How to Improve Dynamic Knee Stability After ACLR and Meniscus Repair

Following ACLR and meniscus repair, patients are encouraged to continue resistance training exercises, such as leg extensors. These exercises are essential to achieving a higher level of dynamic knee stability. These exercises can also be useful to prevent graft failure after surgery.
Leg extensor resistance training

The goal of leg extensor resistance training is to improve dynamic knee stability after ACLR and meniscus surgery by improving the strength and dynamic balance of the knee. The training involves the use of resistance devices and exercises that increase muscle strength in the leg extensors. In addition, patients may benefit from balance training.

A plyometric program is a highly valued part of ACLR rehabilitation. Plyometric exercises involve a stretch-shortening cycle that elicits a rapid lengthening and shortening of a muscle tendon unit. These exercises are often done in conjunction with the return-to-sport protocol.

Resistance training also improves force control in the quadriceps. The force accuracy and variability of the quadriceps muscles improved significantly at twelve weeks after ACLR or meniscus repair, compared to healthy controls. This was surprising because previous studies showed that patients with reconstructed knees had impaired force accuracy and variability. Moreover, less-accurate force output was associated with worse knee function and hop test performance.
Range of motion

Patients undergoing ACLR and meniscus repair often need to undergo intensive rehabilitation to increase their range of motion and improve their dynamic knee stability. These patients may not be able to perform normal activities such as running or jumping for weeks after surgery. can help improve stability and function, although it often requires extensive rehabilitation and changes to daily routines. In some cases, a patient may need surgery to correct a complete tear of the ACL. This surgery can be performed as a day procedure, although the procedure is typically followed by an overnight stay. Rehabilitation can restore the patient’s normal range of motion, strength, flexibility, and proprioception.

Postoperative rehabilitation for ACLR and meniscus repair includes exercises to improve range of motion and muscle strength. Patients are encouraged to gradually increase range of motion and weight bearing for at least six weeks after surgery. a long baseball training equipment blog post from Strobe Sport involve performing isometric quadriceps contractions and dynamic hamstring exercises. Eventually, patients should progress to full weight bearing and balance exercises without pain.
Postoperative rehabilitation

Postoperative rehabilitation for ACLR and meniscus repair aims to improve dynamic knee stability by restoring strength and neuromuscular control of the lower extremity. It also involves gradual return to team activities, including running, plyometric training, and sport-specific change-of-direction activities. The rehabilitation process is divided into three phases.

Preoperative rehabilitation aims to reduce the stress on the ACL and quadriceps, which may also provide protective effects. Most rehabilitation protocols are short-term, and most athletes hope to return to sports within 1 year. A thorough symmetry assessment is important for patients who plan to return to sport within a year.

Postoperative rehabilitation is particularly important for people who have undergone ACLR or meniscus repair. ACL injuries can lead to a number of other complications, including hamstring tears. As such, the rehabilitation program needs to be tailored to the specific patient’s case. For instance, some surgeons may recommend limited or nonweightbearing activity after meniscal repair, while others may advise limiting hamstring contractions.
Graft failure

Graft failure may occur in the knee after ACLR or meniscus repair if grafts are not properly fixed to the tibia. Associated Strobe Sport explains can also contribute to graft failure. In fact, about 15% of ACL reconstructions are unsuccessful because of missed diagnosis of associated lesions. In addition, soft bone may make it difficult to fix the graft.

Graft failure can be prevented with proper graft positioning. Incorrect graft positions create non-physiological intra-articular force vectors, which may impair the graft’s longevity. For example, a graft positioned too posterior or low on the femoral condyle edge is subject to higher tension during knee extension. In addition, a graft placed too high or too anterior to the femur causes increased anterior tibial translation and rotational laxity. Moreover, graft positioning can also influence the likelihood of graft impingement, which may impair knee motion and result in graft failure.

Patients undergoing ACLR and meniscus repair should avoid pivoting and hard cutting activities until they have fully recovered. These types of activities have a four-fold increased risk of knee reinjury, which is a major reason why arthroscopic reconstruction is commonly recommended. In addition, patients who wish to return to high-level sports have been encouraged to engage in specific exercise programs after surgery.

Strobe Sport
2737 E Arizona Biltmore Cir UNIT 28, Phoenix, AZ 85016
Phone: (707) 878-7623