Postoperative Rehabilitation of Multiligament Knee Reconstruction: A Systematic Review.

MedStar author(s):
Citation: Sports Medicine & Arthroscopy Review. 29(2):94-109, 2021 Jun 01.PMID: 33972486Institution: MedStar Washington Hospital CenterDepartment: MedStar Health Physical Therapy | Orthopaedic Surgery ResidencyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021Local holdings: Available online from MWHC library: 2001 - presentISSN:
  • 1062-8592
Name of journal: Sports medicine and arthroscopy reviewAbstract: BACKGROUND: Multiligamentous knee injuries (MLKIs) are rare, and heterogeneous in presentation and treatment options. Consequently, optimal postoperative rehabilitation of MLKI remains unclear.CONCLUSION: The rare nature of MLKI hinders the ability to create a standardized rehabilitation protocol. However, early postoperative physical therapy and range of motion consistently lead to improved outcomes. Randomized studies are needed to determine optimal postoperative rehabilitation following MLKR. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.OBJECTIVE: To summarize the latest evidence for postoperative rehabilitation protocols following multiligamentous knee reconstruction (MLKR).PATIENTS AND METHODS: A multidatabase search was conducted with the aid of a health sciences librarian. Blinded reviewers conducted multiple screenings of studies evaluating postoperative rehabilitation protocols following MLKR. All included studies were then graded based on level of evidence, and data concerning patient demographics and rehabilitation protocols were extracted.RESULTS: MLKR rehabilitation protocols differ widely in terms of weightbearing, bracing, initiation, and types of physical therapy, yet several established protocols were referenced frequently throughout the literature. Such protocols resulted in good outcomes, with patients returning to running in 6 to 12 months and returning to sport in 8 to 12 months.All authors: Keeling LE, Postma WF, Powell SN, Purvis E, Willauer TJFiscal year: FY2021Digital Object Identifier: Date added to catalog: 2021-06-28
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 33972486 Available 33972486

Available online from MWHC library: 2001 - present

BACKGROUND: Multiligamentous knee injuries (MLKIs) are rare, and heterogeneous in presentation and treatment options. Consequently, optimal postoperative rehabilitation of MLKI remains unclear.

CONCLUSION: The rare nature of MLKI hinders the ability to create a standardized rehabilitation protocol. However, early postoperative physical therapy and range of motion consistently lead to improved outcomes. Randomized studies are needed to determine optimal postoperative rehabilitation following MLKR. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.

OBJECTIVE: To summarize the latest evidence for postoperative rehabilitation protocols following multiligamentous knee reconstruction (MLKR).

PATIENTS AND METHODS: A multidatabase search was conducted with the aid of a health sciences librarian. Blinded reviewers conducted multiple screenings of studies evaluating postoperative rehabilitation protocols following MLKR. All included studies were then graded based on level of evidence, and data concerning patient demographics and rehabilitation protocols were extracted.

RESULTS: MLKR rehabilitation protocols differ widely in terms of weightbearing, bracing, initiation, and types of physical therapy, yet several established protocols were referenced frequently throughout the literature. Such protocols resulted in good outcomes, with patients returning to running in 6 to 12 months and returning to sport in 8 to 12 months.

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