Return To Sport Following ACL Reconstruction.

IF 5 2区医学 Q1 ORTHOPEDICS

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-12-01 Epub Date: 2025-07-17 DOI:10.1007/s12178-025-09989-0

Aidan Foley, Jamie Confino, Ryan Halvorson, Kyla Petrie, Anisa Torres, Brian Feeley

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Abstract

Purpose of review: Outcomes after anterior cruciate ligament reconstruction (ACLR) are generally favorable, yet the timing and extent of return to sport vary widely and are influenced by numerous factors. This review examines the principal pre-operative, intra-operative, and post-operative considerations that influence return to sport following ACLR.

Recent findings: Successful return to sport depends on many crucial elements during the pre-operative, intra-operative, and post-operative periods. Recent developments for adjunctive rehabilitation modalities-such as blood flow restriction, hyperbaric oxygen therapy, cryotherapy, and photo-biomodulation-may further enhance recovery for some patients. Additionally, psychological readiness has emerged and continues to grow as a key predictor of both the timing and success of return to sport. A criteria-based strategy that integrates physical performance, sport-specific skills, and psychological preparedness offers the most reliable framework for tailoring rehabilitation and maximizing retorn-to-sport outcomes following ACL reconstruction.

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ACL重建后恢复运动。

回顾目的：前交叉韧带重建（ACLR）后的结果通常是有利的，但恢复运动的时间和程度差异很大，并受到许多因素的影响。本综述探讨了影响ACLR术后恢复运动的主要术前、术中和术后考虑因素。最近的研究发现：成功恢复运动取决于术前、术中和术后的许多关键因素。最近发展的辅助康复模式，如血流限制、高压氧治疗、冷冻治疗和光生物调节，可能会进一步促进一些患者的康复。此外，心理准备已经出现，并将继续增长，作为回归运动的时机和成功的关键预测因素。综合体能表现、运动专项技能和心理准备的基于标准的策略为ACL重建后定制康复和最大化报告-运动结果提供了最可靠的框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Reviews in Musculoskeletal Medicine ORTHOPEDICS-

CiteScore

7.50

自引率

2.40%

发文量

期刊介绍： This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.