A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation

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. ACL reconstruction has been the preferred operative management of an ACL rupture for several decades; however, success rates are variable. Recently,...

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Main Authors: Ahmer Irfan, Stewart Kerr, Graeme Hopper, William Wilson, Lynsay Wilson, Gordon Mackay
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.22217
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author Ahmer Irfan
Stewart Kerr
Graeme Hopper
William Wilson
Lynsay Wilson
Gordon Mackay
author_facet Ahmer Irfan
Stewart Kerr
Graeme Hopper
William Wilson
Lynsay Wilson
Gordon Mackay
author_sort Ahmer Irfan
collection DOAJ
description 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. ACL reconstruction has been the preferred operative management of an ACL rupture for several decades; however, success rates are variable. Recently, interest in arthroscopic primary repair of the ligament has increased. The repair is augmented with an Internal Brace (IB), which is an ultra-high strength suture tape that bridges the ligament. This technique protects the ligament during the healing and the ligament is encouraged to heal naturally, whilst not requiring any external braces. It acts as a stabiliser to permit early mobilization and optimise rehabilitation. As understanding of rehabilitation has progressed, there has been an increased focus on early weight-bearing and achieving full range of movement. While detailed criterion-based rehabilitation protocols exist for ACL reconstruction, this is not the case for ACL repair. The purpose of this commentary is to present a novel criterion-based rehabilitation protocol following ACL repair surgery augmented with an IB. # Level of Evidence V
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institution Kabale University
issn 2159-2896
language English
publishDate 2021-06-01
publisher North American Sports Medicine Institute
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series International Journal of Sports Physical Therapy
spelling doaj-art-adc1b3e4dff94a04992440d1f62d23302025-02-11T20:27:09ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-06-01163A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace AugmentationAhmer IrfanStewart KerrGraeme HopperWilliam WilsonLynsay WilsonGordon MackayThe 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. ACL reconstruction has been the preferred operative management of an ACL rupture for several decades; however, success rates are variable. Recently, interest in arthroscopic primary repair of the ligament has increased. The repair is augmented with an Internal Brace (IB), which is an ultra-high strength suture tape that bridges the ligament. This technique protects the ligament during the healing and the ligament is encouraged to heal naturally, whilst not requiring any external braces. It acts as a stabiliser to permit early mobilization and optimise rehabilitation. As understanding of rehabilitation has progressed, there has been an increased focus on early weight-bearing and achieving full range of movement. While detailed criterion-based rehabilitation protocols exist for ACL reconstruction, this is not the case for ACL repair. The purpose of this commentary is to present a novel criterion-based rehabilitation protocol following ACL repair surgery augmented with an IB. # Level of Evidence Vhttps://doi.org/10.26603/001c.22217
spellingShingle Ahmer Irfan
Stewart Kerr
Graeme Hopper
William Wilson
Lynsay Wilson
Gordon Mackay
A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation
International Journal of Sports Physical Therapy
title A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation
title_full A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation
title_fullStr A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation
title_full_unstemmed A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation
title_short A Criterion Based Rehabilitation Protocol for ACL Repair with Internal Brace Augmentation
title_sort criterion based rehabilitation protocol for acl repair with internal brace augmentation
url https://doi.org/10.26603/001c.22217
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