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However, this method has also been associated with a number of issues. 5,6 Consequently, ACL reconstruction became the preferred operative treatment of ACL rupture.
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3,4Įarly attempts at primary ACL repair were associated with poor outcomes, including a high failure rate in athletes, but these were open procedures with lengthy periods of immobilisation. 1,2 Untreated ACL ruptures can lead to joint instability, soft tissue injuries and joint degeneration. 1 Rupture of the ACL is a common injury with an incidence of up to 84 per 100,000 adults and a risk of up to 3.7% per year in professional athletes. The anterior cruciate ligament (ACL) is one of the main stabilizing structures of the knee, acting to prevent excess anterior tibial translation and internal rotation. The purpose of this commentary is to present a novel criterion-based rehabilitation protocol following ACL repair surgery augmented with an IB. While detailed criterion-based rehabilitation protocols exist for ACL reconstruction, this is not the case for ACL repair.
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#Acl protocols full#
It acts as a stabiliser to permit early mobilization and optimise rehabilitation.Īs understanding of rehabilitation has progressed, there has been an increased focus on early weight-bearing and achieving full range of movement. This technique protects the ligament during the healing and the ligament is encouraged to heal naturally, whilst not requiring any external braces. The repair is augmented with an Internal Brace (IB), which is an ultra-high strength suture tape that bridges the ligament. Recently, interest in arthroscopic primary repair of the ligament has increased. ACL reconstruction has been the preferred operative management of an ACL rupture for several decades however, success rates are variable. The anterior cruciate ligament (ACL) is one of the main stabilizing structures of the knee and its rupture is a common injury in young active adults.