Influencing factors of the return to military training after anterior cruciate ligament reconstruction surgery among the officers and soldiers of a military unit

FENG Chongyang, CHENG Yunhao, CHEN Libin, LI Dawen, REN Na, WANG Jian

Medical Journal of the Chinese People Armed Police Forces ›› 2026, Vol. 37 ›› Issue (4) : 327-331.

PDF(1019 KB)
PDF(1019 KB)
Medical Journal of the Chinese People Armed Police Forces ›› 2026, Vol. 37 ›› Issue (4) : 327-331.
ORIGINAL ARTICLES

Influencing factors of the return to military training after anterior cruciate ligament reconstruction surgery among the officers and soldiers of a military unit

  • FENG Chongyang1,2, CHENG Yunhao1, CHEN Libin1, LI Dawen1, REN Na1, WANG Jian1
Author information +
History +

Abstract

Objective To investigate the return to military training after anterior cruciate ligament reconstruction (ACLR) among the officers and soldiers in a military unit and its influencing factors. Methods A total of 160 officers and soldiers who underwent ACLR at a subordinate hospital of Chinese People's Armed Police Force from January 2020 to November 2023 were selected as the research subjects. Demographic characteristics, occupational information, and follow-up data 9 months after surgery were collected. The subjects were divided into groups based on whether they returned to military training 1 year after surgery, and the logistic regression method was used to analyze the influencing factors. Results Of the 160 cases, 103 (64.3%) returned to military training. The multivariate logistic regression analysis showed that occupational role (OR=16.094, 95% CI: 1.645-79.43), 3000 m running time/s, 30×2 agility running time/s, sleep quality, ACL-RSI score and Limb Symmetry Index (LSI) of the single leg hop 9 months after surgery were independent risk factors associated with their return to military training (all P<0.05). Conclusions Service members in command roles, better aerobic endurance and knee coordination, no sleep disorders, and higher ACL-RSI score and LSI index of the single leg hop 9 months after surgery are conducive to the return to military training for officers and soldiers.

Key words

anterior cruciate ligament injury / anterior cruciate ligament reconstruction / Chinese People's Armed Police Force / return to military training / influencing factor

Cite this article

Download Citations
FENG Chongyang, CHENG Yunhao, CHEN Libin, LI Dawen, REN Na, WANG Jian. Influencing factors of the return to military training after anterior cruciate ligament reconstruction surgery among the officers and soldiers of a military unit[J]. Medical Journal of the Chinese People Armed Police Forces. 2026, 37(4): 327-331

References

[1] Arundale A J, Silvers H J, Myklebust G. ACL injury prevention: where have we come from and where are we going? [J]. J Orthop Res, 2022, 40(1): 43-54.
[2] 刘 莉, 李 彬, 孙 俊, 等. 高原武警某部军事训练伤调查分析及建议 [J]. 武警医学, 2023, 34(10): 861-864.
[3] Indraswari I, Kurniawati I, Putra I. Hubungan waktu return to sport dan kekuatan otot dengan fungsi lutut dan daya tahan otot pasca anterior cruciate ligament reconstruction: pendahuluan, metode penelitian hasil pembahasan simpulan dan daftar pustaka[J]. Kinesiol Physiother Compr, 2023, 2(2): 57-62.
[4] Zhang H, Yang F, Xie B, et al. Return to active duty after anterior cruciate ligament reconstruction (ACLR) in Chinese male military aircrews [J]. Front Surg, 2023, 10(1): 1232176-1232178.
[5] Sakti M, Usman M A, Mubarak A. Correlation between plica mediopatellar damages and cartilage lesions on arthroscopic findings of the knee [J]. Int J Med Sci Clin Res Stud, 2022, 2(1): 21-29.
[6] Shadzi M R, Rahmanian M, Heydari A, et al. Structural validity of the pittsburgh sleep quality index among medical students in Iran [J]. Sci Rep, 2024, 14(1): 1538.
[7] Kotsifaki R, King E, Bahr R, et al. Is 9 months the sweet spot for male athletes to return to sport after anterior cruciate ligament reconstruction? [J]. Br J Sports Med, 2025, 59(9): 667-675.
[8] Setliff J C, Nazzal E M, Drain N P, et al. Anterior cruciate ligament reconstruction with all-soft tissue quadriceps tendon versus quadriceps tendon with bone block [J]. Knee Surg Sports Traumatol Arthrosc, 2023, 31(7): 2844-2851.
[9] Han Y S, Yao A W, Chou T Y, et al. Translation and cultural adaptation of traditional Chinese short version of the anterior cruciate ligament-return to sport after injury scale (ACL-RSI-TC) [J]. Percept Mot Skills, 2025, 3(4): 3151.
[10] Bono O J, Mousad A, Parman M, et al. Return to play at preinjury level after anterior cruciate ligament reconstruction in divisions II and III national collegiate athletic association student-athletes [J]. Orthop J Sports Med, 2024, 12(9): 232-234.
[11] Anderson A B, Dekker T J, Pav V, et al. Survival of anterior cruciate ligament reconstructions in active-duty military populations [J]. Knee Surg Sports Traumatol Arthrosc, 2023, 31(8): 3196-3203.
[12] Antosh I J, Patzkowski J C, Racusin A W, et al. Return to military duty after anterior cruciate ligament reconstruction [J]. Mil Med, 2018, 183(1-2): e83-e89.
[13] Morris J L, McEwen P, Letson H L, et al. Anterior cruciate ligament reconstruction surgery: creating a permissive healing phenotype in military personnel and civilians for faster recovery [J]. Mil Med, 2022, 187(11-12): 1310-1317.
[14] Bodkin S G, Hertel J, Diduch D R, et al. Predicting anterior cruciate ligament reinjury from return-to-activity assessments at 6 months postsurgery: a prospective cohort study [J]. J Athl Train, 2022, 57(4): 325-333.
[15] Török L, Jávor P, Török K, et al. Early return to play after anterior cruciate ligament reconstruction: is it worth the risk? [J]. Ann Rehabil Med, 2022, 46(2): 97-107.
[16] Grindem H, Snyder M L, Moksnes H, et al. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the delaware-oslo ACL cohort study [J]. Br J Sports Med, 2016, 50(13): 804-808.
[17] Foley A, Confino J, Halvorson R, et al. Return to sport following ACL reconstruction [J]. Curr Rev Musculoskelet Med, 2025, 18(12): 599-610.
[18] 董 莉, 陈 莉, 张 婷, 等. 海军航空兵某部飞行员中医体质与睡眠状况的相关性研究 [J]. 海军医学杂志, 2022, 43(3): 237-240.
[19] Lagoy A D, Sinnott A M, Eagle S R, et al. Combined effects of time-of-day and simulated military operational stress on perception-action coupling performance [J]. Chronobiol Int, 2022, 39(11): 1485-1497.
[20] Tim M, Fu S C, Mok S W, et al. Persistent quadriceps muscle atrophy after anterior cruciate ligament reconstruction is associated with alterations in exercise-induced myokine production [J]. Asia Pac J Sports Med Arthrosc Rehabil Technol, 2022, 29(4): 35-42.
[21] Xiao M, Niekerk M, Trivedi N N, et al. Patients who return to sport after primary anterior cruciate ligament reconstruction have significantly higher psychological readiness: a systematic review and meta-analysis of 3744 patients [J]. Am J Sports Med, 2023, 51(10): 2774-2783.
[22] Ueda Y, Matsushita T, Shibata Y, et al. Association between meeting return-to-sport criteria and psychological readiness to return to sport after anterior cruciate ligament reconstruction [J]. Orthop J Sports Med, 2022, 10(5): 2325.
[23] Bashaireh K M, Yabroudi M A, Logerstedt D, et al. Reasons for not returning to pre-injury sport level after ACL-reconstruction [J]. Int J Sports Med, 2024, 45(9): 698-704.
[24] Hamdan M, Haddad B I, Amireh S, et al. Reasons why patients do not return to sport post ACL reconstruction: A cross-sectional study [J]. J Multidiscip Healthc, 2025, 18(5): 329-338.
[25] Legnani C, Re M, Peretti G M, et al. Limb asymmetries persist 6 months after anterior cruciate ligament reconstruction according to the results of a jump test battery [J]. Front Med, 2024, 11(3): 1303172.
[26] Nuno S L, Romero M C, López L D, et al. Functional asymmetries after 6 months of ACL reconstruction: A cross-sectional study [J]. Int Wound J, 2025, 22(7): e70715.
[27] Knurr K A, Cobian D G, Kliethermes S A, et al. Influence of running speed and time postoperatively on lower extremity work in collegiate athletes after anterior cruciate ligament reconstruction [J]. Med Sci Sports Exerc, 2025, 57(8): 1626-1635.
PDF(1019 KB)

Accesses

Citation

Detail

Sections
Recommended

/