{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:02:21Z","timestamp":1788498141216,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T00:00:00Z","timestamp":1650585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T00:00:00Z","timestamp":1650585600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T00:00:00Z","timestamp":1650585600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Anterior cruciate ligament (ACL) ruptures are considered high burden injuries in sports with high pivotal activity, especially for professional footballers. A lack of evidence exists about long\u2010term follow up of professional elite athletes who underwent ACL reconstruction. The purpose of the study is to analyze the return to play and the career of professional footballers who underwent ACL reconstruction with hamstrings, to evaluate re\u2010rupture and reoperation at either indexed and contralateral knee, and to assess the long\u2010term clinical subjective outcomes and satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010eight professional footballers that underwent 33 ACL reconstructions were retrospectively included in the study. All surgical interventions were performed using hamstring tendons graft and an over the top technique. Inclusion criteria were: inability to compete due to joint instability caused by total or subtotal ACL lesion, patients contracted to a professional football team at time of surgery. Exclusion criteria were: multi\u2010ligament reconstruction or concomitant meniscal allograft transplantation. Patients were contacted by phone and a brief questionnaire about surgery was administered. Subsequently, a Lysholm knee scoring scale was obtained. After that, an online research was performed on publicly available websites in order to retrieve information of the patients included after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all cases, ACL Reconstruction was performed with hamstring tendons using a non\u2010anatomic Double\u2010Bundle technique in 16 cases (49%), an Over\u2010The\u2010Top Single\u2010Bundle technique in 9 cases (27%), and an Over\u2010The\u2010Top Single\u2010Bundle plus Lateral Plasty technique in 8 cases (24%); moreover, a meniscal lesion was present in 20 cases (61%). Three (9%) of the 33 ACL reconstruction failed (2\/16 Double\u2010Bundle, 1\/9 Single\u2010 Bundle, 0\/8 Single\u2010Bundle\u2009+\u2009Lateral Plasty; p\u2009=\u2009n.s.), with two of them within 12\u00a0months from surgery. Other procedures, mainly arthroscopic meniscectomies, were performed in 10 cases (30%). The first official match was played after an average of 8.0\u2009\u00b1\u20093.6 (4.6\u201318.2) months in 31 cases (94%). Patients were evaluated after 12.6\u2009\u00b1\u20093.3 years (6.7\u201317.5) from the indexed ACL reconstruction. The average Lysholm score was 94.2\u2009\u00b1\u20098.3.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our small case\u2010series, professional soccer players were able to return to play at a competitive level with a hamstrings over the top technique. Patients with long careers had a high percentage of reoperation on the contralateral knee.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-06944-1","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T08:02:44Z","timestamp":1650614564000},"page":"3681-3688","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["High return to sport rate and few re\u2010ruptures at long term in professional footballers after anterior cruciate ligament reconstruction with hamstrings"],"prefix":"10.1002","volume":"30","author":[{"given":"Tommaso","family":"Bonanzinga","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Biomedical Sciences Humanitas University Via Manzoni 113, Rozzano 20089 Milan Italy"},{"name":"<!--<label>2<\/label>--> Humanitas Clinical and Research Center Via Manzoni 56, Rozzano 20089 Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Grassi","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Via Giulio Cesare Pupilli 1 40136 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Altomare","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Biomedical Sciences Humanitas University Via Manzoni 113, Rozzano 20089 Milan Italy"},{"name":"<!--<label>2<\/label>--> Humanitas Clinical and Research Center Via Manzoni 56, Rozzano 20089 Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Andrea","family":"Lucidi","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Via Giulio Cesare Pupilli 1 40136 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Macchiarola","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Via Giulio Cesare Pupilli 1 40136 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Zaffagnini","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Via Giulio Cesare Pupilli 1 40136 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurilio","family":"Marcacci","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Biomedical Sciences Humanitas University Via Manzoni 113, Rozzano 20089 Milan Italy"},{"name":"<!--<label>2<\/label>--> Humanitas Clinical and Research Center Via Manzoni 56, Rozzano 20089 Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117750825"},{"key":"e_1_2_10_3_2","unstructured":"BalendraG JonesM BorqueKA WillingerL PinheiroVH WilliamsAFactors affecting return to play and graft re\u2010rupture after primary ACL reconstruction in professional footballers.Knee Surg Sports Traumatol 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