Abstract
The objective of this study was to evaluate the clinical results of a continuous prospective series from 2008 of 408 anterior cruciate ligament (ACL) reconstruction in stay of reathleticization in competitive athletes. Hypothesis The ACL reconstruction results in muscular and proprioceptive repercussions that hamper resumption of the sports activity. A period of reathleticization develops muscular qualities and allows the sporting resumption in optimal way. Patients and methods Four hundred and eight patients aged with a mean 26 years (range: 18–42 years), allowed on average 6 months after the surgery (180.5 days) profited from a standardized program in rehabilitation and athletic training. Forms (medical, physiotherapy, athletic training) were filled by the various health care professionals for a clinical pathway computerized and analyzed using an Excel spreadsheet. Results Between the income and outcome examination, improvements were obtained in the field of pain, range of motion , muscular and functional skills. The mean deficit of the isokinetic test for quadriceps of the operative limb was 23% at the speed of 90°/sec, 14% at the speed of 240°/sec and 13% at the speed of 90°/sec in eccentric. The mean deficit for hamstring was 7% at the speed of 90°/sec, 4% at the speed of 240°/sec and 3% at the speed of 90°/sec in eccentric. At the exit, 309 patients controlled running's techniques correctly, 93 controlled it little and for 21 patients, the running was not acquired. For running, 298 patients could control perfectly running on the field, 102 patients imperfectly and 21 could not realize them. Discussion The review of the bibliography confirmed the orientations taken for the programs of rehabilitation and of athletic training, and associated with the data collected, improved the professional practices: sensitive rehabilitation, normal range of motion with no loss of extension, early eccentric reinforcement of the quadriceps and hamstring in close kinetic chain, reinforcement of hamstring for internal rotation strength, running according to the capacities of the knee. The planning of the sporting recovery allowed going in full safety with the athletes to their return on the field or track.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
