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Midterm Quadriceps Strength Outcomes of Revision ACL Reconstructions Comparing Ipsilateral Extensor Mechanism Autografts and Hamstring Tendon Autografts.

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Multiligament Knee Injuries.

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Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
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Recovery Stages After Multiligament Knee Reconstruction.

Warren W Nielsen1, Jill K Monson2, Robert F LaPrade2

  • 1Department of Orthopedics and Rehabilitation, University of Vermont, Burlington, Vermont, U.S.A.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|December 13, 2025
PubMed
Summary
This summary is machine-generated.

Multiligament knee injuries require extensive recovery. A phased, team-based rehabilitation program initiated post-surgery helps restore knee function and stability.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Multiligament knee injuries are complex and severe, involving tears of multiple major knee ligaments.
  • These injuries threaten limb viability and require comprehensive management for optimal outcomes.

Purpose of the Study:

  • To outline a protocolized, team-based postoperative rehabilitation program for patients with multiligament knee injuries.
  • To detail the phases and goals of rehabilitation aimed at maximizing knee function and patient outcomes.

Main Methods:

  • The study describes a four-phase rehabilitation protocol: recovery, transition, rebuild, and restore phases.
  • Initiation of knee motion begins the day after surgical reconstruction, with incremental goals for motion, strength, and load capacity.

Main Results:

  • Postoperative recovery is extended compared to single-ligament procedures but can commence immediately.
  • A structured rehabilitation program is crucial for gradual recovery of function and joint protection.

Conclusions:

  • Protocolized, team-based rehabilitation is essential for maximizing function after multiligament knee reconstruction.
  • Achieving incremental milestones across four phases optimizes patient outcomes and return to activities.