Rehabilitation nach multiligamentären Rekonstruktionen

Introduction: Rehabilitation after multiligament injuries still poses a challenge for physicians, physiotherapists and patients. In the current literature, there is limited evidence for the correct postoperative rehabilitation. A structured rehabilitation concept and appropriate informative clarification for the patient are necessary, especially because of the severity of injury. Methods: In principle, the follow-up treatment is divided into four main stages with different focal points: stage I(postoperative weeks 1–6) maximum protection of the ligament reconstruction, stage II (postoperative weeks 7–12) moderate protection of the reconstruction + mobilization, stage III (postoperative weeks 13–24) strengthening of muscles and increased extent of mobilization and stage IV (postoperative week 24 onwards) return to sports activities. The decisive factor is the balance between recovery of function and movement of the knee and stability without compromising ligament healing. Conclusion: The reconstruction of multiligament injuries is not only a surgical challenge. To ensure ligament healing a consistent rehabilitation program and patient compliance are necessary; therefore, the permanent dialog between patient, physiotherapist and physician plays a decisive role.