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Infographic. High rate of second ACL injury following ACL reconstruction in male professional footballers: an updated longitudinal analysis from 118 players in the UEFA Elite Club Injury Study
  1. Francesco Della Villa1,
  2. Martin Hägglund2,3,
  3. Stefano Della Villa1,
  4. Jan Ekstrand2,4,
  5. Markus Waldén2,4,5
  1. 1Education and Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy
  2. 2Football Research Group, Linköping University, Linkoping, Sweden
  3. 3Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden
  4. 4Unit of Community Medicine, Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden
  5. 5Department of Orthopaedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
  1. Correspondence to Dr Francesco Della Villa, Education and Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy; f.dellavilla{at}isokinetic.com

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ACL injury is a serious concern for the professional football player.1 Studies about second ACL injury rate and career length after ACL reconstruction (ACLR) in male professional football players are scarce in the current literature.

We studied 118 top-level professional football players who sustained an ACL injury and subsequent ACLR over the course of 19 seasons as part of a substudy2 of the Elite Club Injury Study. The players were tracked prospectively for second ACL injuries as well for the career length following ACL injury and related treatment. Analysis of potential predictors of subsequent ACL injury (to either knee) was carried out using a stepwise Cox Regression model.

All players returned to training (RTT) following ACLR and were evaluated at a median follow-up of 4.3 (IQR 4.6) years …

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Footnotes

  • Twitter @fdellavilla, @MHgglund, @JanEkstrand, @MarkusWalden

  • Contributors FDV, MH, SDV, JE and MW were responsible for the conception of the study. FDV wrote the first draft of the paper that was critically revised by MH, SDV, JE and MW. The final manuscript has been approved by all authors. MW is the study guarantor.

  • Funding This study was funded by grants from the Union of European Football Associations.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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