Return to Sport after ACL Reconstruction and Other Knee Operations

The wealth of information provided in this unique text will enable orthopedic surgeons, medical practitioners, physical therapists, and trainers to ensure that athletes who suffer anterior cruciate ligament (ACL) injuries, or who require major knee operations for other reasons, have the best possible chance of safely resuming sporting activity at their desired level without subsequent problems. Divided into seven thematic sections, the coverage is wide-ranging and encompasses common barriers to return to sport, return to sport decision-based models, and the complete spectrum of optimal treatment for ACL injuries, including preoperative and postoperative rehabilitation. Advanced training concepts are explained in detail, with description of sports-specific programs for soccer, basketball, and tennis. Readers will find detailed guidance on objective testing for muscle strength, neuromuscular function, neurocognitive function, and cardiovascular fitness, as well as validated assessments to identify and manage psychological issues. In addition, return to sport considerations after meniscus surgery, patellofemoral realignment, articular cartilage procedures, and knee arthroplasty are discussed.

Generously illustrated and heavily referenced, Return to Sport after ACL Reconstruction and Other Knee Operations is a comprehensive resource for all medical professionals and support staff working with athletes and active patients looking to get back in the game with confidence.

Auteur

Frank R. Noyes, MD, works at the Cincinnati SportsMedicine and Orthopaedic Center/Mercy Health, which he founded and where he has served as CEO since 1981. He is also President and Medical Director of the Noyes Knee Institute in Cincinnati, Ohio. Prior to founding the Center, Dr. Noyes was Director of the Sports Medicine Institute in the Department of Orthopaedic Surgery at the University of Cincinnati. He is currently a Professor of Orthopaedic Surgery, Emeritus, University of Cincinnati College of Medicine from 2017. Dr. Noyes has received numerous awards and honors, including the Kappa Delta Research Award from the American Academy of Orthopaedic Surgeons, the Dr. Ernst Jokl Sports Medicine Award from the U.S. Sports Academy, and induction into the American Orthopaedic Society for Sports Medicine's Hall of Fame. He was the most frequently cited author in orthopaedic and sports medicine in 2012. In 2013 he served as President of the Herodicus Society, which is considered the premier group of American, Canadian, and European sports medicine physicians. Dr. Noyes has held numerous editorial board appointments for leading journals. He has published over 400 articles in peer-reviewed journals and medical textbooks, is the editor of Noyes' Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes, 1st and 2nd editions, co-editor of ACL Injuries in the Female Athlete: Causes, Impacts, and Conditioning Programs, 1st and 2nd editions, and co-editor of 12 eBooks that discuss a variety of knee and lower limb conditions.

Sue D. Barber-Westin, BS, is Director of Clinical & Applied Research at the Cincinnati SportsMedicine Research and Education Foundation and the Noyes Knee Institute, a position she has held since 1985. She is also the founder of Westin Research Consulting, which provides research consultation services. Ms. Barber-Westin is an exceptionally experienced clinical research professional specialized in the development, implementation, and completion of outcome studies in orthopaedics and sports medicine. Along with Dr. Noyes, she has conducted over 70 clinical research projects involving 7000 patients and volunteer subjects, and published over 200 papers in peer-reviewed orthopaedic journals and medical textbooks. In 2004, Ms. Barber-Westin and Dr. Noyes received the OREF Clinical Research Award, presented jointly by the Orthopaedic Research and Education Foundation and the American Academy of Orthopaedic Surgeons. Ms. Barber-Westin is associate editor of Noyes' Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes, 1st and 2nd editions, co-editor of ACL Injuries in the Female Athlete: Causes, Impacts, and Conditioning Programs, 1st and 2nd editions, and co-editor of 12 eBooks that discuss a variety of knee and lower limb conditions.

Contenu

Part I - Problems and Barriers for Successful Return to Sport

1Advantages and Potential Consequences of Return to Sport After ACL Reconstruction: Quality of Life, Reinjury Rates, Knee Osteoarthritis

2Common Symptom, Psychological, and Psychosocial Barriers to Return to Sport

3The Arthritis Barrier: Long-Term Effects of ACL Trauma on Knee Joint Health

Part II - Return to Sport: Whose Decision Is It?

4Return to Sport Decision-Based Models

5Role of the Team Physician, Orthopaedic Surgeon, and Rehabilitation Specialists

6Return to Sport After Primary ACL Reconstruction in Amateur, Children, and Elite Athletes: Feasibility and Reinjury Concerns

Part III - Spectrum of Optimal Treatment of ACL Injuries

7What is the Scientific Basis for Knee Ligament Healing and Maturation to Restore Biomechanical Properties and a Return to Sports?

8Preoperative Rehabilitation: Basic Principles

9Extended Preoperative Rehabilitation: Does It Influence Return to Sport After Surgery?

10Intraoperative Considerations Crucial for a Successful Outcome

11Early Postoperative Rehabilitation to Avoid Complications and Prepare for Return to Sport Training

12Early Postoperative Role of Blood Flow Restriction Therapy to Avoid Muscle Atrophy

Part IV - Return to Sport Advanced Training Concepts

13Current Concepts of Plyometric Exercise

14Sportsmetrics Neuromuscular Training: Basic and Advanced

15Important Steps for Return to Sport

16"Re-establishing Neurocognitive Function: Attentional Focus and Visual-Motor Training

Neurocognitive Prinicples for ACL Rehabilitation and Re-Injury Risk Reduction

17Return to Sport for Soccer and Basketball

18Return to Sport for Tennis

Part V - Objective Testing

19The Physician's Comprehensive Examination for Return to Sport

20Neuromuscular Function, Agility, and Aerobic Testing

21Muscle Strength and Dynamic Balance Stability Tests

22Neurocognitive Testing

Part VI - Psychological Readiness

23Validated Questionnaires to Measure Return to Sport and Psychological Factors 24Return to Sport Psychological and Psychosocial Issues in the Athlete: Identification and Management of Psychosocial Issues in the Athlete for Return to Sport

Section VII - Other Knee Operations

25Return to Sport After ACL Revision Reconstruction: Is It Advisable?

26Return to Sport Considerations in the Pre-Adolescent Athlete

27Return to Sport After Meniscus Operations: Meniscectomy, Repair, and Transplantation

28Return to Sport After Patellofemoral Realignment

29Return to Sport After Articular Cartilage Restorative Procedures

30Return to Sport After Unicondylar, Patellofemoral, and Total Knee Arthroplasty