The Evolution of Rehabilitation and Return to Sport Following Cartilage Surgery
Rehabilitation after knee cartilage repair or restoration can be a challenging and nuanced process. Historically, conservative rehabilitation protocols have been characterized by limited weightbearing and restricted range of motion (ROM) were created to primarily protect the repaired cartilage but d...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2023-06-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.77508 |
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| _version_ | 1825196977858543616 |
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| author | Snehal Patel William Marrone |
| author_facet | Snehal Patel William Marrone |
| author_sort | Snehal Patel |
| collection | DOAJ |
| description | Rehabilitation after knee cartilage repair or restoration can be a challenging and nuanced process. Historically, conservative rehabilitation protocols have been characterized by limited weightbearing and restricted range of motion (ROM) were created to primarily protect the repaired cartilage but did little for progression into higher level activity. Recent literature has supported accelerated protocols in a variety of cartilage procedures ranging from osteochondral allograft (OCA) Osteochondral autograft surgery (OATS) to matrix-based scaffolding procedures such as Matrix Induced Chondrocyte Implantation (MACI) or Denovo procedures. Advances in technology such as blood flow restriction (BFR) and testing equipment with progressive rehabilitation from the acute phase through the return to sport continuum have made it possible to return to a higher level of activity and performance than first thought of for these procedures. This clinical viewpoint discusses the evolution of knee cartilage rehabilitation characterized by early but progressive weightbearing and early ROM while maintaining early homeostasis in the knee, and then its progression to return to sport and performance in the higher-level athlete.
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| format | Article |
| id | doaj-art-f099a1d4085847e59bddeb1aa103413e |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-f099a1d4085847e59bddeb1aa103413e2025-02-11T20:29:49ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-06-01183The Evolution of Rehabilitation and Return to Sport Following Cartilage SurgerySnehal PatelWilliam MarroneRehabilitation after knee cartilage repair or restoration can be a challenging and nuanced process. Historically, conservative rehabilitation protocols have been characterized by limited weightbearing and restricted range of motion (ROM) were created to primarily protect the repaired cartilage but did little for progression into higher level activity. Recent literature has supported accelerated protocols in a variety of cartilage procedures ranging from osteochondral allograft (OCA) Osteochondral autograft surgery (OATS) to matrix-based scaffolding procedures such as Matrix Induced Chondrocyte Implantation (MACI) or Denovo procedures. Advances in technology such as blood flow restriction (BFR) and testing equipment with progressive rehabilitation from the acute phase through the return to sport continuum have made it possible to return to a higher level of activity and performance than first thought of for these procedures. This clinical viewpoint discusses the evolution of knee cartilage rehabilitation characterized by early but progressive weightbearing and early ROM while maintaining early homeostasis in the knee, and then its progression to return to sport and performance in the higher-level athlete. # Level of evidence Vhttps://doi.org/10.26603/001c.77508 |
| spellingShingle | Snehal Patel William Marrone The Evolution of Rehabilitation and Return to Sport Following Cartilage Surgery International Journal of Sports Physical Therapy |
| title | The Evolution of Rehabilitation and Return to Sport Following Cartilage Surgery |
| title_full | The Evolution of Rehabilitation and Return to Sport Following Cartilage Surgery |
| title_fullStr | The Evolution of Rehabilitation and Return to Sport Following Cartilage Surgery |
| title_full_unstemmed | The Evolution of Rehabilitation and Return to Sport Following Cartilage Surgery |
| title_short | The Evolution of Rehabilitation and Return to Sport Following Cartilage Surgery |
| title_sort | evolution of rehabilitation and return to sport following cartilage surgery |
| url | https://doi.org/10.26603/001c.77508 |
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