Recurrent Instability Rate and Subjective Knee Function following Accelerated Rehabilitation after ACL Reconstruction in Comparison to a Conservative Rehabilitation Protocol

Introduction: The Purpose of the present study was to assess outcome anterior cruciate ligament reconstruction (ACLR) with an accelerated rehabilitation protocol and compare it a conservative protocol. It hypothesized that protocol, including brace-free early weight bearing, would result in higher rate recurrent instability revision surgery compared Methods: From 2016 2017, two different protocols for isolated ACLR were used at high-volume knee center. A total 65 consecutive patients hamstring ACLR, whom n = 33 had been treated (AccRehab) 32 (ConRehab), retrospectively included study. Patients evaluated instability, surgery, other complications mean follow-up period 64 ± 7.4 months. In addition, Tegner Activity Scale, Lysholm Score, IKDC-subjective Score evaluated. Statistical comparison between groups performed utilizing Fisher’s exact test Student’s t-test. Results: Mean age (29.3 vs. 26.6 years) preoperative (6.4 5.9) comparable both groups. At months after six cases reported AccRehab group (18%) three (9%) ConRehab (p n.s.). There no significant difference regarding further complications. Furthermore, found (5.5 1.9 5.5 1.2), (93.6 6.3 89.3 10.7), IKDC score (89.7 7.9 86.7 12.1). Conclusion: No disadvantage following terms rate, or patient-reported outcome. However, trend towards reinstability Future level one trials evaluating bearing are desirable.