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