Alarming underutilisation of rehabilitation after ACL reconstruction (ACLR) was highlighted in a recent study.1 These Australian trends are not unique, but support the emerging realisation that athletes may be overtreated with ACLR surgery, but undertreated when it comes to rehabilitation. We use the term undertreated to describe insufficient rehabilitation—either because athletes are discharged too soon or because the rehabilitation content is inadequate. Among non-elite athletes with ACLR, only 5% received rehabilitation1 that followed evidence-based guidelines2: ≥6 months’ rehabilitation, including agility and landing exercises, and a structured return to sport (RTS). Most athletes were undertreated: 45% (50 of 111) never saw a clinician after the third postoperative month and 70% (78 of 111) never did agility or landing exercises.1 When clinical practice does not follow evidence-based guidelines, we are not offering the best to our athletes. Outcomes following ACLR are mainly dictated by the athlete, the rehabilitation clinician and the orthopaedic surgeon. And the rehabilitation clinician might be the central player in this trifecta.1 Almost a year …

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令人震惊的前交叉韧带重建运动员康复利用不足：改变比赛的四种方法

最近的一项研究强调了 ACL 重建 (ACLR) 后康复利用不足这一令人担忧的问题。1 这些澳大利亚趋势并非独一无二，但支持了运动员可能会接受 ACLR 手术过度治疗，但在康复方面治疗不足的新认识。我们使用“治疗不足”一词来描述康复不足——要么是因为运动员出院过早，要么是因为康复内容不足。在患有 ACLR 的非精英运动员中，只有 5% 接受了遵循循证指南 2 的康复1：≥6 个月的康复，包括敏捷性和着陆练习，以及结构化的运动回归 (RTS)。大多数运动员治疗不足：45%（111 人中的 50 人）在术后第三个月后从未见过临床医生，70%（111 人中的 78 人）从未进行过敏捷性或着陆练习。1 当临床实践不遵循循证指南时，我们不会为我们的运动员提供最好的。ACLR 后的结果主要由运动员、康复临床医生和整形外科医生决定。而康复临床医生可能是这三重奏中的核心参与者。1 将近一年……