In the Journals

Risk of revision ACL reconstruction higher in adolescent soccer players

Participation in soccer and an age between 13 and 19 years was linked with an elevated rate of revision ACL reconstruction, according to recently published study data.

Researchers culled data from the Swedish National Knee Ligament Register for 16,930 patients who underwent primary ACL reconstruction with hamstring tendon or bone-patellar tendon-bone autografts between January 2005 and December 2013. Follow-up ended at 24 months, at ACL revision or by Dec. 31, 2013 — whichever occurred first. Variables evaluated included patient health and demographic data, as well as history of tobacco use and activity at time of injury. The study’s primary endpoint was occurrence of revision surgery.

The overall rate of ACL revision at 2 years’ follow-up was 1.82%. A significantly elevated risk of revision surgery was observed in both boys and girls who participated in soccer (1.58 and 1.43, respectively) and who were between the ages of 13 and 19 years (2.67 and 2.25, respectively), according to the researchers.

This risk was found to be even higher among the patients who exhibited both of these characteristics (2.87 and 2.59, respectively). – by Christian Ingram

Disclosures: The authors report no relevant financial disclosures.

Participation in soccer and an age between 13 and 19 years was linked with an elevated rate of revision ACL reconstruction, according to recently published study data.

Researchers culled data from the Swedish National Knee Ligament Register for 16,930 patients who underwent primary ACL reconstruction with hamstring tendon or bone-patellar tendon-bone autografts between January 2005 and December 2013. Follow-up ended at 24 months, at ACL revision or by Dec. 31, 2013 — whichever occurred first. Variables evaluated included patient health and demographic data, as well as history of tobacco use and activity at time of injury. The study’s primary endpoint was occurrence of revision surgery.

The overall rate of ACL revision at 2 years’ follow-up was 1.82%. A significantly elevated risk of revision surgery was observed in both boys and girls who participated in soccer (1.58 and 1.43, respectively) and who were between the ages of 13 and 19 years (2.67 and 2.25, respectively), according to the researchers.

This risk was found to be even higher among the patients who exhibited both of these characteristics (2.87 and 2.59, respectively). – by Christian Ingram

Disclosures: The authors report no relevant financial disclosures.