Return to sports following arthroscopic primary repair of the anterior cruciate ligament in the adult population.

Overview

BACKGROUND: To assess return to sport (RTS) rates and evaluate the timeline of rehabilitation milestones following arthroscopic primary anterior cruciate ligament (ACL) repair. METHODS: A retrospective review of all patients treated with primary repair between 2008 and 2018 was conducted. All adult patients with preoperative Tegner of ≥6 and minimum follow-up of two years were included. Patients were seen in clinic or contacted to complete the postoperative Tegner, and report their time to return to work, time to running, and time to RTS. Additionally, they were asked to complete the ACL-Return to Sport After Injury (ACL-RSI). Outcomes were compared using Mann-Whitney U tests and chi-square tests. RESULTS: Sixty patients treated with repair were included, of which 85% returned to any sports, 70% returned to knee-strenuous sports, and 60% returned to preinjury level. Patients returned to work in seven days (IQR five to 14 days), running in 90 days (IQR 57-120 days), and sports in 180 days (IQR 116-270 days). Overall, ACL-RSI score was 80.0 (IQR 53.0-95.0). Higher return to preinjury rates was found in patients with older age and lower fear of reinjury (all p < .05). CONCLUSION: Following primary ACL repair, 70% of adult patients returned to knee-strenuous sports and 60% to preinjury levels by 180 days postoperatively. Positive predictors for return to preinjury levels included older age and low fear of reinjury. LEVEL OF EVIDENCE: Retrospective Case-Series, level IV.