{"title":"Editorial Commentary: Early Home Exercises and Formal Physical Therapy After ACL Reconstruction Is Optimal to Prevent Arthrofibrosis.","authors":"Laura M Krivicich, Matthew J Salzler","doi":"10.1016/j.arthro.2025.03.052","DOIUrl":null,"url":null,"abstract":"<p><p>Arthrofibrosis after ACL reconstruction can be a devastating complication. Female sex, older age, elevated blood glucose, and concomitant procedures may increase the risk. Pre-operative exercise programs including formal physical therapy, is recommended if patients lack full extension pre-operatively. After surgery, accelerated rehabilitation programs are associated with lower rates of arthrofibrosis, including those with higher frequency or intensity of rehabilitation. Early rehabilitation has also been associated with achievement of improved postoperative outcomes. Our practice is to recommend that pre-operative patients have a normalized gait, full extension, a mobile patella, and comfortable flexion within 20 degrees of the contralateral knee prior to reconstruction. After surgery, patients start a home exercise program on day 0 and begin early physical therapy as soon as reasonably possible.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2025.03.052","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Arthrofibrosis after ACL reconstruction can be a devastating complication. Female sex, older age, elevated blood glucose, and concomitant procedures may increase the risk. Pre-operative exercise programs including formal physical therapy, is recommended if patients lack full extension pre-operatively. After surgery, accelerated rehabilitation programs are associated with lower rates of arthrofibrosis, including those with higher frequency or intensity of rehabilitation. Early rehabilitation has also been associated with achievement of improved postoperative outcomes. Our practice is to recommend that pre-operative patients have a normalized gait, full extension, a mobile patella, and comfortable flexion within 20 degrees of the contralateral knee prior to reconstruction. After surgery, patients start a home exercise program on day 0 and begin early physical therapy as soon as reasonably possible.
期刊介绍：
Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
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