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Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences.

Daruwalla JH, Greis PE, Hancock R, ASP Collaborative GroupXerogeanes JW - Orthop J Sports Med (2014)

Bottom Line: The use of an autograft versus allograft was associated with increased RTP (P = .045).Factors representative of a player's skill were associated with higher rates of RTP.Surgery-specific variables, in general, had no effect on RTP, except for the use of autograft, which was associated with a greater RTP rate.

View Article: PubMed Central - PubMed

Affiliation: Emory University School of Medicine, Atlanta, Georgia, USA.

ABSTRACT

Background: For competitive athletes, return to play (RTP) and return to preinjury levels of performance after anterior cruciate ligament (ACL) reconstruction are the main goals of surgery. Although outcomes of ACL surgery are well studied, details on factors influencing RTP in elite college football players have not been evaluated thoroughly.

Purpose: To determine the rate of RTP following ACL surgery among National Collegiate Athletic Association (NCAA) Division 1 collegiate football athletes and to examine variables that may affect these rates. The hypothesis was that the RTP rate in this cohort will be influenced by factors reflecting skill and accomplishment; that is, athletes higher on the depth chart, those on scholarship, and those later in their careers will have higher RTP rates. It was also predicted that graft type and concomitant procedures may have an effect on RTP rates.

Study design: Case series; Level of evidence, 4.

Methods: Using athlete- and surgery-specific data from participating institutions in 3 major Division 1 college football conferences, information on athletes who had ACL reconstruction from 2004 through 2010 was collected. Statistical analyses were performed to determine the RTP rate as a function of the variables, such as depth chart position, in the data collected.

Results: Of the 184-player cohort, 82% of the athletes, including 94% of starters, were able to RTP. Rates were greater among athletes higher on the depth chart (P = .004) and on scholarship (P = .008). Year of eligibility also affected RTP rates (P = .047), which increased from the redshirt and freshman year to the sophomore and junior years, but then decreased slightly into the senior and fifth-year senior seasons. The use of an autograft versus allograft was associated with increased RTP (P = .045). There was no significant difference (P = .18) between players who underwent an isolated ACL reconstruction versus those who underwent additional procedures.

Conclusion: More than 80% of football players at the Division 1 level were able to RTP following ACL reconstruction. Factors representative of a player's skill were associated with higher rates of RTP. Surgery-specific variables, in general, had no effect on RTP, except for the use of autograft, which was associated with a greater RTP rate.

No MeSH data available.


Rate of return to play (RTP) versus year of play. RTP rates increased over time to peak in the sophomore and junior years. Rates slightly decreased in the senior years. Interaction between RTP rates and year of play was statistically significant (P = .047).
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fig2-2325967114543901: Rate of return to play (RTP) versus year of play. RTP rates increased over time to peak in the sophomore and junior years. Rates slightly decreased in the senior years. Interaction between RTP rates and year of play was statistically significant (P = .047).

Mentions: A statistically significant (P = .047) effect was observed when trending players’ years of football experience to RTP rates. As demonstrated in Figure 2, rates of RTP increased from the redshirt freshman year (33.3%) through the freshmen year (82.5%) and plateaued in the sophomore (93.9%) and junior (88.6%) years. Beyond that, more veteran players in their senior (72.8%) and fifth-year senior (75%) seasons had lower RTP rates. Players who were injured late in their last year of eligibility who did not have the potential to RTP due to lack of time were excluded from analysis.


Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in NCAA Division 1 College Football Athletes: A Study of the ACC, SEC, and PAC-12 Conferences.

Daruwalla JH, Greis PE, Hancock R, ASP Collaborative GroupXerogeanes JW - Orthop J Sports Med (2014)

Rate of return to play (RTP) versus year of play. RTP rates increased over time to peak in the sophomore and junior years. Rates slightly decreased in the senior years. Interaction between RTP rates and year of play was statistically significant (P = .047).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4555574&req=5

fig2-2325967114543901: Rate of return to play (RTP) versus year of play. RTP rates increased over time to peak in the sophomore and junior years. Rates slightly decreased in the senior years. Interaction between RTP rates and year of play was statistically significant (P = .047).
Mentions: A statistically significant (P = .047) effect was observed when trending players’ years of football experience to RTP rates. As demonstrated in Figure 2, rates of RTP increased from the redshirt freshman year (33.3%) through the freshmen year (82.5%) and plateaued in the sophomore (93.9%) and junior (88.6%) years. Beyond that, more veteran players in their senior (72.8%) and fifth-year senior (75%) seasons had lower RTP rates. Players who were injured late in their last year of eligibility who did not have the potential to RTP due to lack of time were excluded from analysis.

Bottom Line: The use of an autograft versus allograft was associated with increased RTP (P = .045).Factors representative of a player's skill were associated with higher rates of RTP.Surgery-specific variables, in general, had no effect on RTP, except for the use of autograft, which was associated with a greater RTP rate.

View Article: PubMed Central - PubMed

Affiliation: Emory University School of Medicine, Atlanta, Georgia, USA.

ABSTRACT

Background: For competitive athletes, return to play (RTP) and return to preinjury levels of performance after anterior cruciate ligament (ACL) reconstruction are the main goals of surgery. Although outcomes of ACL surgery are well studied, details on factors influencing RTP in elite college football players have not been evaluated thoroughly.

Purpose: To determine the rate of RTP following ACL surgery among National Collegiate Athletic Association (NCAA) Division 1 collegiate football athletes and to examine variables that may affect these rates. The hypothesis was that the RTP rate in this cohort will be influenced by factors reflecting skill and accomplishment; that is, athletes higher on the depth chart, those on scholarship, and those later in their careers will have higher RTP rates. It was also predicted that graft type and concomitant procedures may have an effect on RTP rates.

Study design: Case series; Level of evidence, 4.

Methods: Using athlete- and surgery-specific data from participating institutions in 3 major Division 1 college football conferences, information on athletes who had ACL reconstruction from 2004 through 2010 was collected. Statistical analyses were performed to determine the RTP rate as a function of the variables, such as depth chart position, in the data collected.

Results: Of the 184-player cohort, 82% of the athletes, including 94% of starters, were able to RTP. Rates were greater among athletes higher on the depth chart (P = .004) and on scholarship (P = .008). Year of eligibility also affected RTP rates (P = .047), which increased from the redshirt and freshman year to the sophomore and junior years, but then decreased slightly into the senior and fifth-year senior seasons. The use of an autograft versus allograft was associated with increased RTP (P = .045). There was no significant difference (P = .18) between players who underwent an isolated ACL reconstruction versus those who underwent additional procedures.

Conclusion: More than 80% of football players at the Division 1 level were able to RTP following ACL reconstruction. Factors representative of a player's skill were associated with higher rates of RTP. Surgery-specific variables, in general, had no effect on RTP, except for the use of autograft, which was associated with a greater RTP rate.

No MeSH data available.