The most important aspects in the rehabilitation of semiprofessional athletes after an anterior cruciate ligament injury: to operate or not?
- Authors: Ulyanov I.V.1, Proshlyakov V.D.1, Zasyadko K.I.2, Shumkin Y.A.1, Agaltsova A.V.1, Plesovskikh I.V.1, Morozova A.A.1, Nikolaeva A.V.3, Frolova A.V.3
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Affiliations:
- Ryazan State Medical University
- Lipetsk State Pedagogical University named after P.P. Semenov-Tyan-Shansky
- N.I. Pirogov Russian National Research Medical University
- Issue: Vol 29, No 6 (2023)
- Pages: 494-502
- Section: Reviews
- URL: https://journals.rcsi.science/0869-2106/article/view/254736
- DOI: https://doi.org/10.17816/medjrf623019
- ID: 254736
Cite item
Abstract
In recent times, accumulating scientific data prove that in patients who have suffered an anterior cruciate ligament injury, their stability of the knee joint can be restored by a properly constructed rehabilitation program, including motor retraining, compliance with tissue healing time, and an innovative approach in physical therapy by long-term immobilization of the knee joint in a special orthosis within 4 weeks, followed by a complete return of the extent of joint movements by 10 weeks of rehabilitation. In addition, numerous cadaveric, histological, and magnetic resonance imaging studies have proved that the anterior cruciate ligament is capable of self-healing after partial or complete disruption. In connection with the new findings, revising the established modern protocols of surgical treatment in the context of its needs for different cohorts of patients is necessary. This article discusses the need for surgical treatment and modern possibilities of conservative therapy after an anterior cruciate ligament injury, rules of inclusion and exclusion of patients for surgical treatment, and key aspects in the physical therapy of patients with anterior cruciate ligament injury.
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##article.viewOnOriginalSite##About the authors
Ilya V. Ulyanov
Ryazan State Medical University
Author for correspondence.
Email: ilya_ulyanov_97@vk.com
ORCID iD: 0009-0002-8008-9756
SPIN-code: 2103-5830
6th year student of the Faculty of Preventive Medicine
Russian Federation, 9 Vysokovoltnaya street, 390026 RyazanVladimir D. Proshlyakov
Ryazan State Medical University
Email: vdproshlyakov41@yandex.ru
ORCID iD: 0000-0002-7170-6575
SPIN-code: 1491-9631
MD, Dr. Sci. (Med.), professor
Russian Federation, 9 Vysokovoltnaya street, 390026 RyazanKonstantin I. Zasyadko
Lipetsk State Pedagogical University named after P.P. Semenov-Tyan-Shansky
Email: aviazas@rambler.ru
ORCID iD: 0000-0002-0872-7357
SPIN-code: 5053-6345
MD, Dr. Sci. (Med.), professor
Russian Federation, LipetskYuri A. Shumkin
Ryazan State Medical University
Email: shumeret@gmail.com
ORCID iD: 0009-0007-0746-5037
SPIN-code: 1807-7180
6th year student of the Faculty of Preventive Medicine
Russian Federation, 9 Vysokovoltnaya street, 390026 RyazanAnna V. Agaltsova
Ryazan State Medical University
Email: petrova.anna2000@yandex.ru
ORCID iD: 0009-0003-2390-0060
6th year student of the Faculty of Preventive Medicine
Russian Federation, 9 Vysokovoltnaya street, 390026 RyazanIlya V. Plesovskikh
Ryazan State Medical University
Email: plesowskix.i@icloud.com
ORCID iD: 0009-0000-3923-593X
6th year student of Department of General Medicine
Russian Federation, 9 Vysokovoltnaya street, 390026 RyazanAnna A. Morozova
Ryazan State Medical University
Email: morozovaanna02@mail.ru
ORCID iD: 0009-0009-5217-4815
4th year student of the Faculty of Dentistry
Russian Federation, 9 Vysokovoltnaya street, 390026 RyazanAlina V. Nikolaeva
N.I. Pirogov Russian National Research Medical University
Email: anikolaeva2002@yandex.ru
ORCID iD: 0009-0000-3592-2759
4th year student of Department of General Medicine
Russian Federation, 1 street Ostrovityanova, 117997 MoscowAnastasia V. Frolova
N.I. Pirogov Russian National Research Medical University
Email: frolusha12@icloud.com
ORCID iD: 0009-0007-1198-1632
4th year student of the Faculty of Paediatrics
Russian Federation, 1 street Ostrovityanova, 117997 MoscowReferences
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