ArticleThe American journal of sports medicine2025
Sports Participation 25 Years After Anterior Cruciate Ligament Reconstruction: A Prospective Longitudinal Study Comparing Patients With Patellar Tendon and Hamstring Tendon Grafting to Uninjured Controls.
Article in The American journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApproximately 55% of individuals return to previous sports levels after anterior cruciate ligament (ACL) reconstruction (ACLR), but the duration of their sporting life post-ACLR and how this differs from uninjured sports participants is unknown. PURPOSE: To trace the 25-year trajectory of sports participation in individuals who have undergone ACLR and compare sporting activity between graft types and between ACLR individuals and uninjured controls. STUDY
designCohort study; Level of evidence, 3.
methodsA total of 62 individuals (44 males; mean age, 27 years) underwent ACLR (31 bone-patellar tendon-bone grafting, 31 semitendinosus/gracilis grafting). Sporting activity was assessed preinjury, at 6 and 25 years after surgery on a 6-point scale based on pivoting demands. A total of 30 uninjured individuals matched for age, sex, and sporting activity were assessed at equivalent time points. Pearson chi-square and Student
resultsIn total, 50 (81%) individuals (35 males) with ACLR and 20 (67%) uninjured controls were followed up after 25 years. Overall, 88% of the ACLR group were active in sports, 22% in vigorous pivoting sports. Three ACLR individuals had total knee replacements, 9 ruptured their contralateral ACL, and 8 ruptured their graft. There was no significant difference between graft types in sports level played presurgery (
conclusionInterestingly, after ACLR, patients were more engaged in sports than uninjured controls. Although the level of sports activity typically decreased over 25 years, findings highlight the potential for longevity in sports after an ACLR, irrespective of graft type.
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