A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation
The anterior cruciate ligament (ACL) is one of the main stabilizing structures of the knee and its rupture is a common injury in young active adults. ACL reconstruction has been the preferred operative management of an ACL rupture for several decades; however, success rates are variable. Recently,...
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North American Sports Medicine Institute
2021
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oai:doaj.org-article:adc1b3e4dff94a04992440d1f62d23302021-12-02T17:11:30ZA Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation10.26603/001c.222172159-2896https://doaj.org/article/adc1b3e4dff94a04992440d1f62d23302021-06-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/22217-a-criterion-based-rehabilitation-protocol-for-acl-repair-with-internal-brace-augmentation.pdfhttps://doaj.org/toc/2159-2896The anterior cruciate ligament (ACL) is one of the main stabilizing structures of the knee and its rupture is a common injury in young active adults. ACL reconstruction has been the preferred operative management of an ACL rupture for several decades; however, success rates are variable. Recently, interest in arthroscopic primary repair of the ligament has increased. The repair is augmented with an Internal Brace (IB), which is an ultra-high strength suture tape that bridges the ligament. This technique protects the ligament during the healing and the ligament is encouraged to heal naturally, whilst not requiring any external braces. It acts as a stabiliser to permit early mobilization and optimise rehabilitation. As understanding of rehabilitation has progressed, there has been an increased focus on early weight-bearing and achieving full range of movement. While detailed criterion-based rehabilitation protocols exist for ACL reconstruction, this is not the case for ACL repair. The purpose of this commentary is to present a novel criterion-based rehabilitation protocol following ACL repair surgery augmented with an IB. # Level of Evidence VAhmer IrfanStewart KerrGraeme HopperWilliam WilsonLynsay WilsonGordon MackayNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 3 (2021) |
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Sports medicine RC1200-1245 |
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Sports medicine RC1200-1245 Ahmer Irfan Stewart Kerr Graeme Hopper William Wilson Lynsay Wilson Gordon Mackay A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation |
description |
The anterior cruciate ligament (ACL) is one of the main stabilizing structures of the knee and its rupture is a common injury in young active adults. ACL reconstruction has been the preferred operative management of an ACL rupture for several decades; however, success rates are variable. Recently, interest in arthroscopic primary repair of the ligament has increased. The repair is augmented with an Internal Brace (IB), which is an ultra-high strength suture tape that bridges the ligament. This technique protects the ligament during the healing and the ligament is encouraged to heal naturally, whilst not requiring any external braces. It acts as a stabiliser to permit early mobilization and optimise rehabilitation.
As understanding of rehabilitation has progressed, there has been an increased focus on early weight-bearing and achieving full range of movement. While detailed criterion-based rehabilitation protocols exist for ACL reconstruction, this is not the case for ACL repair. The purpose of this commentary is to present a novel criterion-based rehabilitation protocol following ACL repair surgery augmented with an IB.
# Level of Evidence
V |
format |
article |
author |
Ahmer Irfan Stewart Kerr Graeme Hopper William Wilson Lynsay Wilson Gordon Mackay |
author_facet |
Ahmer Irfan Stewart Kerr Graeme Hopper William Wilson Lynsay Wilson Gordon Mackay |
author_sort |
Ahmer Irfan |
title |
A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation |
title_short |
A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation |
title_full |
A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation |
title_fullStr |
A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation |
title_full_unstemmed |
A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation |
title_sort |
criterion based rehabilitation protocol for acl repair with internal brace augmentation |
publisher |
North American Sports Medicine Institute |
publishDate |
2021 |
url |
https://doaj.org/article/adc1b3e4dff94a04992440d1f62d2330 |
work_keys_str_mv |
AT ahmerirfan acriterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT stewartkerr acriterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT graemehopper acriterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT williamwilson acriterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT lynsaywilson acriterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT gordonmackay acriterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT ahmerirfan criterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT stewartkerr criterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT graemehopper criterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT williamwilson criterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT lynsaywilson criterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation AT gordonmackay criterionbasedrehabilitationprotocolforaclrepairwithinternalbraceaugmentation |
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1718381516852035584 |