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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 429-436
DOI: 10.1055/s-0042-1748970
Artigo Original
Joelho

Early Accelerated versus Delayed Conservative Rehabilitation Protocol after Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Trial[*]

Article in several languages: português | English
Saroj Kumar Patra 
1   Departamento de Trauma e Emergência, AIIMS, Bhubaneswar, Índia
,
Saurav Narayan Nanda 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
,
Bishnu Prasad Patro 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
,
Nabin Kumar Sahu 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
,
Chitta Ranjan Mohnaty 
1   Departamento de Trauma e Emergência, AIIMS, Bhubaneswar, Índia
,
Mantu Jain 
2   Departamento de Ortopedia, AIIMS, Bhubaneswar, Índia
› Author Affiliations Financial Support The authors declare that thy have not received any financial support from public, commercial, or non-profit sources to conduct the present study.
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Abstract

Objective To compare the effectiveness of the early accelerated rehabilitation and delayed conservative rehabilitation protocols after arthroscopic anterior cruciate ligament reconstruction, in terms of the International Knee Documentation Committee (IKDC) score, pain (according to the Visual Analog Scale), laxity, and stiffness one year postoperatively to determine the best outcome.

Materials and Methods A total of 80 subjects were divided into 2e groups (early accelerated group and delayed conservative group), which were analyzed by the Pearson Chi-squared and Wilcoxon rank-sum tests.

Results One year postoperatively, knee laxity was significantly higher (p = 0.039) in the early accelerated group compared with the delayed conservative group. Regarding postoperative pain (according to the Visual Analogue Scale) and IKDC scores, both groups presented similar results. The postoperative range of motion was better in the early accelerated group, but this was not statistically significant (p = 0.36).

Conclusion One year postoperatively, the early accelerated rehabilitation protocol was associated with significant knee laxity compared to the delayed conservative rehabilitation protocol.

Keywords

anterior cruciate ligament injuries - anterior cruciate ligament reconstruction - rehabilitation

* Work developed at the Department of Trauma and Emergency, AIIMS, Bhubaneswar, India.




Publication History

Received: 15 July 2021

Accepted: 24 September 2021

Article published online:
30 June 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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