Rehabilitation differs only in the early postoperative phase depending on the graft type.
Rehabilitation after combined extra-articular procedures is basically the same.
Rehabilitation of meniscus or cartilage repair will be a priority after the surgery.
The rehabilitation program must be gradual and meet the sport's specific requirements.
Psycho-socio-contextual factors should be managed to individualize rehabilitation.
: The goal of a rehabilitation programme after anterior cruciate ligament (ACL) reconstruction is to manage a patient's goals and expectations (i.e., returning to physical activities and sports) while minimizing the risk of new injury, particularly a new ACL injury. Although general rehabilitation programmes have been proposed, some factors can lead to adapting each programme to each patient.
: To describe how different variables, including surgical techniques, sports participation, psycho-social and contextual factors can modify the rehabilitation programme.
: We performed a narrative review with input from experts in the field (level of evidence 5).
: Modifying factors of the ACL rehabilitation programme are related to the initial lesion or surgery, to sports, or to psychological or social aspects. Regarding the type of graft, the rehabilitation is mainly different in the early postoperative phase; the other phases are not graft-based but rather goal-based rehabilitation. Depending on the meniscal or cartilage repair, the rehabilitation protocol will initially take priority over the anterior cruciate ligament reconstruction protocol. The ACL reconstruction rehabilitation programme should meet the requirements of the anticipated sports, to optimize the athlete's ability to return to the expected level and minimize the risk of reinjury. Psycho-social and contextual factors must also be considered in rehabilitation care to individualize and optimize each patient's programme.Le texte complet de cet article est disponible en PDF.
| The modifying factors that help improve anterior cruciate ligament reconstruction rehabilitation: a narrative review