Return to Preoperative Level of Sporting Function after Surgical Repair of the Pyramidalis–Anterior Pubic Ligament–Adductor Longus Complex in Professional Athletes.

This article focuses on the outcomes of surgical repair for acute traumatic avulsions of the pyramidalis–anterior pubic ligament–adductor longus complex (PLAC) in professional athletes. In a retrospective case series of 62 professional athletes undergoing suture anchor fixation performed by a single surgeon, all patients returned to their preinjury level of professional sport within an average of 12.3 weeks, with no injury recurrence at a mean follow-up of 4.2 years. Surgical repair was associated with high patient satisfaction, significant improvements in functional performance measured by the Lower Extremity Functional Scale (LEFS) and Marx Activity Rating Scale (MARS), and a low rate of postoperative complications. The study highlights the potential benefits of acute surgical intervention and standardized rehabilitation for PLAC injuries but notes limitations including lack of a nonoperative control group and applicability only to professional athletes.