Study determines average number of recovery days after sports-related surgery
A study titled “Return to School Following Orthopaedic Sports Medicine Procedures: A Prospective Study of Adolescents and Young Adults” was presented this week at the 2019 annual meeting of the American Academy of Orthopaedic Surgeons (AAOS). Zaira S. Chaudhry, MPH, a medical student at Geisinger Commonwealth School of Medicine in Pennsylvania, determined the average time needed for adolescent and college students to return to school following surgery, and potential barriers preventing their return.“‘When can I return to school?’ is one of the most common questions patients and parents ask their orthopaedic surgeon,” said Chaudhry. “Up until now, surgeons have given patients a ballpark. Our goal was to take it from a question answered based on anecdotes to one based on evidence.”
Inside the study
The prospective, cohort study analyzed 101 patients (48.6 percent female; 51.5 percent male) between the ages of 14 and 25 (mean age of 18.7 years). Within this group:
- Students were enrolled in school on a full-time basis, with 58.8 percent of patients enrolled in middle or high school and 41.2 percent enrolled in college.
- Procedures performed among the patients were for common injuries sustained within this age group including:
- ACL reconstruction (54.5 percent)
- ACL reconstruction with meniscal repair (7.9 percent)
- Arthroscopic shoulder labral repair (19.8 percent)
- Arthroscopic hip labral repair (9.9 percent)
- Partial meniscectomy or meniscal repair (7.9 percent)
At two weeks postoperatively, patients were asked to complete a survey regarding time to return to school and barriers to returning to school. At six weeks and 12 weeks following surgery, patients were asked to complete another survey inquiring about difficulties faced upon returning to school and their academic performance.
The study found:
- The range for the number of days, including weekends, to return to school after surgery are:
- 1-14 days for ACL reconstruction
- 4-12 days for ACL reconstruction with meniscal repair
- 1-9 days for arthroscopic shoulder labral repair
- 3-16 days for arthroscopic hip labral repair
- 2-7 days for partial meniscectomy or meniscal repair
- Although the actual school environment and handicap accessibility was not evaluated in this study and may be a factor in some locations, the top three cited barriers for failing to return to school sooner were not feeling ready to return, pain and restricted mobility.
- At six weeks postoperatively, 13.3 percent of patients felt the timing of their surgery negatively impacted their school performance.
- 7.1 percent reported failing an exam within the six months before the surgery.
- Twice that number (14.3 percent) reported failing an exam after their surgery.
There are over 2.5 million emergency visits each year for sports-related injuries among individuals between the ages of 5 and 24 years, and orthopaedic injuries including sports-related injuries, are relatively common among adolescents and college-aged individuals.
Although this is a relatively small study, “given the prevalence of sports-related injuries in this group of patients, it is our hope that surgeons can utilize this information to counsel their patients and their parents to help them better plan for their recovery,” added senior author, Sommer Hammoud, MD, orthopaedic surgeon specializing in sports medicine at Rothman Orthopaedic Institute.
Parents should also pay more attention to making school work up after an injury since exam failure rates also increase after a sports injury requiring surgery, although this increase was not statistically significant.
Learn more about the AAOS.