Abstract
BackgroundThere is no consensus regarding the optimal postoperative rehabilitation program after anterior cruciate ligament (ACL) reconstruction. Material and methodsForty patients who had a primary anterior cruciate ligament reconstruction (ACL-R) with a semitendinosus-gracilis (STG) autograft from a single orthopaedic surgeon were prospectively randomized into 2 groups. Twenty patients were randomized to the accelerated rehabilitation group (100% male, mean age 26.45±4.696years) and 20 to the standard rehabilitation group (90% male, mean age 28.90±6.307years). Patients were followed and knee laxity and Tegner activity level values were obtained at 6 weeks, 3 months and 6 months postoperatively. IKDC score and KOOS score was collected at 3 and 6 months postoperatively and functional score by single leg hop test was measured at 6 months. ResultsThere were no differences between the groups for the baseline characteristics (P>.05). There was no difference found between the groups in respect to A-P knee laxity, activity level, Patient satisfaction (KOOS score) and functional performance (P>.05). There were significant differences in the IKDC scores between groups at 3 and 6 months and in the KOOS score at 3 months (P<.05). ConclusionsThe current study indicate that an accelerated postoperative protocol is equivalent in terms of laxity, patient satisfaction, functional performance and activity level and better in terms of clinical outcome to a standard rehabilitation protocol after an isolated ACL-R using STG autografts.
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