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Return to sport soccer after anterior cruciate ligament reconstruction: ISAKOS consensus

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dc.contributor.authorFigueroa, David
dc.contributor.authorArce, Guillermo
dc.contributor.authorEspregueira, Joao
dc.contributor.authorMaestu, Rodrigo
dc.contributor.authorMosquera, Manuel
dc.contributor.authorWilliams, Andy
dc.contributor.authorParker, David
dc.contributor.authorCohen, Moises
dc.contributor.authorKarahan, Mustafa
dc.contributor.authorOchoa, Germán
dc.contributor.authorZaffagnini, Stefano
dc.contributor.authorNeyret, Philippe
dc.contributor.authorKarlsson, Jon
dc.contributor.authorMusahl, Volker
dc.contributor.authorRadice, Fernando
dc.contributor.authorVan der Merwe, Willem
dc.contributor.authorLandreau, Philippe
dc.contributor.authorImhoff, Andreas
dc.contributor.authorMenetrey, Jacques
dc.contributor.authorAyeni, Olufemi
dc.contributor.authorArliani, Gustavo
dc.contributor.authorSherman, Seth
dc.contributor.authorMonllau, Joan
dc.contributor.authorD'Hooghe, Pieter
dc.contributor.authorPinczewski, Leo
dc.contributor.authorFeller, Julian
dc.contributor.authorPatnaik, Sartha
dc.date.accessioned2023-05-04T17:18:52Z
dc.date.available2023-05-04T17:18:52Z
dc.date.issued2022
dc.description.abstractIntroduction: Many factors can affect the return to pivoting sports, after an Anterior Cruciate Ligament Reconstruction. Prehabilitation, rehabilitation, surgical and psychological aspects play an essential role in the decision to return to sports. The purpose of this study is to reach an international consensus about the best conditions for returning to sports in soccer-one of the most demanding level I pivoting sports after anterior cruciate ligament (ACL) reconstruction. Methods: 34 International experts in the management of ACL injuries, representing all the Continents were convened and participated in a process based on the Delphi method to achieve a consensus. 37 statements related to ACL reconstruction were reviewed by the experts in three rounds of surveys in complete anonymity. The statements were prepared by the working group based on previous literature or systematic reviews. Rating agreement through a Likert Scale: strongly agree, agree, neither agree or disagree, disagree and strongly disagree was used. To define consensus, it was established that the assertions should achieve a 75% of agreement or disagreement. Results: Of the 37 statements, 10 achieved unanimous consensus, 18 non-unanimous consensus and 9 did not achieve consensus. In the preoperative, the correction of the range of motion deficit, the previous high level of participation in sports and a better knowledge of the injury by the patient and compliance to participate in Rehabilitation were the statements that reached unanimous consensus. During the surgery, the treatment of associated injuries, as well as the use of autografts, and the addition of a lateral extra-articular tenodesis in some particular cases (active young athletes, <25 years old, hyperlaxity, high rotatory laxity and revision cases) obtained also 100% consensus. In the postoperative period, psychological readiness and its validation with scales, adequate physical preparation, as well as not basing the RTSS purely on the time of evolution after surgery, were the factors that reached unanimous Consensus. Conclusions: The consensus statements derived from this international ISAKOS leaders, may assist clinicians in deciding when to return to sports soccer in patients after an ACL reconstruction. Those statements that reached 100% consensus have to be strongly considered in the final decision to RTS soccer.
dc.identifier.citationigueroa D, Arce G, Espregueira-Mendes J, Maestu R, Mosquera M, Williams A, Parker D, Cohen M, Karahan M, Ochoa Perea GA, Zaffagnini S, Neyret P, Karlsson J, Musahl V, Radice F, van der Merwe WM, Landreau P, Imhoff A, Menetrey J, Ayeni OR, Arliani GG, Sherman SL, Monllau JC, D'Hooghe P, Pinczewski L, Feller J, Patnaik S. Return to sport soccer after anterior cruciate ligament reconstruction: ISAKOS consensus. J ISAKOS. 2022 Dec;7(6):150-161. doi: 10.1016/j.jisako.2022.08.004
dc.identifier.doihttps://doi.org/10.1016/j.jisako.2022.08.004
dc.identifier.urihttps://repositorio.udd.cl/handle/11447/7459
dc.language.isoen
dc.subjectAnterior cruciate ligament reconstruction
dc.subjectReturn to pivoting sports
dc.subjectSoccer
dc.titleReturn to sport soccer after anterior cruciate ligament reconstruction: ISAKOS consensus
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceJournal of ISAKOS : joint disorders & orthopaedic sports medicine
dspace.entity.typePublication

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