Study: Shockwave Therapy Beneficial After ACL Reconstruction

Orthopedic Sports Medicine

The application of extracorporeal shock wave therapy to the bone tunnel can significantly enhance the early tendon-bone healing and decreasing tibial tunnel enlargement after anterior cruciate ligament reconstruction, according to a study published in The American Journal of Sports Medicine.

Researchers examined 34 patients who either underwent single-bundle ACL reconstruction and ESWT to the midtibia tunnel or ACL surgery without ESWT. The shock wave therapy group showed significantly better Lysholm scores than the control group one and two years after surgery.

The researchers reported no significant difference in the International Knee Documentation Committee scores, bony appearance and bone mineral density values between the two groups. The K-1000 arthrometer values of the anterior laxity of the knee in the shockwave therapy group were significantly better than the control group.

Patients who underwent shockwave therapy also reported a smaller middle third tibial tunnel two years after treatment. MRI showed the shockwave therapy group had better integration of tendon graft to bone marrow and less tibial tunnel enlargement than the control group.

Read the abstract about shockwave therapy.

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