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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(02): e172-e179
DOI: 10.1055/s-0044-1779327
Revisão Sistemática e Metanálise
Joelho

Functional Outcome of ACL Reconstruction Following Pre-reconstruction Rehabilitation vs. None Rehabilitation: A Systematic Review and Meta-analysis

Article in several languages: português | English

Authors

  • I Gusti Ngurah Wien Aryana 

    1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia

  • Febyan Febyan 

    1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia

  • Dominicus Dimitri 

    1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia

  • Shianita Limena 

    1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia

  • Leonardus William Kuswara 

    1   Departamento de Ortopedia e Traumatologia, Hospital Geral Prof Ngoerah, Faculdade de Medicina, Universidade Udayana, Bali, Indonésia


Financial Support The present study received no financial support from either public, commercial, or not-for-profit sources.
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Abstract

Objective The aim of this study is to analyse the needs for pre-operative rehabilitation in patients undergoing ACL reconstruction.

Methods The database reports were searched within 2018 to 2023, using PubMed, Cochrane library database, Medline, and other published trials. A statistical analysis was made from Review Manager.

Results Pre-operative rehabilitation group shows significantly higher 2 years post-operative KOOS score in all subscore and the total mean of the score, pain (p < 0. 0001), symptoms (p < 0. 0001), ADL (p < 0. 0001), sports and recreations (p < 0. 0001), QoL (p < 0. 0001), and the total mean of the KOOS score (p < 0.0001). In contrary, pre-operative rehabilitation group shows insignificantly higher score on 3 months post-operative Lysholm score (p = 0.12).

Conclusion This meta-analysis conclude pre-operative rehabilitation may provide better long-term post-operative outcome, however it may not provide much of a short-term outcome. It is recommended to add pre-operative rehabilitation as a guideline for ACL injury management to improve long-term outcome of patients with ACL injury undergoing ACL reconstruction procedure.

Keywords

anterior cruciate ligament injuries - anterior cruciate ligament reconstruction - pre-operative rehabilitation

Work developed at the Department of Orthopaedic & Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia.




Publication History

Received: 10 May 2023

Accepted: 26 June 2023

Article published online:
10 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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