{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:04:55Z","timestamp":1785305095302,"version":"3.55.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"5-6","license":[{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,18]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Anterior cruciate ligament (ACL) rupture is frequently encountered in athletes as well as in military personnel. In civilian population, many studies have looked at the return to sport, but return to duty in Army is a topic that requires further research.<\/jats:p>\n                  <jats:p>The purpose of this study was to determine through annual military fitness tests in real conditions, the return to sport in soldiers after ACL reconstruction and factors influencing failure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>This was a retrospective comparative study. Patients were all soldiers and had followed up in a Military Hospital. The SUCCESS group was military personnel who obtained a result of the specific aptitude test greater than or equal to this same test carried out before reconstruction of the ACL, the FAILURE group comprised the others. Results of the annual specific aerobic fitness tests were collected before and after ACL reconstruction. Preoperative epidemiological data, intraoperative information, and isokinetic test results were collected.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>One hundred forty four soldiers were included between January 2011 and December 2017 (94.9% of men with a median age of 27.6\u2009years); 40.3% obtained a result greater than or equal to the preoperative fitness test after ACL reconstruction. Among the soldiers who did not regain their performance, 24.3% were declared unfit or discharged. In the FAILURE group, we found patients with a higher body mass index (25.5 vs. 24.4; P\u2009=\u2009.04), less patients with isokinetic deficit\u2009&amp;lt;\u200930% on the knee flexors and extensors (26.6% vs. 62.9%; P\u2009&amp;lt;\u2009.01), more long sick leave (39.5% vs. 13.7%; P\u2009&amp;lt;\u2009.01), and late resumption of military activities (10.5 vs. 8.9\u2009months; P\u2009&amp;lt;\u2009.01).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Rupture of ACL has a significant impact on the operational capacity of the French army. The proportion of return to the same level in annual specific fitness tests after ACL reconstruction is 40% among soldiers. Several variables are important to consider in the follow-up of these patients to optimize their recovery of sports performance and therefore their operational capacity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad406","type":"journal-article","created":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T18:26:06Z","timestamp":1697912766000},"page":"e995-e1002","source":"Crossref","is-referenced-by-count":3,"title":["Anterior Cruciate Ligament Reconstruction in\u00a0French Army: Return to Prior Level of\u00a0Running on\u00a0Selected Military Tests"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0377-9940","authenticated-orcid":false,"given":"Bernard","family":"de Geofroy","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, HIA Laveran , Marseille, 13013,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5102-7522","authenticated-orcid":false,"given":"Florent","family":"Trescos","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation of the Injured, HIA Laveran , Marseille, 13013,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1678-7229","authenticated-orcid":false,"given":"Ammar","family":"Ghabi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, HIA Laveran , Marseille, 13013,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7353-4148","authenticated-orcid":false,"given":"Camille","family":"Choufani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, HIA Sainte Anne , Toulon, 83000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6315-0717","authenticated-orcid":false,"given":"Mathieu","family":"Peras","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, HIA Sainte Anne , Toulon, 83000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4295-975X","authenticated-orcid":false,"given":"Olivier","family":"Barbier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, HIA Sainte Anne , Toulon, 83000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4552-6148","authenticated-orcid":false,"given":"Emmanuel","family":"de Landevoisin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, HIA Laveran , Marseille, 13013,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2586-8688","authenticated-orcid":false,"given":"Arnaud-Xavier","family":"Jouvion","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation of the Injured, HIA Laveran , Marseille, 13013,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"issue":"2","key":"2025012315141059000_R1","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.monrhu.2016.01.004","article-title":"\u00c9pid\u00e9miologie et pr\u00e9vention de la rupture du ligament crois\u00e9 ant\u00e9rieur du genou","volume":"83","author":"Tamalet","year":"2016","journal-title":"Rev du Rhum Monogr"},{"issue":"3\u20134","key":"2025012315141059000_R2","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1080\/15438627.2012.680633","article-title":"Systematic Review: Annual Incidence of\u00a0ACL Injury and\u00a0Surgery in\u00a0Various Populations","volume":"20","author":"Moses","year":"2012","journal-title":"Res Sports Med"},{"key":"2025012315141059000_R3","article-title":"Bulletin officiel des arm\u00e9es, INSTRUCTION N\u00b0 1570\/DEF\/EMAT\/ES\/B.EMP\/OUT\/33 relative au contr\u00f4le de la condition physique du militaire pour l\u2019arm\u00e9e de terre. 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