This article aims to conduct a literature analysis on the current care and prevention strategies for postoperative problems following the repair of the anterior cruciate ligament (ACL). A presentation will be given on current trends in rehabilitation procedures, suggestions for interventions, and anticipated milestones in the healing process after ACL surgery. In recent years, protocols for ACL repair have progressed to a criterion-based progression rather than a tissue healing time frame. Because of advancements in ACL surgical reconstruction techniques and rehabilitation protocols, the danger of postoperative complications can manifest itself at any point during the recovery process. This includes both the beginning and the end of the process. In this paper, we will examine the significance of preventative measures for postoperative patient who has undergone ACL repair. Infection and loss of knee motion and strength are short-term complications that can occur after an ACL reconstruction. Longterm complications can include a secondary ACL injury to either the involved knee or the contralateral knee and the inability to return to high-level sports after this procedure. The multifaceted causes of secondary ACL injuries and the limited capacity of patients to return to high-level activities should continue to be the focus of future research.
Infections of the periprosthetic joint are catastrophic complications that can arise following arthroplasty. They are also associated with a significant increase in patient morbidity. More than twenty-five percent of all changes can be traced back to these illnesses, and it is anticipated that this number will continue to rise. This rise can be attributed, in part, to the rising rates of obesity and diabetes, as well as to an increased incidence of other comorbidities. Recognition of the difficulty of surgical site infections in general, and periprosthetic joint infections, has prompted implementation of enhanced prevention measures preoperatively, intra operatively (Ultraclean operative environment, blood conservation, etc.), and postoperatively. These enhanced prevention measures can be divided into three categories: preoperative, intraoperative, and postoperative (Refined anticoagulation and improved wound dressings). Indications for surgical management have also been refined, which is another positive development. In this Review, we investigate the risk factors, preventative measures, diagnostic procedures, clinical characteristics, and treatment choices associated with prosthetic joint infection. The most effective treatments and areas in which more investigation is required were determined during a meeting of experts worldwide to discuss these infections. Improvements in preventive, diagnostic, and treatment procedures could benefit the field of orthopedics.
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