Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact

Background: Few studies assess rates of return to play and postinjury performance in National Hockey League (NHL) players who sustain Achilles tendon ruptures. Our objective was to determine the rate of return to play and performance impact among NHL players who undergo surgical repair of Achilles t...

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Main Authors: Emmitt Hayes MD, Bradley Meulenkamp MD, Bogdan Matache MD, Michael Pickell MD
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Foot & Ankle Orthopaedics
Online Access:https://doi.org/10.1177/24730114241300153
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author Emmitt Hayes MD
Bradley Meulenkamp MD
Bogdan Matache MD
Michael Pickell MD
author_facet Emmitt Hayes MD
Bradley Meulenkamp MD
Bogdan Matache MD
Michael Pickell MD
author_sort Emmitt Hayes MD
collection DOAJ
description Background: Few studies assess rates of return to play and postinjury performance in National Hockey League (NHL) players who sustain Achilles tendon ruptures. Our objective was to determine the rate of return to play and performance impact among NHL players who undergo surgical repair of Achilles tendon tears. Methods: NHL players who sustained an Achilles tendon rupture between 2001 and 2021 were identified using a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome was expected wins above replacement per 60 minutes played. A position, draft year, and index season performance matched cohort was created. Pre- and postinjury outcomes were compared between cases and controls with a paired t test. Results: We identified 15 cases (9 forwards, 5 defencemen, 1 goaltender). Fourteen of 15 (93%) players returned to play. Preinjury, postinjury year 1, and postinjury year 2 expected wins above replacement were 0.05, 0.05, 0.05 respectively ( P  > .05). There was no significant difference in performance between cases and controls at any time point. Conclusion: Achilles tendon tears are associated with a high rate of return to play in the NHL and are not associated with a significant change in offensive, defensive, or overall performance-based metrics. Level of Evidence: Level III, case-control study.
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spelling doaj-art-140f5eafac0b42899e0b2f87481b002c2025-08-20T02:48:53ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142024-11-01910.1177/24730114241300153Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance ImpactEmmitt Hayes MD0Bradley Meulenkamp MD1Bogdan Matache MD2Michael Pickell MD3Division of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, CanadaDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, CanadaDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, CanadaDivision of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, CanadaBackground: Few studies assess rates of return to play and postinjury performance in National Hockey League (NHL) players who sustain Achilles tendon ruptures. Our objective was to determine the rate of return to play and performance impact among NHL players who undergo surgical repair of Achilles tendon tears. Methods: NHL players who sustained an Achilles tendon rupture between 2001 and 2021 were identified using a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome was expected wins above replacement per 60 minutes played. A position, draft year, and index season performance matched cohort was created. Pre- and postinjury outcomes were compared between cases and controls with a paired t test. Results: We identified 15 cases (9 forwards, 5 defencemen, 1 goaltender). Fourteen of 15 (93%) players returned to play. Preinjury, postinjury year 1, and postinjury year 2 expected wins above replacement were 0.05, 0.05, 0.05 respectively ( P  > .05). There was no significant difference in performance between cases and controls at any time point. Conclusion: Achilles tendon tears are associated with a high rate of return to play in the NHL and are not associated with a significant change in offensive, defensive, or overall performance-based metrics. Level of Evidence: Level III, case-control study.https://doi.org/10.1177/24730114241300153
spellingShingle Emmitt Hayes MD
Bradley Meulenkamp MD
Bogdan Matache MD
Michael Pickell MD
Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact
Foot & Ankle Orthopaedics
title Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact
title_full Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact
title_fullStr Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact
title_full_unstemmed Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact
title_short Achilles Tendon Ruptures in National Hockey League Players: Return to Sport and Performance Impact
title_sort achilles tendon ruptures in national hockey league players return to sport and performance impact
url https://doi.org/10.1177/24730114241300153
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