Noyes Systematic Review Shows 18% Reinjury Rate

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Authors: Sue Barber-Westin, BS and Frank R. Noyes, MD

Anterior cruciate ligament (ACL) reconstruction (ACLR) is frequently performed in patients younger than 20 years whose goal is to return to sport (RTS). Varying reinjury rates have been reported, and the factors responsible are unclear. Studies differ with regard to age, graft type, surgical techniques, postoperative rehabilitation, RTS guidelines, and methods used to determine ACL failures.

To determine RTS rates; the effect of participation in high-risk sports, sex, and graft type on ACL reinjury rates; and whether objective test criteria before RTS correlate with lower reinjury rates. A total of 1239 patients in 8 studies were included; 87% returned to sport and 80% resumed high-risk activities. Of the patients, 18% reinjured the ACL graft and/or the contralateral ACL. Nine percent of patellar tendon autografts and 15% of hamstring autografts failed. Of reinjuries, 90% occurred during high-risk sports. Male patients had a significantly higher rate of ACL graft failure than female patients. There was no sex-based effect on contralateral ACL injuries. Only 1 study cited objective criteria for RTS.

Study Conclusions: A high percentage of athletes returned to sport, but 1 in 5 suffered reinjuries to either knee. Male patients were more likely to reinjure the ACL graft. Objective criteria for RTS were rarely mentioned or not detailed. The need for testing of knee stability, strength, neuromuscular control, agility, and psychological measures before RTS remains paramount in young athletes.

Local 12’s Liz Bonis interviews orthopedic surgeon Frank Noyes on his latest research for What’s Happening in Health

Recently, reporter Liz Bonis interviewed Dr. Noyes and his patient Katie Sloneker on a new treatment option to build ACL strength following surgery. Dr. Noyes’ research on the method, which involves restricting blood flow while exercising, has found that it helps patients build the strength they need to prevent re-injury or qualify for surgery in the first place. Following that interview, which ran on Local 12 news, she invited Dr. Noyes to the studio to interview for her program What’s Happening in Health. You can see the interview hereand here(starts at 2:30).

Sportsmetrics Master Course 2019!

With our 2nd annual Sportsmetrics Master Level Course under our belt, we are happy to welcome 10 new Level II Certified Sportsmetrics Specialists.  We thank George Davies for his attendance, presentation and much valued contribution to our program.  We look forward to continuing our Master Level program with the latest interventions in knee injury prevention.

Jon Bafford, DC, ACBEP:  Bafford Spine & Rehab, Newark, OH

Amanda Bevilacqua, PT:  Prescribed Motion, Amherst, NY

George Davies, DPT, MED, ATC, CSCS:  Georgia Southern University, Savannah, GA

Robert Graves, AT:  Deerfield Academy, Deerfield, MA

Kyle Knapp, PT:  Tulsa Bone & Joint Associates, Broken Arrow, OK

Sasha Kolbeck, DPT, OCS:  Rose City Physical Therapy, Portland, OR

Natalia Pallares, DPT, OCS:  Miramar, FL

Jared Ruffing, MS, AT, CSCS:  Seneca East HS, Bellevue, OH

Lauren Stark, ATC:  Searcy, AR

Cynthia White, ATC, SEAT:  Manning, SC

 

 

Sportsmetrics Certification Course- Level I: February 9-10, 2019

February 9, 2019 – February 10, 2019

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Description:

Serious knee injuries are sidelining female athletes at an alarming rate and although there is no absolute prevention from these types of injuries, thereuntitled (11 of 22) is finally something you can do to help reduce the risk of sustaining a serious knee injury. Cincinnati SportsMedicine Research and Education Foundation has led the way with the development of Sportsmetrics™, the first program scientifically proven to decrease knee injuries in female athletes. The specialized progression of jump/plyometric drills found in Sportsmetrics™ teaches athletes safe techniques for jumping and landing, in an effort to significantly reduce the risk of serious knee injury in female athletes.

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Sportsmetrics Certification Course- Level I (February 9-10, 2019)

February 9, 2019 – February 10, 2019

View Map | Register

Description:

Serious knee injuries are sidelining female athletes at an alarming rate and although there is no absolute prevention from these types of injuries, thereuntitled (11 of 22) is finally something you can do to help reduce the risk of sustaining a serious knee injury. Cincinnati SportsMedicine Research and Education Foundation has led the way with the development of Sportsmetrics™, the first program scientifically proven to decrease knee injuries in female athletes. The specialized progression of jump/plyometric drills found in Sportsmetrics™ teaches athletes safe techniques for jumping and landing, in an effort to significantly reduce the risk of serious knee injury in female athletes.

Agenda

Register

Available in 2019: Return to Sport After ACL Reconstruction Textbook

Available in 2019: Return to Sport After ACL Reconstruction and Other Knee Operations: Limiting the Risk of Reinjury and Maximizing Athletic Performance textbook.

Dr. Noyes and Sue Barber-Westin, along with over 15 guest contributors, are preparing a new textbook, Return to Sport After ACL Reconstruction and Other Knee Operations: Limiting the Risk of Reinjury and Maximizing Athletic Performance textbook.

Nearly a million anterior cruciate ligament (ACL) injuries occur each year worldwide, most of which are sustained by young athletes. The ability to return patients back to sports safely and without subsequent problems is paramount. Return to play has become the subject of increased scrutiny as a result of high reinjury rates that have been reported, as well as disappointing percentages of athletes who returned to sports even though normal or very good knee function was restored. This unique textbook focuses on return to play after ACL and other knee operations and discusses:

Common barriers to return to play, including physical, psychological, psychosocial, and neurocognitive problems.

Return to play decision-based models and the roles of the orthopaedic surgeon and team physician.

The complete spectrum of optimal treatment for ACL injuries, including preoperative, intraoperative, and postoperative rehabilitation.

Advanced training concepts such as neuromuscular retraining, work load intensity, external focus, and visual-motor training concepts.

Objective testing for knee function, neurocognitive function, and cardiovascular fitness

Identification and management of psychological issues including fear and depression in the athlete.

Return to play considerations after meniscus surgery, patellofemoral realignment, articular cartilage procedures, and knee arthroplasty.

November Certification Course

Our last course of 2018 was held on November 3-4 and included 23 healthcare professionals traveling from various parts of the US to Cincinnati to become experts in Sportsmetrics.  We welcome our new Certified Sportsmetrics Specialists and thank you for your commitment to keeping our young athletes safe from serious knee injuries!

  • Caroline Bourcier, MSPT:  The Aspen Clinic, Glenwood Springs, CO
  • Nathanael Carlson, PT, DPT, Cert MDT: Spectrum Health, Grand Haven, MI
  • Te Carr, ATC:  Dayton Children’s Hospital, Dayton, OH
  • Todd Castonguay, PT:  OA Centers for Orthopaedics, Saco, ME
  • Lynn Dettinger, PTA:  Renew Physical Therapy, Seattle, WA
  • Motaz Ebeido, PT, DPT:  Hands of Hope PT, PC, Brooklyn, NY
  • Sharine Estaris, DPT:  Symmetry Physical Therapy, Pelham, NY
  • Jamie Holt, PT, MPT, SCS, CSCS:  Holt Physical Therapy & Performance Training, Raleigh, NC
  • Ahmed Ibrahim, DPT:  Hands of Hope PT, PC, Brooklyn, NY
  • Jennifer Iverson, PT, MPT, OCS:  Sanford Health- South Pointe Clinic, Fargo, ND
  • Ian Kirk, PT:  Orthopedic Specialists & Sports Medicine, Newark, OH
  • Kelsey Lewis, PT, DPT:  Orthopaedic Specialists & Sports Medicine, Newark, OH
  • Carley Lisak, MS, ATC, CSCS:  Bronson Sports Medicine Perfromance Training, Kalamazoo, MI
  • Steven Mistretta, DPT:  Gulf Coast Orthopedics Physical Therapy, Houma, LA
  • Elizabeth Monsen, SPT:  Mercy Health, Cincinnati, OH
  • Philipp Piltz-Thurman, MA-Psych, CSCS, ACE-CPT:  PT Sports Psych, New York, NY
  • Erin Robinson, ATC:  Mercy Health, Cincinnati, OH
  • Victoria Stolmer, SPT: Mercy Health, Cincinnati, OH
  • Theodore Tash, PT:  Mercy Hospital- Jefferson, Festus, MO
  • Carol Thomas, CPT, CES, PES:  Breakaway Sports & Fitness, Dallas, TX
  • Zahra Young, DPT:  Renew Physical Therapy, Seattle, WA
  • Basma Zewar, DPT:  Hands of Hope PT, PC, Brooklyn, NY
  • Ashley Zimmerman, PTA:  Fulton County Medical Center, McConnellsburg, PA

Now Available! ACL Injuries in the Female Athlete Textbook

Dr. Noyes and Sue Barber-Westin release the 2nd edition of their textbook, ACL Injuries in the Female Athlete.  Learn the evidence behind causes, impact, treatment and prevention of ACL injuries in female athletes.  Gives step by step instruction on injury prevention programs for female athletes.

Sportsmetrics Featured on Local News

Watch Dr. Noyes and the Sportsmetrics team on our local news, WCPO Cincinnati.  Click here.

Sportsmetrics Master Level Certification Course

We are excited to introduce the Sportsmetrics Master Level Certification Course! Available only to previously certified Sportsmetrics trainers, the course was developed to introduce the Advanced Sportsmetrics program, go more in-depth on newer research in ACL injury prevention and rehabilitation and provide a refresher for our certified sites. On Friday, November 10th, we held the first course. Our team enjoyed seeing familiar faces and obtaining valuable feedback from our most dedicated sites. Thanks to our FIRST group of LEVEL II CERTIFIED SPORTSMETRICS SPECIALISTS (CSMS- Level II):

-Dayton Children’s Hospital, Dayton, OH: Colin Hoke PTA, Natalie Morris PTA, Makena Warner ATC

-Rochester Regional Health, Batavia, NY: Lisa Lavrey DPT, CLT

-SERC Physical Therapy, Kansas City, MO: Jessica Mitchell ATC

-Spectrum Health, Grand Rapids, MI: Danielle Baldwin ATC, Sarah Carpenter ATC, CSCS, Heather Molnar ATC, Emily Pearson ATC, CSCS

-St. Alphonsus Sports Medicine, Boise, ID: Katie Helm ATC

Stay tuned for future dates!