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Return to Sport and Performance After Microfracture in the Knees of National Basketball Association Players.

Harris JD, Walton DM, Erickson BJ, Verma NN, Abrams GD, Bush-Joseph CA, Bach BR, Cole BJ - Orthop J Sports Med (2013)

Bottom Line: RTS and performance were analyzed and compared between cases and controls.Student t tests were performed for analysis of within- and between-group variables.Time to RTS in NBA was 9.20 ± 4.88 months.

View Article: PubMed Central - PubMed

Affiliation: Houston Methodist Center for Orthopaedics & Sports Medicine, Houston, Texas, USA. ; Rush University Medical Center, Chicago, Illinois, USA.

ABSTRACT

Background: Use of microfracture in the knees of National Basketball Association (NBA) players is controversial.

Hypotheses: (1) There would be a high rate of return to sport (RTS) in NBA players following microfracture, (2) players would RTS the season following surgery, (3) preoperative player performance would not be significantly different on RTS, and (4) there would be no significant difference in RTS rate or postoperative performance in players undergoing microfracture in comparison with an age-, position-, NBA experience-, and performance-matched control group.

Study design: Cohort study; Level of evidence, 3.

Methods: NBA players undergoing microfracture were evaluated. Age-, body mass index-, position-, NBA experience-, and performance-matched controls were selected from the NBA during the same years as those undergoing microfracture. An index year was selected (controls) to match the number of seasons of NBA experience in microfracture cases. RTS and performance were analyzed and compared between cases and controls. Student t tests were performed for analysis of within- and between-group variables.

Results: A total of 41 NBA players underwent microfracture and were compared with 41 demographic- and performance-matched controls. Rate of RTS after microfracture was 73% in the NBA and 83% in professional basketball (NBA, D-league, and International Basketball Federation [FIBA]). Time to RTS in NBA was 9.20 ± 4.88 months. Seventy-one percent (29/41) of players RTS the season following microfracture. Length of NBA career following microfracture (4.10 ± 3.91 years) was not significantly different from controls. After microfracture, case athletes played fewer games per season and with fewer points and steals per game (relative to premicrofracture; P < .05). Performance was better in control (after index year) versus case players (after microfracture) with regard to points per game, games played per season, and field goal and free throw percentage (P < .05).

Conclusion: Eighty-three percent of NBA players undergoing microfracture returned to professional basketball. Career length was not significantly different between players undergoing microfracture and controls. However, following microfracture, players competed in fewer games per season with fewer points and steals.

No MeSH data available.


Related in: MedlinePlus

Percentage of subjects able to play at least X number of games in the National Basketball Association (NBA) on return to sport (RTS).
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fig1-2325967113512759: Percentage of subjects able to play at least X number of games in the National Basketball Association (NBA) on return to sport (RTS).

Mentions: The rate of RTS in professional basketball (NBA, D-league, FIBA) was 83% (34/41). The rate of RTS in the NBA was 73% (30/41). Four players returned to sport in the D-league. Time to RTS in next NBA game was 9.20 ± 4.88 months. Seventy-one percent (29/41) of players were able to RTS in the season following microfracture. Performance on RTS after microfracture was significantly declined versus premicrofracture in points and steals per game and free throw percentage (Table 2). Furthermore, following microfracture, players played significantly fewer seasons, fewer games overall, and fewer games per season versus premicrofracture. The BMI of players able to RTS (24.7 ± 1.88 kg/m2) was not significantly different than the BMI of those players unable to RTS (24.7 ± 1.55 kg/m2). Players able to RTS (26.6 ± 4.32 years) were younger than players unable to RTS (30.6 ± 5.26 years); however, the difference was not significant (P = .059). There were 5 guards (33%), 1 forward (4.5%), and 1 center (25%) unable to RTS. Of those subjects able to RTS following microfracture, all but 7 players were able to play at least 50 games and all but 6 players were able to play at least 1 season (Figure 1).


Return to Sport and Performance After Microfracture in the Knees of National Basketball Association Players.

Harris JD, Walton DM, Erickson BJ, Verma NN, Abrams GD, Bush-Joseph CA, Bach BR, Cole BJ - Orthop J Sports Med (2013)

Percentage of subjects able to play at least X number of games in the National Basketball Association (NBA) on return to sport (RTS).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4555513&req=5

fig1-2325967113512759: Percentage of subjects able to play at least X number of games in the National Basketball Association (NBA) on return to sport (RTS).
Mentions: The rate of RTS in professional basketball (NBA, D-league, FIBA) was 83% (34/41). The rate of RTS in the NBA was 73% (30/41). Four players returned to sport in the D-league. Time to RTS in next NBA game was 9.20 ± 4.88 months. Seventy-one percent (29/41) of players were able to RTS in the season following microfracture. Performance on RTS after microfracture was significantly declined versus premicrofracture in points and steals per game and free throw percentage (Table 2). Furthermore, following microfracture, players played significantly fewer seasons, fewer games overall, and fewer games per season versus premicrofracture. The BMI of players able to RTS (24.7 ± 1.88 kg/m2) was not significantly different than the BMI of those players unable to RTS (24.7 ± 1.55 kg/m2). Players able to RTS (26.6 ± 4.32 years) were younger than players unable to RTS (30.6 ± 5.26 years); however, the difference was not significant (P = .059). There were 5 guards (33%), 1 forward (4.5%), and 1 center (25%) unable to RTS. Of those subjects able to RTS following microfracture, all but 7 players were able to play at least 50 games and all but 6 players were able to play at least 1 season (Figure 1).

Bottom Line: RTS and performance were analyzed and compared between cases and controls.Student t tests were performed for analysis of within- and between-group variables.Time to RTS in NBA was 9.20 ± 4.88 months.

View Article: PubMed Central - PubMed

Affiliation: Houston Methodist Center for Orthopaedics & Sports Medicine, Houston, Texas, USA. ; Rush University Medical Center, Chicago, Illinois, USA.

ABSTRACT

Background: Use of microfracture in the knees of National Basketball Association (NBA) players is controversial.

Hypotheses: (1) There would be a high rate of return to sport (RTS) in NBA players following microfracture, (2) players would RTS the season following surgery, (3) preoperative player performance would not be significantly different on RTS, and (4) there would be no significant difference in RTS rate or postoperative performance in players undergoing microfracture in comparison with an age-, position-, NBA experience-, and performance-matched control group.

Study design: Cohort study; Level of evidence, 3.

Methods: NBA players undergoing microfracture were evaluated. Age-, body mass index-, position-, NBA experience-, and performance-matched controls were selected from the NBA during the same years as those undergoing microfracture. An index year was selected (controls) to match the number of seasons of NBA experience in microfracture cases. RTS and performance were analyzed and compared between cases and controls. Student t tests were performed for analysis of within- and between-group variables.

Results: A total of 41 NBA players underwent microfracture and were compared with 41 demographic- and performance-matched controls. Rate of RTS after microfracture was 73% in the NBA and 83% in professional basketball (NBA, D-league, and International Basketball Federation [FIBA]). Time to RTS in NBA was 9.20 ± 4.88 months. Seventy-one percent (29/41) of players RTS the season following microfracture. Length of NBA career following microfracture (4.10 ± 3.91 years) was not significantly different from controls. After microfracture, case athletes played fewer games per season and with fewer points and steals per game (relative to premicrofracture; P < .05). Performance was better in control (after index year) versus case players (after microfracture) with regard to points per game, games played per season, and field goal and free throw percentage (P < .05).

Conclusion: Eighty-three percent of NBA players undergoing microfracture returned to professional basketball. Career length was not significantly different between players undergoing microfracture and controls. However, following microfracture, players competed in fewer games per season with fewer points and steals.

No MeSH data available.


Related in: MedlinePlus