2025 ISAKOS Biennial Congress ePoster
Return to Full Duty After Anterior Cruciate Ligament Reconstruction Surgery in Military Personnel: A Meta-Analysis
Francisco Kiko Espi Escriva, MD, Valencia, Valencia SPAIN
Vicente Marquina Moraleda, MD, Valencia, Valencia SPAIN
Gema Gastaldi Llorens, MD, Valencia, Valencia SPAIN
Rafael Colomina Rodriguez, MD, Valencia, Valencia SPAIN
hospital general universitario , Valencia, Valencia, SPAIN
FDA Status Cleared
Summary
Return to full duty after anterior cruciate ligament reconstruction surgery in military personnel
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Abstract
Objective
A meta-analysis was carried out to evaluate the clinical-functional results of anterior cruciate ligament surgery in military population, as well as the complications associated with it.
Material And Method
Three major database sources up to December 2022 (PubMed, Google Scholar, and ScienceDirect) were searched for outcomes after anterior cruciate ligament surgery in military personnel. The systematic review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses -PRISMA- 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 7 retrospective studies were selected. The general rate of return to full duty 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 anterior cruciate ligament reconstruction. It should be noted that a large number of military personnel experience permanent activity limitations that prevent full return to service.