Memmel, Clemens and Koch, Matthias and Szymski, Dominik and Huber, Lorenz and Pfeifer, Christian and Knorr, Christian and Alt, Volker and Krutsch, Werner (2022) Standardized Rehabilitation or Individual Approach?-A Retrospective Analysis of Early Rehabilitation Protocols after Isolated Posterior Cruciate Ligament Reconstruction. JOURNAL OF PERSONALIZED MEDICINE, 12 (8): 1299. ISSN , 2075-4426
Full text not available from this repository. (Request a copy)Abstract
(1) Background: Isolated posterior cruciate ligament (PCL) tears represent a severe type of injury. In hospitals, PCL reconstruction (PCL-R) is less frequently performed than other types of knee surgery. It is unclear whether there is consensus among surgeons on how to perform rehabilitation after PCL-R or if there are different, more individual approaches in daily routines. (2) Methods: Rehabilitation protocols and their main criteria (the progression of weight bearing and range of motion, the use of knee braces, rehabilitation training, and sports-specific training) were retrospectively analyzed after PCL-R. (3) Results: Only 33 of 120 (27.5%) analyzed institutes use rehabilitation protocols after PCL-R. The applied protocols showed vast differences between the individual rehabilitation criteria, especially with regard to the progression of weight bearing and the range of motion. The only standardized recommendations were the obligatory use of knee braces and the general restriction of weight bearing and range of motion immediately post-surgery. Therefore, because of the lack of a consensus about a standardized rehabilitation protocol after PCL-R, no recommendation can be made on one particular protocol. (4) Conclusion: There is no acknowledged standardized rehabilitation protocol after PCL-R. In clinical practice, recommendations are influenced by, i.a., surgeons' opinions and experience. The lack of scientific evidence on a particular standardized rehabilitation protocol after PCL-R suggests that rehabilitation protocols need to be tailored to the individual patient.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INJURIES; TEARS; BIOMECHANICS; KNEE; posterior cruciate ligament reconstruction; rehabilitation; weight bearing; range of motion; standardized rehabilitation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 12 Dec 2023 11:38 |
| Last Modified: | 12 Dec 2023 11:38 |
| URI: | https://pred.uni-regensburg.de/id/eprint/57028 |
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