Return to full duty tras cirugía de reconstrucción de ligamento cruzado anterior en personal militar: revisión sistemática y metaanálisis.

Autores de IIS La Fe

• Gonzalo Mariscal Ruiz-Rico

  Autor

Participantes ajenos a IIS La Fe

• Marquina V
• Sánchez C
• Espí F
• Crespo D
• Hernández L

Grupos

• Cirugía Ortopédica y Traumatología

Abstract

OBJECTIVE: A meta-analysis were carried out to evaluate the clinical-functional results of anterior cruciate ligament surgery in military population, as well as the complications associated with it. MATERIALS AND METHODS: Three major database sources up to December 2022 (PubMed, Google Scholar, and ScienceDirect) were searched for outcomes after ACL surgery in military personnel. The systematic review was carried out following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) standards, and the inclusion criteria following the PICO strategy. Data from included studies were analyzed using Review Manager 5.4 software. RESULTS: A total of seven retrospective studies were selected. The general rate of return to full duty (RTFD) in military personnel was 62.3% (61.5% for the non-officer group vs. 68.3% for the officer group) without this difference being significant (p=0.92). The general rate of meniscal injury in the military was 58.8%, without this difference being significant (p=0.88). The homogeneity in both cases was good (I2=0%, p=0.99). CONCLUSION: Return to full military duty can be used in the military population as a marker of success after ACL reconstruction. It should be noted that a large number of military personnel experience permanent activity limitations that prevent full return to service.

Copyright © 2023. Publicado por Elsevier España, S.L.U.

Keywords

• anterior cruciate ligament; ligamento cruzado anterior; militar; military; reconstrucción; reconstruction; return to full duty