RETURN TO PIVOTING SPORTS AND REASONS FOR NOT RETURNING IN COMMUNITY- LEVEL PATIENTS AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.

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INTRODUCTION & AIMS: Patients often undergo anterior cruciate ligament reconstruction (ACLR) with the intention of returning to their pre-injury activity level. However, return to sport (RTS) after ACLR is disappointingly low. This study sought to investigate RTS status after ACLR, differences based on sex and concomitant meniscal repair, and reasons why patients do not RTS. METHODS: A total of 276 community-level patients undergoing primary ACLR were prospectively recruited into an institutional research program. At 2-years, return to pre-injury pivoting sport was investigated and, if they had returned, whether they felt their performance was at (or better) or below pre-injury status. Specific reasons for not returning were identified. RTS status was also evaluated based on sex and meniscal repair. RESULTS: Of the 276 patients, 232 were actively participating in pivoting sports at the time of their injury, of which 60.3% (140/232) had returned to their pre-injury pivoting sport by 2 years. Of these, 70.0% (98/140) felt they were performing at (or beyond) their pre-injury status, with 30.0% (42/140) stating that their performance was below pre-injury status for reasons that generally included feeling slower and/or less explosive running in straight lines and/or with change of direction, or still lacking sport-specific fitness and conditioning. While a greater (p=0.024) percentage of males (66.9%) versus females (52.4%) had returned to pivoting sports, no differences (p=0.708) were seen based on concomitant meniscal repair. The primary reasons for not returning included losing interest in their pre-injury pivoting sport (21.7%), being too busy to train, play or commit to their chosen sport (22.8%), or reasons associated with fear of re-injury or confidence (17.4%). CONCLUSION: This study outlined specific reasons why patients do not RTS, with RTS status (and reasons for not returning to pre-injury pivoting sports) differing between males and females.

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