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Strength and Conditioning Considerations After Microfracture Surgery of Knee Chondral Lesions

Camley, Jacqueline BAHSc (Athletic Therapy), ATC1; Wakefield, Charles Brent BAHSc (Exercise Science & Health Promotion)2; Cottrell, Graham Trevor PhD, CSCS3

Strength & Conditioning Journal: August 2014 - Volume 36 - Issue 4 - p 77–86
doi: 10.1519/SSC.0000000000000072
Article

ABSTRACT: ATHLETIC INJURIES TO THE ARTICULAR SURFACE OF THE KNEE ARE COMMON. THE CHONDRAL SURFACE HAS A LIMITED CAPACITY TO HEAL; THEREFORE, INTERVENTIONS SUCH AS MICROFRACTURE SURGERY ARE USED TO AID IN THE REPAIR OF THIS TISSUE. THERE IS LIMITED RESEARCH ON THE MOST EFFECTIVE APPROACHES TO REHABILITATION AFTER MICROFRACTURE SURGERY, AND REHABILITATION AFTER THIS SURGERY IS MORE SENSITIVE TO LOADING THAN OTHER COMMON KNEE SURGERIES. IT IS THEREFORE IMPORTANT FOR THE STRENGTH AND CONDITIONING PROFESSIONAL TO RECOGNIZE THE STAGES OF HEALING AFTER THIS SURGERY AND BE ABLE TO IMPLEMENT EFFECTIVE PERFORMANCE TRAINING STRATEGIES FOR EACH OF THESE STAGES.

1Department of Kinesiology and Physiology, University of Florida, Gainesville, Florida;

2Fundamentals of Fitness Leadership Certificate, Faculty of Applied Health and Community Studies, Sheridan College, Brampton, Ontario, Canada; and

3Exercise Science and Health Promotion and Faculty of Applied Health and Community Studies, Sheridan College, Brampton, Ontario, Canada

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Jacqueline Camley obtained her MS in Kinesiology and Physiology from the University of Florida and is a Certified Athletic Therapist.

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Brent Wakefield is a professor in the Fundamentals of Fitness Leadership certificate program and a Research Assistant at Sheridan College.

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Trevor Cottrell is the Program Coordinator for the Exercise Science and Health Promotion degree and Human Performance Training certificate programs at Sheridan College.

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© 2014 by the National Strength & Conditioning Association