Effects of an accelerated rehabilitation program after anterior cruciate ligament reconstruction with combined semitendinosus-gracilis autograft and a ligament augmentation device
Deutscher übersetzter Titel: | Auswirkungen eines fruehzeitigen gezielten Rehabilitationsprogramms nach Rekonstruktion des vorderen Kreuzbandes mittels Semitendinosus-Grazilis-Autotransplantats plus Bandverstaerkung |
---|---|
Autor: | MacDonald, Peter B.; Hedden, David; Pacin, Ondrej; Huebert, David |
Erschienen in: | The American journal of sports medicine |
Veröffentlicht: | 23 (1995), 5, S. 588-592, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0363-5465, 1552-3365 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199605107617 |
Quelle: | BISp |
Abstract des Autors
Forty patients with anterior cruciate reconstructions using semitendinosus and gracilis autografts and a ligament augmentation device were reviewed at a minimum of 20 months postoperatively to determine if an accelerated rehabilitation program was detrimental to intermediate follow-up results. The rehabilitation program included immediate full weightbearing, using crutches as aids for 2 weeks only, and a Generation II rehabilitation brace set at full range of motion for 2 weeks followed at 2 weeks by bicycle riding and strengthening exercises. Return to sports was allowed at 4 months for nonpivoting sports and at 6 months for level 1 sports involving pivoting. Thirty-seven patients were available for followup. At followup, three grafts were determined to be nonfunctional (KT-1000 arthrometer testing indicating >4 mm of side-to-side difference). The other 34 patients had good or excellent results, with all returning to their preinjury levels of sport with a brace. Early accelerated rehabilitation after anterior cruciate ligament reconstruction with semitendinosus and gracilis tendon autograft and a ligament augmentation device does not seem to affect the results adversely. Results in this series were as good as or better than other series using the same reconstructive technique. Verf.-Referat