Rehabilitation following combined reconstructions of posterior cruciate ligament and posterolateral corner structures is a highly structured and customized process designed to restore the stability and maximize the function of the knee. The rehabilitation considerations include protecting the graft, promoting tissue healing, and graded return to preinjury levels of function. The rehab program is designed based on understanding the stress placed on the repaired grafts during various movements of the knee, and the progressions are planned according to the tissue response to load and physiological adaptations. The initial phase of rehab focuses on the protection of the graft, and the intermediate phase is designed to maximize the recovery in range of motion and strength and weight-bearing function. The advanced phase includes exercises designed to maximize the stability function of the knee and return to the running program. Return to higher levels of sports is decided based on patients fulfilling subjective and objective clinical criteria. Rehabilitation outcomes are influenced by the severity of the initial injury, including the associated neurovascular and bony injuries, patient compliance with rehab, and avoiding complications related to range of motion and strength deficits. Further research is required to standardize the protocols and the criteria for progression of exercises through various phases of rehab.

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Rehabilitation Following Combined PCL and PLC Reconstruction

  • Padmanaban Sekaran,
  • Rajkumar S. Amaravati,
  • Tuheena Sharma

摘要

Rehabilitation following combined reconstructions of posterior cruciate ligament and posterolateral corner structures is a highly structured and customized process designed to restore the stability and maximize the function of the knee. The rehabilitation considerations include protecting the graft, promoting tissue healing, and graded return to preinjury levels of function. The rehab program is designed based on understanding the stress placed on the repaired grafts during various movements of the knee, and the progressions are planned according to the tissue response to load and physiological adaptations. The initial phase of rehab focuses on the protection of the graft, and the intermediate phase is designed to maximize the recovery in range of motion and strength and weight-bearing function. The advanced phase includes exercises designed to maximize the stability function of the knee and return to the running program. Return to higher levels of sports is decided based on patients fulfilling subjective and objective clinical criteria. Rehabilitation outcomes are influenced by the severity of the initial injury, including the associated neurovascular and bony injuries, patient compliance with rehab, and avoiding complications related to range of motion and strength deficits. Further research is required to standardize the protocols and the criteria for progression of exercises through various phases of rehab.