{"product_id":"giesen-tobias-anterior-cruciate-ligament-acl-reconstruction-or-rehabilitation-first-a-systematic-review-of-recent-evidence-and-clinical-implications-9783389164075","title":"Anterior Cruciate Ligament (ACL) Reconstruction or Rehabilitation First. A Systematic Review of Recent Evidence and Clinical Implications","description":"Research Paper (postgraduate) from the year 2025 in the subject Medicine - Orthopedy, grade: 1,0, , language: English, abstract: This systematic review analyzed studies published between 2020 and 2025 comparing early anterior cruciate ligament (ACL) reconstruction with structured, rehabilitation-first management in adults. Across eight high-quality trials including over 1,600 participants, no clinically meaningful differences were found in functional outcomes, return-to-sport rates, or patient satisfaction after two to five years.\n\u003cbr\u003e\nEarly reconstruction showed slightly fewer re-ruptures and secondary meniscal injuries but did not improve long-term joint health or reduce osteoarthritis risk. The decisive factor for recovery was adherence to a well-structured rehabilitation program emphasizing neuromuscular control and psychological readiness.\n\u003cbr\u003e\nOverall, early surgery should be reserved for patients with complex injuries or elite athletic demands. For most individuals, a rehabilitation-first approach achieves equivalent results with lower risks and costs. ACL management should therefore prioritize function, not fixation.","brand":"GRIN Verlag","offers":[{"title":"Default Title","offer_id":53794928165206,"sku":null,"price":0.0,"currency_code":"EUR","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0925\/5829\/5382\/files\/product_image_9783389164075_1_d542e5d5-cfac-472a-bbe9-c2146716e669.jpg?v=1783372174","url":"https:\/\/www.momoxbooks.com\/products\/giesen-tobias-anterior-cruciate-ligament-acl-reconstruction-or-rehabilitation-first-a-systematic-review-of-recent-evidence-and-clinical-implications-9783389164075","provider":"momoxbooks","version":"1.0","type":"link"}