| Title |
Over 90 % of children and adolescents return to sport after anterior cruciate ligament reconstruction: a systematic review and meta‐analysis
|
|---|---|
| Published in |
Knee Surgery, Sports Traumatology, Arthroscopy, January 2018
|
| DOI | 10.1007/s00167-018-4830-9 |
| Pubmed ID | |
| Authors |
Jeffrey Kay, Muzammil Memon, Robert G. Marx, Devin Peterson, Nicole Simunovic, Olufemi R. Ayeni |
| Abstract |
To evaluate the rate at which children and adolescent athletes return to sporting activities after anterior cruciate ligament (ACL) reconstruction. Three databases, PubMed, MEDLINE, and EMBASE, were searched from database inception until September 9, 2017 by two reviewers independently and in duplicate. The inclusion criteria were English language studies that reported return to sport outcomes. Book chapters, conference papers, review articles, and technical reports were excluded. The rate of return to sports was combined in a meta-analysis of proportions using a random-effects model. Overall, 20 studies with a combined total of 1156 ACL reconstructions met the inclusion criteria, with a mean age of 14.3 years (range 6-19) and a mean follow-up time of 6.5 years (range 1-22). All studies were level IV evidence (14 retrospective case series and 6 prospective case series). The pooled rate of return to any sport participation was 92.0% [95% confidence interval (CI), 86-96%]. The pooled rate of return to pre-injury level of sport was 78.6% (95% CI 71-86%) and that to competitive level of sport was 81.0% (95% CI 62-94%). A total of 93 of the 717 assessed athletes (13%) sustained re-injuries with graft ruptures, and in 91 of 652 patients (14%), contralateral ACL injuries were reported on final follow-up. Pooled results suggest a high rate of return to sport following ACL reconstruction in children and adolescent athletes; however, this is associated with a relatively high rate of graft rupture and a similar rate of contralateral ACL injury. This study provides clinicians with evidence-based data on the ability of children and adolescent athletes to return to sport after ACL reconstruction, an important consideration for athletes of this population with ACL injuries. IV, systematic review of level IV studies. |
X Demographics
The data shown below were collected from the profiles of 92 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 30 | 33% |
| Canada | 11 | 12% |
| United Kingdom | 10 | 11% |
| Australia | 6 | 7% |
| Spain | 3 | 3% |
| Sweden | 2 | 2% |
| Italy | 2 | 2% |
| Netherlands | 2 | 2% |
| Norway | 2 | 2% |
| Other | 7 | 8% |
| Unknown | 17 | 18% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 61 | 66% |
| Practitioners (doctors, other healthcare professionals) | 19 | 21% |
| Scientists | 11 | 12% |
| Science communicators (journalists, bloggers, editors) | 1 | 1% |
Mendeley readers
The data shown below were compiled from readership statistics for 223 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 223 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 33 | 15% |
| Student > Bachelor | 29 | 13% |
| Other | 17 | 8% |
| Researcher | 17 | 8% |
| Student > Ph. D. Student | 15 | 7% |
| Other | 41 | 18% |
| Unknown | 71 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 66 | 30% |
| Sports and Recreations | 28 | 13% |
| Nursing and Health Professions | 27 | 12% |
| Engineering | 7 | 3% |
| Unspecified | 4 | 2% |
| Other | 10 | 4% |
| Unknown | 81 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 63. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 March 2018.
All research outputs
#689,294
of 25,602,335 outputs
Outputs from Knee Surgery, Sports Traumatology, Arthroscopy
#36
of 2,959 outputs
Outputs of similar age
#15,902
of 452,319 outputs
Outputs of similar age from Knee Surgery, Sports Traumatology, Arthroscopy
#1
of 26 outputs
Altmetric has tracked 25,602,335 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,959 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.2. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 452,319 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 96% of its contemporaries.
We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.