Research Progress in the Impact of Accelerated Rehabilitation on Bone Tunnel Enlargement After Anterior Cruciate Ligament Reconstruction

Wenbo TANG, Feng GAO, Xiaohan ZHANG, Bingying ZHANG, Hao DUAN, Jingbin ZHOU

Acta Academiae Medicinae Sinicae ›› 2025, Vol. 47 ›› Issue (4) : 634-643.

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Abbreviation (ISO4): Acta Academiae Medicinae Sinicae      Editor in chief: Xuetao CAO

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Acta Academiae Medicinae Sinicae ›› 2025, Vol. 47 ›› Issue (4) : 634-643. DOI: 10.3881/j.issn.1000-503X.16395
Review Articles

Research Progress in the Impact of Accelerated Rehabilitation on Bone Tunnel Enlargement After Anterior Cruciate Ligament Reconstruction

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Abstract

This paper explores the impacts of accelerated rehabilitation protocols following anterior cruciate ligament reconstruction(ACLR)on bone tunnel enlargement(BTE).While accelerated rehabilitation can shorten the recovery time and improve the knee function,it may increase the risk of BTE.In the early rehabilitation phase after ACLR,excessive early weight-bearing and rapid progression of knee flexion angles should be avoided,along with the proper use of braces.Continuous passive motion is not recommended in the early phase post-ACLR to prevent potential effects on BTE.Further research is needed to investigate the mechanisms of BTE and develop more effective rehabilitation strategies.This will help to select appropriate rehabilitation protocols for patients and balance functional recovery with the risk of BTE,thereby reducing the revision rate and improving postoperative outcomes.

Key words

anterior cruciate ligament reconstruction / accelerated rehabilitation / bone tunnel enlargement

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Wenbo TANG , Feng GAO , Xiaohan ZHANG , et al . Research Progress in the Impact of Accelerated Rehabilitation on Bone Tunnel Enlargement After Anterior Cruciate Ligament Reconstruction[J]. Acta Academiae Medicinae Sinicae. 2025, 47(4): 634-643 https://doi.org/10.3881/j.issn.1000-503X.16395

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