{"id":"https://openalex.org/W3158151237","doi":"https://doi.org/10.1007/s00167-021-06582-z","title":"Psychological, physical and social factors influence decision to return to sport after revision ACL reconstruction with BPTB graft","display_name":"Psychological, physical and social factors influence decision to return to sport after revision ACL reconstruction with BPTB graft","publication_year":2021,"publication_date":"2021-04-25","ids":{"openalex":"https://openalex.org/W3158151237","doi":"https://doi.org/10.1007/s00167-021-06582-z","mag":"3158151237","pmid":"https://pubmed.ncbi.nlm.nih.gov/33899128"},"language":"en","primary_location":{"id":"doi:10.1007/s00167-021-06582-z","doi":"https://doi.org/10.1007/s00167-021-06582-z","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s00167-021-06582-z","pdf_url":null,"source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011146940","display_name":"Manish Kiran","orcid":"https://orcid.org/0000-0003-1926-4869","observed_orcids":["https://orcid.org/0000-0003-1926-4869"]},"institutions":[{"id":"https://openalex.org/I2802266942","display_name":"Gloucestershire Hospitals NHS Foundation Trust","ror":"https://ror.org/04mw34986","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802266942"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Manish Kiran","raw_affiliation_strings":["<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK"],"raw_orcid":"https://orcid.org/0000-0003-1926-4869","affiliations":[{"raw_affiliation_string":"<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","institution_ids":["https://openalex.org/I2802266942"]},{"raw_affiliation_string":"Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK","institution_ids":["https://openalex.org/I2802266942"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060264776","display_name":"Omar A. Javed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802266942","display_name":"Gloucestershire Hospitals NHS Foundation Trust","ror":"https://ror.org/04mw34986","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802266942"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Omar Javed","raw_affiliation_strings":["<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","institution_ids":["https://openalex.org/I2802266942"]},{"raw_affiliation_string":"Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK","institution_ids":["https://openalex.org/I2802266942"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Saswata Roy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802266942","display_name":"Gloucestershire Hospitals NHS Foundation Trust","ror":"https://ror.org/04mw34986","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802266942"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Saswata Roy","raw_affiliation_strings":["<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","institution_ids":["https://openalex.org/I2802266942"]},{"raw_affiliation_string":"Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK","institution_ids":["https://openalex.org/I2802266942"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109092802","display_name":"Navraj Atwal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802266942","display_name":"Gloucestershire Hospitals NHS Foundation Trust","ror":"https://ror.org/04mw34986","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802266942"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Navraj Atwal","raw_affiliation_strings":["<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","institution_ids":["https://openalex.org/I2802266942"]},{"raw_affiliation_string":"Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK","institution_ids":["https://openalex.org/I2802266942"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111622028","display_name":"Harminder S. Gosal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802266942","display_name":"Gloucestershire Hospitals NHS Foundation Trust","ror":"https://ror.org/04mw34986","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802266942"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Harminder Gosal","raw_affiliation_strings":["<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"<!--<label>1</label>--> Gloucestershire Hospitals NHS Foundation Trust Sandford Rd GL53 7AN Cheltenham UK","institution_ids":["https://openalex.org/I2802266942"]},{"raw_affiliation_string":"Gloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK","institution_ids":["https://openalex.org/I2802266942"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5011146940"],"corresponding_institution_ids":["https://openalex.org/I2802266942"],"apc_list":{"value":3860,"currency":"USD","value_usd":3860},"apc_paid":null,"fwci":2.0506,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.86208037,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"30","issue":"4","first_page":"1336","last_page":"1340"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11246","display_name":"Sports injuries and prevention","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/revision-anterior-cruciate-ligament-reconstruction","display_name":"revision anterior cruciate ligament reconstruction","score":0.9160000085830688},{"id":"https://openalex.org/keywords/bone-patellar-tendon-bone-graft","display_name":"bone-patellar tendon-bone graft","score":0.9110000133514404},{"id":"https://openalex.org/keywords/return-to-sport","display_name":"return to sport","score":0.9950000047683716},{"id":"https://openalex.org/keywords/fear-of-reinjury","display_name":"fear of reinjury","score":0.921999990940094},{"id":"https://openalex.org/keywords/psychological-factors","display_name":"psychological factors","score":0.8100000023841858},{"id":"https://openalex.org/keywords/social-factors","display_name":"social factors","score":0.9829999804496765},{"id":"https://openalex.org/keywords/lysholm-score","display_name":"Lysholm score","score":0.7689999938011169},{"id":"https://openalex.org/keywords/tegner-score","display_name":"Tegner score","score":0.8930000066757202},{"id":"https://openalex.org/keywords/iliac-crest-bone-graft","display_name":"iliac crest bone graft","score":0.8209999799728394},{"id":"https://openalex.org/keywords/re-rupture","display_name":"re-rupture","score":0.671999990940094},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.5450000166893005}],"concepts":[{"id":"https://openalex.org/C3018402483","wikidata":"https://www.wikidata.org/wiki/Q22907079","display_name":"Return to sport","level":3,"score":0.7036546468734741},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6999216079711914},{"id":"https://openalex.org/C2780887989","wikidata":"https://www.wikidata.org/wiki/Q4771338","display_name":"Anterior cruciate ligament reconstruction","level":3,"score":0.5938395261764526},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5821915864944458},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5592030882835388},{"id":"https://openalex.org/C188198153","wikidata":"https://www.wikidata.org/wiki/Q1613840","display_name":"Limiting","level":2,"score":0.48489028215408325},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4646894931793213},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4575468897819519},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4503712058067322},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.436368465423584},{"id":"https://openalex.org/C2778434673","wikidata":"https://www.wikidata.org/wiki/Q611127","display_name":"Anterior cruciate ligament","level":2,"score":0.38409173488616943},{"id":"https://openalex.org/C2781054738","wikidata":"https://www.wikidata.org/wiki/Q4813730","display_name":"Athletes","level":2,"score":0.3016500771045685},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1478225290775299},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000068958","descriptor_name":"Return to Sport","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000070598","descriptor_name":"Anterior Cruciate Ligament Injuries","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D000083663","descriptor_name":"Social Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D059549","descriptor_name":"Anterior Cruciate Ligament Reconstruction","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1007/s00167-021-06582-z","doi":"https://doi.org/10.1007/s00167-021-06582-z","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s00167-021-06582-z","pdf_url":null,"source":{"id":"https://openalex.org/S51654951","display_name":"Knee Surgery Sports Traumatology Arthroscopy","issn_l":"0942-2056","issn":["0942-2056","1433-7347"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee Surgery, Sports Traumatology, Arthroscopy","raw_type":"journal-article"},{"id":"pmid:33899128","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33899128","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W955851121","https://openalex.org/W2053215919","https://openalex.org/W2057208793","https://openalex.org/W2058190536","https://openalex.org/W2122133465","https://openalex.org/W2126524961","https://openalex.org/W2158073378","https://openalex.org/W2162841546","https://openalex.org/W2551405645","https://openalex.org/W2607104454","https://openalex.org/W2612653227","https://openalex.org/W2624793383","https://openalex.org/W2782341369","https://openalex.org/W2920363148","https://openalex.org/W2921525793","https://openalex.org/W2939258235","https://openalex.org/W2943115207","https://openalex.org/W2946790177","https://openalex.org/W2955111747","https://openalex.org/W2966709613","https://openalex.org/W2974387221","https://openalex.org/W2983586243","https://openalex.org/W2995658956","https://openalex.org/W3003688027"],"related_works":["https://openalex.org/W7222962209","https://openalex.org/W2791206639","https://openalex.org/W2945466863","https://openalex.org/W3126125199","https://openalex.org/W6996115064","https://openalex.org/W4410372244","https://openalex.org/W4392875355","https://openalex.org/W4406437376","https://openalex.org/W4285256802","https://openalex.org/W4385169471"],"abstract_inverted_index":{"PURPOSE:":[0],"There":[1,141],"is":[2],"limited":[3],"evidence":[4],"in":[5,18,61,69,127,138,146,161,218,231],"literature":[6],"regarding":[7],"the":[8,212],"patient-reported":[9,49,106],"factors":[10,50,107,215,224],"that":[11,51],"influence":[12,52,228],"their":[13,53,191],"return":[14,56,179],"to":[15,55,57,152,180,190,233],"sport":[16,58,104,182],"(RTS)":[17],"revision":[19,39,76,123,134],"anterior":[20],"cruciate":[21],"ligament":[22],"reconstruction":[23],"(ACLR).":[24],"The":[25,112,157,166],"medium-term":[26],"results":[27],"of":[28,33,103,159,194,197],"a":[29,143],"prospective":[30,71],"consecutive":[31],"cohort":[32,163],"patients":[34,66,132,175,188],"undergoing":[35],"single-":[36],"and":[37,48,93,96,100,105,203,222],"two-stage":[38,75],"ACLR":[40,124,135],"with":[41,77],"bone":[42,45,88],"patellar":[43],"tendon":[44],"graft":[46,79,89],"(BPTB)":[47],"decision":[54],"are":[59],"presented":[60],"this":[62,70,162],"study.":[63,72],"METHODS:":[64],"Seventy-two":[65],"were":[67,110,211],"included":[68],"Single-":[73],"or":[74],"BPTB":[78],"was":[80,90,115,125,136,142,164,170],"performed":[81,126,137],"based":[82],"on":[83,229],"pre-operative":[84],"planning.":[85],"Iliac":[86],"crest":[87],"used.":[91],"Pre-operative":[92],"follow-up":[94,114],"Lysholm":[95,147],"Tegner":[97,168],"activity":[98],"scores":[99],"RTS,":[101],"level":[102,193],"affecting":[108],"RTS":[109,217,230],"recorded.":[111],"mean":[113,150],"9":[116],"years":[117],"(SD":[118],"2.7":[119],"years).":[120],"RESULTS:":[121],"Single-stage":[122],"61":[128],"patients.":[129],"In":[130],"11":[131],"(15%),":[133],"two":[139],"stages.":[140],"significant":[144],"improvement":[145],"score":[148,169],"from":[149],"51.1":[151],"86.7":[153],"(p":[154],"<":[155,201],"0.001).":[156],"incidence":[158],"re-rupture":[160],"0%.":[165],"median":[167],"6":[171],"(range":[172],"2-9).":[173],"Twenty-five":[174],"(34.7%)":[176],"did":[177],"not":[178],"any":[181],"at":[183],"final":[184],"follow-up.":[185],"Twenty-nine":[186],"(40.2%)":[187],"returned":[189],"pre-injury":[192],"sport.":[195],"Fear":[196],"reinjury":[198],"(79%,":[199],"p":[200,208],"0.001)":[202],"persistent":[204],"knee":[205],"symptoms":[206],"(35.8%,":[207],"=":[209],"0.03)":[210],"most":[213],"common":[214],"limiting":[216],"non-returners.":[219],"CONCLUSION:":[220],"Psychological":[221],"social":[223],"may":[225],"have":[226],"an":[227],"addition":[232],"physical":[234],"factors.":[235],"LEVEL":[236],"OF":[237],"EVIDENCE:":[238],"Level":[239],"III.":[240]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-05-10T00:00:00"}