A Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation –Part I: Continuous Passive Motion, Early Weight Bearing, Postoperative Bracing, and Home-Based Rehabilitation

Rick W. Wright; Emily Preston; Braden C. Fleming; Annunziato Amendola; Jack T. Andrish; John A. Bergfeld; Warren R. Dunn; Chris Kaeding; John E. Kuhn; Robert G. Marx; Eric C. McCarty; Richard C. Parker; Kurt P. Spindler; Michelle Wolcott; Brian R. Wolf; Glenn N. Williams

doi:10.1055/s-0030-1247822

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J Knee Surg 2008; 21(3): 217-224
DOI: 10.1055/s-0030-1247822

Review Article

A Systematic Review of Anterior Cruciate Ligament Reconstruction Rehabilitation – Part I: Continuous Passive Motion, Early Weight Bearing, Postoperative Bracing, and Home-Based Rehabilitation

Rick W. Wright¹ , Emily Preston² , Braden C. Fleming³ , Annunziato Amendola⁴ , Jack T. Andrish⁵ , John A. Bergfeld⁵ , Warren R. Dunn² , Chris Kaeding⁶ , John E. Kuhn² , Robert G. Marx⁷ , Eric C. McCarty⁸ , Richard C. Parker⁵ , Kurt P. Spindler² , Michelle Wolcott⁸ , Brian R. Wolf⁴ , Glenn N. Williams⁴

¹The Department of Orthopedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, St Louis, Mo
²The Vanderbilt Sports Medicine Center, Nashville, Tenn
³The Department of Orthopedic Surgery, Brown Medical School, Providence, RI
⁴The University of Iowa Hospitals and Clinics, Iowa City, Iowa
⁵The Cleveland Clinic Foundation, Cleveland, Ohio
⁶The Ohio State Sports Medicine Center, Columbus, Ohio
⁷The Hospital for Special Surgery, New York, NY
⁸The Department of Orthopedic Surgery, University of Colorado School of Medicine, Denver, Colo

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Publication Date:
14 January 2010 (online)

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ABSTRACT

Anterior cruciate ligament (ACL) reconstruction is a common surgical knee procedure that requires intensive postoperative rehabilitation by the patient. A variety of randomized controlled trials have investigated aspects of ACL reconstruction rehabilitation. A systematic review of English language level 1 and 2 studies identified 54 appropriate randomized controlled trials of ACL rehabilitation. Topics discussed in this part of the article include continuous passive motion, early weight bearing in motion, postoperative bracing, and home-based rehabilitation.