Return to Sport after ACL Reconstruction and Other Knee Operations

Frank R. Noyes, MD, works at the Cincinnati SportsMedicine and Orthopaedic Center/Mercy Health, which he founded and where he has served as CEO since 1981. He is also President and Medical Director of the Noyes Knee Institute in Cincinnati, Ohio. Prior to founding the Center, Dr. Noyes was Director of the Sports Medicine Institute in the Department of Orthopaedic Surgery at the University of Cincinnati. He is currently a Professor of Orthopaedic Surgery, Emeritus, University of Cincinnati College of Medicine from 2017. Dr. Noyes has received numerous awards and honors, including the Kappa Delta Research Award from the American Academy of Orthopaedic Surgeons, the Dr. Ernst Jokl Sports Medicine Award from the U.S. Sports Academy, and induction into the American Orthopaedic Society for Sports Medicine's Hall of Fame. He was the most frequently cited author in orthopaedic and sports medicine in 2012. In 2013 he served as President of the Herodicus Society, which is considered the premier group of American, Canadian, and European sports medicine physicians. Dr. Noyes has held numerous editorial board appointments for leading journals. He has published over 400 articles in peer-reviewed journals and medical textbooks, is the editor of Noyes' Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes, 1st and 2nd editions, co-editor of ACL Injuries in the Female Athlete: Causes, Impacts, and Conditioning Programs, 1st and 2nd editions, and co-editor of 12 eBooks that discuss a variety of knee and lower limb conditions. Sue D. Barber-Westin, BS, is Director of Clinical & Applied Research at the Cincinnati SportsMedicine Research and Education Foundation and the Noyes Knee Institute, a position she has held since 1985. She is also the founder of Westin Research Consulting, which provides research consultation services. Ms. Barber-Westin is an exceptionally experienced clinical research professional specialized in the development, implementation, and completion of outcome studies in orthopaedics and sports medicine. Along with Dr. Noyes, she has conducted over 70 clinical research projects involving 7000 patients and volunteer subjects, and published over 200 papers in peer-reviewed orthopaedic journals and medical textbooks. In 2004, Ms. Barber-Westin and Dr. Noyes received the OREF Clinical Research Award, presented jointly by the Orthopaedic Research and Education Foundation and the American Academy of Orthopaedic Surgeons. Ms. Barber-Westin is associate editor of Noyes' Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes, 1st and 2nd editions, co-editor of ACL Injuries in the Female Athlete: Causes, Impacts, and Conditioning Programs, 1st and 2nd editions, and co-editor of 12 eBooks that discuss a variety of knee and lower limb conditions.

  Part I  - Problems and Barriers for Successful Return to Sport.- 1.Advantages and Potential Consequences of Return to Sport After ACL Reconstruction: Quality of Life, Reinjury Rates, Knee Osteoarthritis.- 2. Common Symptom, Psychological, and Psychosocial Barriers to Return to Sport.- 3.The Arthritis Barrier: Long-Term Effects of ACL Trauma on Knee Joint Health.- Part II - Return to Sport: Whose Decision Is It?.- 4.Return to Sport Decision-Based Models.- 5.Role of the Team Physician, Orthopaedic Surgeon, and Rehabilitation Specialists.- 6.Return to Sport After Primary ACL Reconstruction in Amateur, Children, and Elite Athletes: Feasibility and Reinjury Concerns.- Part III - Spectrum of Optimal Treatment of ACL Injuries.- 7.What is the Scientific Basis for Knee Ligament Healing and Maturation to Restore Biomechanical Properties and a Return to Sports?.- 8.Preoperative Rehabilitation: Basic Principles.- 9.Extended Preoperative Rehabilitation: Does It Influence Return to Sport After Surgery?.- 10.- Intraoperative Considerations Crucial for a Successful Outcome.- 11. Early Postoperative Rehabilitation to Avoid Complications and Prepare for Return to Sport Training.- 12.Early Postoperative Role of Blood Flow Restriction Therapy to Avoid Muscle Atrophy.- Section IV - Return to Sport Advanced Training Concepts.- 13.Current Concepts of Plyometric Exercise.- 14.Sportsmetrics Neuromuscular Training: Basic and Advanced.- 15.Important Steps for Return to Sport.- 16."Re-establishing Neurocognitive Function: Attentional Focus and Visual-Motor Training Neurocognitive Prinicples for ACL Rehabilitation and Re-Injury Risk Reduction (?? Title)".- 17. Return to Sport for Soccer and Basketball.-18.Return to Sport for Tennis.- Section V - Objective Testing.- 19.The Physician's Comprehensive Examination for Return to Sport.- 20.Neuromuscular Function, Agility, and Aerobic Testing.- 21.Muscle Strength and Dynamic Balance Stability Tests.- 22.Neurocognitive Testing.- Section VI - Psychological Readiness.- 23.Validated Questionnaires to Measure Return to Sport and Psychological Factors.- 24.Return to Sport Psychological and Psychosocial Issues in the Athlete: Identification and Management of Psychosocial Issues in the Athlete for Return to Sport.- Section VII - Other Knee Operations.- 25.Return to Sport After ACL Revision Reconstruction: Is It Advisable?.- 26.Return to Sport Considerations in the Pre-Adolescent Athlete.- 27.Return to Sport After Meniscus Operations: Meniscectomy, Repair, and Transplantation.- 28.Return to Sport After Patellofemoral Realignment.- 29.Return to Sport After Articular Cartilage Restorative Procedures.- 30.Return to Sport After Unicondylar, Patellofemoral, and Total Knee Arthroplasty.