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EXTENSION DEFICIT AFTER ACL RECONSTRUCTION…
219
procedure. Another limitation is the absence of
a control group.
CONCLUSION
In conclusion, the procedure involving anterior
arthroscopic arthrolysis and posterior open
release gives good ROM gain and functional
scores without complications in this series.
Prevention of extension contracture after
ACLR is essential, through a better under
standing of surgical timing, an improved
surgical technique and non-aggressive early
rehabilitation. Nonetheless, open posterior
release should be safely performed only for
rare cases of refractory extension deficit with
significant ROM improvements and patients’
satisfaction.
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