2023.

Methodology: We included all the young athletes who underwent anterior cruciate ligament reconstruction. Patients were followed for three months. The anterior drawer test and Pivot shift test were used to assess the study participants for ligamentization of the reconstructed anterior cruciate ligament. Relevant socio-demographic and clinical factors were associated with non-return to sports in patients at the end of three months.

Results: A total of 121 patients with ACL repair were recruited for this study. The mean age of the study participants was 28.20±6.73 years. After three months, 49(40.4%) patients did not return to sports, while 72(59.5%) did. Statistical analysis revealed that high body mass index, psychiatric morbidity, and not undergoing regular physiotherapy were statistically significantly associated with non-return to sports (p-value <0.005).

Conclusion: Non-return to sports was not an uncommon finding in our study participants at the end of three months. The presence of high body mass index, psychiatric morbidity, and not undergoing regular physiotherapy were the factors associated with non-return to sports in young athletes after anterior cruciate ligament reconstruction at the end of three months.

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