Optimized Rehabilitation After Anterior Cruciate Ligament Before Returning to Sport

Condition(s) studied

Investigational drug(s) / intervention(s)

Usual rehabilitation: Usual rehabilitation according to the practice of the "Haute Autorité de Santé" (HAS)

Rehabilitation optimized: Rehabilitation optimized according to the study protocol

Study summary

Following reconstruction of the anterior cruciate ligament (ACL), a standardized rehabilitation protocol is carried out by a physiotherapist. In France, a well-established rehabilitation consensus guides the first phase of 3 months postoperatively and patient compliance is generally excellent. The next phase should allow a return to sport (RTS) following a continuum depending on the objectives of the sport's patient, starting with a return to running activities (RTR) and a preparatory phase for a RTS which may be authorized at 6 months post-op.

This multicentre randomized control trial aims to evaluate the effectiveness of an individualized and optimized rehabilitation program guided by monthly assessments carried out by physiotherapists from the 3rd to the 6th month postoperatively to reduce the risk of new ACL injuries (operated or healthy knee), compared to standard management.

Eligibility

Primary outcome measure(s)

• Number of patients with at least one new ACL injury — At 24 months post surgery
  A re-rupture of the operated ACL or a rupture on the contralateral side, objectified by a Lachman test performed with the absence of a "firm" stop, and a difference in laxity measured with an arthrometer ( \>3 mm for the KT-1000 ™ or \>3 mm for the GNRB® or \>5 mm for the Telos™ ) and by an MRI diagnosing an ACL rupture.

Trial sites (8)

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