Optimising the Early-Stage Rehabilitation Process Post-ACL Reconstruction

Buckthorpe, Matthew; Gokeler, Alli; Herrington, Lee; Hughes, Mick; Grassi, Alberto; Wadey, Ross; Patterson, Stephen; Compagnin, Alessandro; La Rosa, Giovanni; Della Villa, Francesco

doi:10.1007/s40279-023-01934-w

Cited by 8 publications

(4 citation statements)

References 245 publications

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“…Additionally, participants have the capability to communicate with therapists via the mobile phone application, enabling them to send text, voice messages, images, and videos throughout the entire experiment. The specific rehabilitation protocol is developed based on the best available evidence for ACLR and is discussed with experienced surgeons and physiotherapists in our center [ 5 , 18 – 20 ]. Participants in the intervention group receive comprehensive education and rehabilitation program through the mobile phone application, which includes text, photos, and videos.…”

Section: Methodsmentioning

confidence: 99%

Multicomponent supervised tele-rehabilitation versus home-based self-rehabilitation management after anterior cruciate ligament reconstruction: a study protocol for a randomized controlled trial

Wang,

Peng,

You

et al. 2024

J Orthop Surg Res

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Introduction Our study aims to assess the effectiveness of multicomponent supervised tele-rehabilitation compared to home-based self-rehabilitation management in patients following anterior cruciate ligament reconstruction (ACLR). Methods The current study is designed as a single-center, single-blinded, randomized controlled, two-arm trial. Participants will be randomized and allocated at a 1:1 ratio into either a multicomponent supervised tele-rehabilitation group or a home-based self-rehabilitation group. All participants receive uniform preoperative education through the HJT software. Participants in the intervention group undergo multicomponent supervised tele-rehabilitation, while those in the control group follow a home-based self-rehabilitation program. All the participants were assessed and measured for the included outcomes at the outpatient clinic before the procedure, and in 2, 4, 8, 12, and 24 weeks after ACLR by two assessors. The primary outcome was the percentage of patients who achieve a satisfactory active ROM at the 12 weeks following the ACLR. The satisfactory active ROM was also collected at 2, 4, 8, and 24 weeks after ACLR. The secondary outcomes were active and passive range of motion (ROM), pain, muscle strength, and function results. Registration details Ethical approval has been obtained from the West China Hospital Ethics Committee (approval number 2023−1929, December 2023). The trial has been registered on ClinicalTrials.gov (registration number NCT06232824, January 2024).

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Section: Methodsmentioning

confidence: 99%

Multicomponent supervised tele-rehabilitation versus home-based self-rehabilitation management after anterior cruciate ligament reconstruction: a study protocol for a randomized controlled trial

Wang,

Peng,

You

et al. 2024

J Orthop Surg Res

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“…However, even with appropriate surgery and rehabilitation, only approximately 65-75% of recreational ACLR patients return to their preinjury sporting level [11]. Quadriceps atrophy and weakness of the surgical leg are considered to cause side-to-side strength asymmetry and poor rehabilitation, affected by postoperative pain [12,13]. Buckthorpe et al [13,14] suggested a numeric rating scale pain value of 0-2 (knee speci c) as a criterion for transition to higher-intensity rehabilitation.…”

Section: Pearlsmentioning

confidence: 99%

“…Quadriceps atrophy and weakness of the surgical leg are considered to cause side-to-side strength asymmetry and poor rehabilitation, affected by postoperative pain [12,13]. Buckthorpe et al [13,14] suggested a numeric rating scale pain value of 0-2 (knee speci c) as a criterion for transition to higher-intensity rehabilitation. In our study, postoperative uid volume and VAS were signi cantly lower in those in the SCP group, possibly because the postoperative intra-articular bleeding was drained to the deep surface of the iliac tendon bundle through the SCP incision.…”

Section: Pearlsmentioning

confidence: 99%

Superolateral Capsule Portal: A New Arthroscopic Viewing Approach for Spotting Femoral Fixation Device in Anterior Cruciate Ligament Reconstruction

Ding,

Liao,

Shangguan

et al. 2024

Preprint

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Background this study aimed to describe the arthroscopic superlateral capsule portal technique for spotting femoral fixation device deployment, and to compare the results with normal procedure. Methods: A total of 69 patients underwent ACLR (Anterior Cruciate Ligament Reconstruction) with or without the SCP (superolateral capsule portal) during procedure were retrospectively selected and evaluated. A total of 36 patients underwent SCP and 33 patients underwent ACLR without SCP. Mean follow-up was 6 months after surgery. All patient noted joint fluid, underwent VAS and Lysholm score at follow-up, and statistical analysis was performed. Results: No statistically significant differences were found in patient demographics, ACLR duration time (p = 0.076) and Lysholm score (p = 0.296). Significantly less postoperation pain was reported in the SCP group(p = 0.000), and fluid volume in SCP group was significantly lower (p = 0.001). The postoperative complications were rare in both group. Conclusions: The superolateral capsule portal approach is a minimally invasive and safe technique that can be used to accurately locate and implant suture button-based femoral fixation devices in anterior cruciate ligament reconstruction.

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“…Furthermore, nutrition plays a critical role in patient recovery, especially after major surgeries like knee replacement[ 14 ]. A well-structured nutritional plan can aid in faster wound healing, reduce the risk of infections, and support the overall recovery process[ 15 ]. Discussing nutritional strategies within the context of perioperative care could provide insights into optimizing patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

Optimizing pain management in elderly patients post-knee surgery: A novel collaborative strategy

Nashwan

2024

World J Clin Cases

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Total knee replacement, a common surgery among the elderly primarily necessitated by osteoarthritis, replaces the damaged knee joint with an artificial one. Given the aging population and the increasing prevalence of such surgeries, the article highlights the critical need for effective postoperative care strategies. This editorial provides an overview of rehabilitation care for pain in elderly knee replacement patients, emphasizing the importance of a multimodal approach to postoperative recovery. Furthermore, the article advocates for a patient-centered, comprehensive rehabilitation regimen that enhances recovery and quality of life in elderly patients undergoing knee replacement surgery.

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Optimising the Early-Stage Rehabilitation Process Post-ACL Reconstruction

Cited by 8 publications

References 245 publications

Multicomponent supervised tele-rehabilitation versus home-based self-rehabilitation management after anterior cruciate ligament reconstruction: a study protocol for a randomized controlled trial

Multicomponent supervised tele-rehabilitation versus home-based self-rehabilitation management after anterior cruciate ligament reconstruction: a study protocol for a randomized controlled trial

Superolateral Capsule Portal: A New Arthroscopic Viewing Approach for Spotting Femoral Fixation Device in Anterior Cruciate Ligament Reconstruction

Optimizing pain management in elderly patients post-knee surgery: A novel collaborative strategy

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