Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play

For the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning...

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Main Authors: Snehal Patel, Arya Amirhekmat, Ryan Le, Riley J Williams III, Dean Wang
Format: Article
Language:English
Published: North American Sports Medicine Institute 2021-06-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.22085
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author Snehal Patel
Arya Amirhekmat
Ryan Le
Riley J Williams III
Dean Wang
author_facet Snehal Patel
Arya Amirhekmat
Ryan Le
Riley J Williams III
Dean Wang
author_sort Snehal Patel
collection DOAJ
description For the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning the athlete to full sports activity and requires a multidisciplinary team approach with frequent communication between the surgical and rehabilitation teams (physical therapists, athletic trainers, coaching staff). In this review, we describe our five-phase approach to progressive rehabilitation of the professional athlete after OCA, which takes into account the biological processes of healing and optimization of neuromuscular function required for the demands of elite-level sport. The principles of early range of motion, proper progression through the kinetic chain, avoidance of pain and effusion, optimization of movement, regimen individuation, and integration of sports-specific activities underlie proper recovery.
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institution Kabale University
issn 2159-2896
language English
publishDate 2021-06-01
publisher North American Sports Medicine Institute
record_format Article
series International Journal of Sports Physical Therapy
spelling doaj-art-2e72d862af024efabd9ec684b8e361da2025-02-11T20:27:29ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-06-01163Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to PlaySnehal PatelArya AmirhekmatRyan LeRiley J Williams IIIDean WangFor the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning the athlete to full sports activity and requires a multidisciplinary team approach with frequent communication between the surgical and rehabilitation teams (physical therapists, athletic trainers, coaching staff). In this review, we describe our five-phase approach to progressive rehabilitation of the professional athlete after OCA, which takes into account the biological processes of healing and optimization of neuromuscular function required for the demands of elite-level sport. The principles of early range of motion, proper progression through the kinetic chain, avoidance of pain and effusion, optimization of movement, regimen individuation, and integration of sports-specific activities underlie proper recovery.https://doi.org/10.26603/001c.22085
spellingShingle Snehal Patel
Arya Amirhekmat
Ryan Le
Riley J Williams III
Dean Wang
Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play
International Journal of Sports Physical Therapy
title Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play
title_full Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play
title_fullStr Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play
title_full_unstemmed Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play
title_short Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play
title_sort osteochondral allograft transplantation in professional athletes rehabilitation and return to play
url https://doi.org/10.26603/001c.22085
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AT aryaamirhekmat osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay
AT ryanle osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay
AT rileyjwilliamsiii osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay
AT deanwang osteochondralallografttransplantationinprofessionalathletesrehabilitationandreturntoplay