Current methods of rehabilitation after arthroscopic reconstruction of the anterior cruciate ligament of the knee joint (review of literature)

Abstract

Introduction The leading method for treating patients with injuries of the anterior cruciate ligament is its reconstruction. Although this operation is a common procedure, the issues of rehabilitation have not been fully studied. The aim of study Collection and analysis of available published studies on current methods of rehabilitation treatment after arthroscopic reconstruction of the anterior cruciate ligament. Materials and methods We analyzed the publications that were devoted to current methods of rehabilitation treatment of patients after arthroscopic reconstruction of the anterior cruciate ligament. The materials were searched for in the PubMed and Web of Science databases using the keywords “anterior cruciate ligament reconstruction”, “anterior cruciate ligament rehabilitation”. Inclusion criteria were compliance with the general topic, relevance, introduction of new rehabilitation treatments. Studies published earlier than the last 10 years were excluded. Results The analysis found that the main rehabilitation treatments used in patients after reconstruction of the anterior cruciate ligament are of protective character (wearing a functional orthosis or other immobilizing appliance, dosed walking with crutches) and physical activity (complex of exercises, swimming). The most effective way to prevent contractures is early activation of the limb and the maintenance of muscle tone. In turn, the main task of immobilization is prevention or relief of pain. Our study proposes the authors’ methods of rehabilitation which can be used for restorative treatment and accelerate the process of ligament repair. The work includes rehabilitation procedures performed at home after reconstruction of the anterior cruciate ligament under the supervision of a rehabilitation instructor. Discussion Rehabilitation of patients after reconstruction of the anterior cruciate ligament is a necessary complement to surgical treatment. Fast recovery of patients and a full return to an active lifestyle depend on a proper rehabilitation program.

Postoperative complications following ACL reconstruction: Prevention and management

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Effectiveness of the KC@H programme compared with clinic-based rehabilitation in patients recovering from ACL reconstruction: a study protocol for a single-centre, two-arm, single-blinded, randomised controlled superiority trial

“…Thus, many physically active individuals often undergo ACL reconstruction (ACLR) 1. Following surgery, individuals typically adhere to extensive and time-consuming clinic-based rehabilitation (CR) protocols essential for a complete recovery 2 3. These protocols involve executing therapeutic exercises guided by physiotherapists in CR sessions to alleviate knee pain, improve knee function and reduce the risk of further ACL injury 3…”

Application of Patient Function Recovery After Reconstruction of the Anterior Cruciate Ligament

“…Factors causing ACL injury include active sports and traffic injuries, etc., and age, gender, side and knee position during injury have important influence on ACL injury. 1 Anterior cruciate ligament reconstruction is the main method for the treatment of ACL injury, but postoperative rehabilitation can benefit the recovery of knee function and shorten the recovery time. To understand the application of professional rehabilitation methods in postoperative rehabilitation of anterior cruciate ligament reconstruction of knee joint, and to establish postoperative rehabilitation training standards and norms for anterior cruciate ligament reconstruction of knee joint, to maximize the recovery of patients' motor function, so as to solve the prominent and urgent problems in the rehabilitation of acl injury.…”