Navegando por Palavras-chave "trauma in athletes"

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    Retorno ao esporte após reconstrução do ligamento cruzado anterior
    (Universidade Federal de São Paulo (UNIFESP), 2016-05-25) Novaretti, Joao Victor [UNIFESP]; Franciozi, Carlos Eduardo da Silveira Franciozi [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To correlate factors associated with better rate of return to the sport that can be assessed six months after surgery. Methods: This was a prospective cohort study with patients undergoing reconstruction of the anterior cruciate ligament. Six months after surgery, patients were submitted to arthrometry tests (KT-1000 TM), isokinetic evaluation, static and dynamic stability tests and the drop-jump video screening test (Sportsmetrics®). In addition, patients completed the evaluation questionnaires knee International Knee Documentation Committee (IKDC) and Lysholm and Tegner score with at least one year after surgery. Results: The rate of return to the sport in the pre-injury level was 53.4% and the rate of return to some sports activity was 84.4%. The group with IKDC Excellent/Good presented a difference in arthrometry of the member operated less the non-operated limb (mean L-N) higher than the group with IKDC Regular/Poor (p = 0.015). The group with Lysholm Excellent/Good presented a greater mean L-N than the group with Lysholm Regular/Poor (p = 0.010). The group ranging from 0 or negative difference from Tegner before and after lesion had a mean L-N greater than the group with positive difference Tegner (p = 0.007). Belonging to the group IKDC Regular/Poor conferred an increased risk (OR = 11.2, 95% CI: 3.0 to 42.2) of belonging to the group variation Tegner >0 (poor). Belonging to the Lysholm Regular/Poor group conferred a higher risk (OR = 24.8, 95% CI: 4.8 to 128.5) of belonging to the group variation Tegner >0 (poor). The group Quadriceps Deficit ?10 presented a less average I/Q ratio than the group with Quadriceps Deficit >10 (p = 0.001). The group with hamstrings deficit ?10 presented a greater average I/Q ratio than the group with hamstrings deficit >10 (p = 0.035). Belonging to the group that used patellar tendon graft (PT) conferred an increased risk (OR = 9.5; 95% CI: 1.04 to 87.07) of belonging to the group Quadriceps >10 than the group that used hamstring graft (STG). Conclusion: The best predictor of return to the sport after reconstruction of the anterior cruciate ligament, analyzed at 6 months postoperatively, was greater freedom of forward displacement of the operated limb compared to the non-operated. This greater freedom of anterior, even if <3 mm compared to the contralateral limb, also related to a lower hamstring peak torque in the operated limb at 6 months and better IKDC, Lysholm and Tegner at follow-up.