Adjust evidence in ACL

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Aug 6th, 2022
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How to adjust evidence in ACL

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so the evidence tells us that following an acl reconstruction if the athlete returns to sport before nine months they are almost seven times more likely to sustain a second acl injury this needs investigating letamp;#39;s dive in hey everyone khalid here welcome back to clinical physio so we get asked this all the time when should my patient return to sport following their acl reconstruction well today weamp;#39;re going to review this fantastic piece of evidence by bachelor tile 2020 which gives us some brilliant insights so the research has completed an observational study involving 159 patients both male and female athletes aged between 15 and 30 who had had a primary acl reconstruction and were involved in knee strenuous sports so the researchers monitored the progress of these 159 patients over a four year period marking down when they returned to sport the number of months after their surgery and whether or not they sustained a secondary acl injury well out of these 159 athlete

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The prognosis (outlook) for a partially torn ACL is often good, with the recovery and rehabilitation period usually lasting at least 3 months. However, some patients with partial ACL tears may still have instability symptoms.
This can range from minor and inconsequential to severe. Prevention is the first and most effective method for treatment of loss of motion. This is why compliance with post-operative rehabilitation is so vital to the outcome of the procedure, and why range of motion is started immediately post-operatively.
Standard treatment for ACL or PCL mucoid degeneration without OA is arthroscopic partial excision of the cruciate ligament. 13, 14 But the resection can be partial or complete ,1, 4, 11 when the lesion concerns the whole ACL, from tibial to femoral insertion and both bundles.
The highest level of evidence for ACL rehabilitation in this review (moderate certainty) was observed for: (1) neuromuscular electrical stimulation to improve quadriceps strength; (2) open versus closed kinetic chain exercises to be similarly effective for improving quadriceps strength and self-reported function; (3)
1, 2 Still, the most commonly used autografts for ACL reconstruction are the bone-patellar tendon-bone (BPTB) and hamstring tendons (HT). There is some evidence to suggest that BPTB autografts produce more pain than HT autografts both in the immediate postoperative period as well as in the long term.
Conclusion. After management of acute ACL rupture with a novel bracing protocol, 90% of patients had evidence of ACL healing on a 3-month MRI (continuity of the ACL). More ACL healing on a 3-month MRI was associated with better knee function and QOL, less passive knee laxity and a higher return-to-sport rate.
Secondary signs include bone marrow edema (secondary to bone contusion) in more than half of ACL tears. The characteristic ACL bone bruising involves the middle third of the Lateral femoral condyle and the posterior third of the lateral tibial plateau.
Currently, there is no gold standard for rehabilitation after ACL reconstruction, highlighting the need for robust studies evaluating the best modalities for athlete rehabilitation, as well as determining the efficacy of new tools for improving therapy including blood flow restriction therapy and neuromuscular

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