Abstract
Despite a successful ACL reconstruction, a mere 55% of patients return to a competitive form of sports. Zee has studied several aspects involved in return to sports after ACL reconstruction. Also, he studied the feasibility of increasing patient specificity during ACL reconstruction and rehabilitation.
Persistent rotatory instability after ACL reconstruction is assumed to be a profound reason to hamper return to sports. Zee showed that after ACL reconstruction the range of rotation in the knee is reduced by 17-32% compared to the preoperative state. Next, he showed that during hop tests one year after surgery, there is no evidence for increased range of rotation in the knee. Zee also showed that more natural knee movements are related with better patient reported knee function.
These results show that there is a need to individualise the treatment of patients with an ACL injury.
Current surgical techniques fail to recreate the preoperative movements of the knee. Both the surgical technique and the rehabilitation after surgery need a more patient specific approach. Zee describes the design and in vitro results of a patient specific mold to use during ACL reconstruction. This seems promising. Finally he has proven the feasibility of ice skating during a rehabilitation program after ACL reconstruction. This may provide a good alternative way of rehabilitation for some patients to enhance compliance.
Persistent rotatory instability after ACL reconstruction is assumed to be a profound reason to hamper return to sports. Zee showed that after ACL reconstruction the range of rotation in the knee is reduced by 17-32% compared to the preoperative state. Next, he showed that during hop tests one year after surgery, there is no evidence for increased range of rotation in the knee. Zee also showed that more natural knee movements are related with better patient reported knee function.
These results show that there is a need to individualise the treatment of patients with an ACL injury.
Current surgical techniques fail to recreate the preoperative movements of the knee. Both the surgical technique and the rehabilitation after surgery need a more patient specific approach. Zee describes the design and in vitro results of a patient specific mold to use during ACL reconstruction. This seems promising. Finally he has proven the feasibility of ice skating during a rehabilitation program after ACL reconstruction. This may provide a good alternative way of rehabilitation for some patients to enhance compliance.
| Original language | English |
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| Qualification | Doctor of Philosophy |
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| Supervisors/Advisors |
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| Award date | 28-Feb-2024 |
| Place of Publication | [Groningen] |
| Publisher | |
| Print ISBNs | 978-90-833887-6-2 |
| DOIs | |
| Publication status | Published - 2024 |