Factors Used to Determine Return to Unrestricted Sports Activities After Anterior Cruciate Ligament Reconstruction

Barber-Westin, Sue D.; Noyes, Frank R.

doi:10.1016/j.arthro.2011.09.009

Cited by 449 publications

(453 citation statements)

References 39 publications

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“…Post-operative pain can be managed through the use of cryotherapy, analgesic medication or electrical stimulation. Post-operative rehab should be structured and gradually progressed without causing complications such as anterior knee pain or tendonitis [19].…”

Section: Early Post-operative Complicationsmentioning

confidence: 99%

“…Less than a 20-30% deficit compared to the uninvolved extremity is acceptable for progression into running and light plyometrics, and less than a 10% deficit on strength of the quadriceps and hamstrings is acceptable for progression into sport-specific skills and activities. A 1-repetition maximum leg press may be substituted if no isokinetic device is available [19].…”

Section: Late Post-operative Complicationsmentioning

confidence: 99%

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Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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Section: Early Post-operative Complicationsmentioning

confidence: 99%

Section: Late Post-operative Complicationsmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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“…ACL tears are one of the most common types of knee injury and ACL reconstruction is often performed with the purpose of re-introducing patients to this type of physical activity (3,4). However, even with the advances in ACL reconstructive surgery made in previous years, grafting failure keeps occurring at a substantial rate of ~2% within 2 years (5), 11.9% within 10 years (6) and an alarming 36% within 20 years (7) of operation.…”

Section: Introductionmentioning

confidence: 99%

Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise

Jiang

Chen

et al. 2017

Exp Ther Med

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Abstract. The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments in the human knee and is critical for knee stability, as it limits anterior tibial translation on the femur, restrains rotation and resists varus and valgus joint forces. The present study aimed to assess the effect of double-bundle revision anterior cruciate ligament (ACL) reconstruction in improving the subjective and objective functions and re-introducing patients to physical activity after primary ACL reconstruction had failed. A total of 34 patients who underwent double-bundle ACL revision surgeries were included in the present retrospective study. Lysholm, Tegner and IKDC scores as well as KT-2000 arthrometry measures were obtained pre-and post-operatively. The follow-up time was at least 2 years. The results indicated that the IKDC, Lysholm and Tegner scores as well as KT-2000 flexion scores were significantly improved after revision ACL reconstruction. All patients resumed to performing physical exercise activities after revision surgeries, 65% of whom reached pre-injury levels. In conclusion, these results demonstrated that double-bundle revision ACL reconstruction was consistently effective in rescuing failed primary ACL reconstruction and re-introducing patients to physical exercise.

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“…LSI is one of the most frequently used criteria and an LSI greater than 85% is an acceptable value before a patient can return to sports activities [9,77,99,100]. The results of the hop tests are not only a good way to examine the readiness of an athlete before returning to sport, but it has been shown to be a good predictor of osteoarthritis development at 1 year post surgery [29].…”

Section: Neuromuscular Control/functional Readinessmentioning

confidence: 99%

Return to Sport after Anterior Cruciate Ligament Reconstruction: A Literature Review

P¹

2014

J Nov Physiother

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Factors Used to Determine Return to Unrestricted Sports Activities After Anterior Cruciate Ligament Reconstruction

Cited by 449 publications

References 39 publications

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise

Return to Sport after Anterior Cruciate Ligament Reconstruction: A Literature Review

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