Abstract

Purpose: Fifty percent of individuals who experience an anterior cruciate ligament (ACL) injury will develop symptomatic knee osteoarthritis (OA) within 10 years of injury. Factors present soon after ACL injury likely contribute to the rapid development of OA. Among individuals early after ACL injury, 45% demonstrate knee instability and/or poor self-reported and performance-based knee function. A hallmark of poor response to ACL injury is a knee stiffening strategy with reduced knee flexion excursion during gait.

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