4. Discussion
MUSCULOSKELETAL DISORDERS
Over the last decade, several papers have been published that indicate a failure range of 10% to 25% for anterior cruciate ligament (ACL) reconstruction [When evaluating graft healing in ACL reconstruction, it’s essential to consider intra-articular graft maturation and incorporation into bone tunnels. Abe et al. suggest that bone-tendon-bone (BTB) autografts remain immature a year post-surgery [Kinguasa et al. [Biomechanical studies suggest that tendon graft strength is influenced by size, with smaller dimensions leading to weaker, less stable grafts [Toritsuka et al. [Pujol et al. [Moralle et al. [In contrast to previous studies, Wang et al. [The results of our study highlight the considerable improvement in the functional outcome of patients after ACL reconstruction as evidenced by significant improvements in the IKDC, Tegner, and Lysholm knee scores 12 months postoperatively.Regarding the IKDC score, our findings indicate a significant shift from preoperative scores, wherein none of the patients showed normal knee findings, to postoperative results, where a majority (70%) had normal findings. This shift showcases the overall success of the procedure in restoring the functional status of the knee. Comparatively, in the study by Galan et al. [Considering the Tegner Activity Scale, our study found that postoperative mean scores improved from 5.36 to 6.40. Comparatively, Galan et al. [Lastly, in terms of the Lysholm Knee Scoring Scale, our study demonstrated a significant improvement in scores from an average of 73.60 preoperatively to 87.52 postoperatively. Galan et al. [It’s also worth noting that the studies mentioned have varying follow-up periods ranging from 12 months (our study) to 5 years. Longer follow-ups might provide more insight into the durability of the surgical results and the long-term function of the reconstructed ACL.The effectiveness of postoperative rehabilitation is critical for ensuring optimal outcomes following ACL reconstruction. According to a recent study, a 6-week eccentric-oriented strength training during the late-stage ACL-rehab phase demonstrated superior leg strength and jump performance for professional team sport athletes compared to traditional strength training [The role of biophysics in the realm of rehabilitation has garnered attention in recent years. Emerging research emphasizes the importance of understanding the biophysical processes underpinning the macroscopic effects of treatments for musculoskeletal disorders (MSD) [However, it’s worth noting that while the integration of a biophysical-based approach in rehabilitation has shown promise, existing literature is still inconclusive, with clear treatment protocols yet to be established. The interplay between the graft’s design, its biophysical properties, and the dynamic forces exerted during rehabilitation is an avenue warranting further research.