Anterior Cruciate Ligament Reconstruction: Surgical Management and Postoperative Rehabilitation Considerations

Authors:

Marie-Josée Paris, PT, Reg B. Wilcox III, PT, DPT, MS, Peter J. Millett, MD, MSc

Abstract:

Surgical techniques for anterior cruciate ligament (ACL) reconstruction have progressed in the past 20 to 30 years. In the 1970s, ACL reconstructions were done through large arthrotomies, using non-anatomic, extra-articular reconstructions, with long postoperative periods of immobilization. In the 1980s, large arthrotomies were replaced by arthroscopic, anatomic, intra-articular reconstructions. Arthroscopy eliminated the need for prolonged postoperative immobilization, and accelerated rehabilitation protocols were established. In the 1990s, the rehabilitation protocols were advanced further to allow athletes an early return to sports. Today, while there is less variability in the surgical techniques used, there remains variability in the types of surgical grafts used.

For the complete study: ACL Rehab

About the Author: Peter Millett, MD

Pennsylvania native Peter J. Millett, M.D., M.Sc. is an internationally renowned sports orthopedic surgeon, researcher, and author with numerous patents for groundbreaking orthopedic and biologic innovations. As a partner at The Steadman Clinic, Dr. Millett has been consistently selected as one of the “Best Doctors in America” and has been ranked in the top 1% of Orthopaedic Surgeons by U.S. News and World Reports. Using advanced open and arthroscopic surgical techniques Dr. Millett focuses on restoring damaged joints, ligaments and bones in the shoulder, elbow and knee.

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