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Review
. 2022 Jan 20:25:101774.
doi: 10.1016/j.jcot.2022.101774. eCollection 2022 Feb.

A systematic review of anterior cruciate ligament primary repair rehabilitation

George Jm Hourston  1 , Hadyn Kn Kankam  2 , Stephen M McDonnell  1
Affiliations
Review

A systematic review of anterior cruciate ligament primary repair rehabilitation

George Jm Hourston et al. J Clin Orthop Trauma. .

Abstract

Background: Rehabilitation after surgery of the injured anterior cruciate ligament (ACL) is crucial for satisfactory outcomes. Many trials have investigated this process after ACL reconstruction. The treatment of acute ACL ruptures with a repair technique has recently regained interest, although very little information is available about appropriate rehabilitation for such patients. The objective of this review was to evaluate studies on rehabilitation following ACL repair.

Methods: A systematic review of the literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted for patients undergoing a rehabilitation programme after ACL repair. The review has been registered on the International Prospective Register of Systematic Reviews (PROSPERO, Registration number: CRD42020173450). Elements of rehabilitation care we included in our strategy are postoperative bracing, home-based rehabilitation, strengthening exercises, proprioception and neuromuscular training. We searched PubMed, CINAHL, EMBASE, and the Cochrane Library for randomised trials of any form investigating rehabilitation protocols after repair of the injured ACL. Two reviewers independently assessed eligibility of trials.

Results: No trials were included. Available literature of lower evidence was included for discussion.

Conclusions: No information is available from randomised trials to indicate whether there is any difference between rehabilitation protocols for patients who have undergone primary ACL repair.

Keywords: ACL; Knee injuries; Knee surgery; Orthopaedics; Rehabilitation.

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Figures

Fig. 1
Fig. 1
Study selection flow diagram.
See this image and copyright information in PMC

References

    1. Hewett T.E., Di Stasi S.L., Myer G.D. Current concepts for injury prevention in athletes after anterior cruciate ligament reconstruction. Am J Sports Med. 2013;41:216–224. doi: 10.1177/0363546512459638. - DOI - PMC - PubMed
    1. Friel N.A., Chu C.R. The role of ACL injury in the development of posttraumatic knee osteoarthritis. Clin Sports Med. 2013;32:1–12. doi: 10.1016/j.csm.2012.08.017. - DOI - PMC - PubMed
    1. Thomas A.C., Hubbard-Turner T., Wikstrom E.A., Palmieri-Smith R.M. Epidemiology of posttraumatic osteoarthritis. J Athl Train. 2017;52:491–496. doi: 10.4085/1062-6050-51.5.08. - DOI - PMC - PubMed
    1. Gagliardi A.G., Carry P.M., Parikh H.B., Traver J.L., Howell D.R., Albright J.C. ACL repair with suture ligament augmentation is associated with a high failure rate among adolescent patients. Am J Sports Med. 2019;47:560–566. doi: 10.1177/0363546518825255. - DOI - PubMed
    1. Montalvo A.M., Schneider D.K., Webster K.E., et al. Anterior cruciate ligament injury risk in sport: a systematic review and meta-analysis of injury incidence by sex and sport classification. J Athl Train. 2019;54:472–482. doi: 10.4085/1062-6050-407-16. - DOI - PMC - PubMed

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