Opis

• Tytuł:
  Reconstruction of the Anterior Cruciate Ligament in Athletes – A Review of Methods and Treatment Outcomes
• Twórca:
  Dudek, Stanisław;
  Koziak, Weronika;
  Makieła, Michalina;
  Bętkowska, Aleksandra;
  Kornacka, Agata;
  Dudek, Wojciech;
  Szostak, Kamila;
  Tomaka, Rafał;
  Byra, Anna;
  Makieła, Marta
• Opis:
  Background: ACL injuries are common in sports requiring sudden deceleration, pivoting, and directional changes. Optimizing reconstruction and rehabilitation is crucial for knee stability, reinjury prevention, and successful return to sport. Objective: This systematic review evaluates ACL reconstruction techniques, rehabilitation protocols, and return-to-sport outcomes, focusing on graft selection, surgical advancements, rehabilitation strategies, and reinjury risk factors. Methods: A comprehensive search was conducted in PubMed, Scopus, Web of Science, and Google Scholar (2000–2025). Key factors analyzed included graft type, surgical methods, rehabilitation phases, return-to-sport timelines, and long-term complications. Results: Autografts, particularly bone-patellar tendon-bone (BPTB) and quadriceps tendon grafts, provide superior biomechanical strength and lower failure rates compared to allografts and synthetic grafts. Allografts, while suitable for lower-demand patients, have higher failure rates in young athletes. Rehabilitation plays a crucial role in recovery, with neuromuscular training and psychological readiness significantly influencing return-to-sport outcomes. Despite surgical advancements, only 55–65% of athletes regain pre-injury performance within two years. Psychological factors, including fear of reinjury, delay return and increase the risk of secondary injuries. Conclusions: While surgical and rehabilitation advancements have improved ACL reconstruction outcomes, challenges remain in optimizing return-to-sport success and reducing reinjury risks. Future research should focus on optimizing rehabilitation protocols, incorporating psychological interventions, and exploring regenerative therapies and AI-driven rehabilitation tools to enhance long-term athletic outcomes.
• Dostępność obiektu:
  Dostęp otwarty
• Prawa:
  Prawa autorskie (c) 2025 Stanisław Dudek, Weronika Koziak, Michalina Makieła, Aleksandra Bętkowska, Agata Kornacka, Wojciech Dudek, Kamila Szostak, Rafał Tomaka, Anna Byra, Marta Makieła;
  https://creativecommons.org/licenses/by-nc-sa/4.0
• Data:
  2025.03.21
• Typ:
  info:eu-repo/semantics/article;
  info:eu-repo/semantics/publishedVersion
• Język:
  angielski
• Źródło:
  Quality in Sport; Tom 39 (2025); 59286;
  Quality in Sport; Vol. 39 (2025); 59286;
  2450-3118
• Format:
  application/pdf
• Wydawca:
  University Center for Sports Research, Nicolaus Copernicus University, Torun, Poland
• Relacja: https://apcz.umk.pl/QS/article/view/59286/41963
• Temat i słowa kluczowe:
  ACL reconstruction;
  anterior cruciate ligament injury;
  autograft;
  allograft;
  synthetic grafts;
  rehabilitation;
  return to sport;
  reinjury risk;
  knee stability;
  sports medicine
• Identyfikator: https://apcz.umk.pl/QS/article/view/59286
• Dostawca danych:
  Akademicka Platforma Czasopism
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