{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:43:17Z","timestamp":1777401797258,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate whether integrating partial visual deprivation during the reathletization phase after anterior cruciate ligament (ACL) reconstruction improves proprioceptive recovery and reduces the risk of graft failure or contralateral injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective, single\u2010centre cohort study including patients aged older than 16 years who underwent ACL reconstruction with autograft and concomitant anterolateral ligament reconstruction between November 2017 and March 2020. Patients voluntarily chose between two reathletization programmes starting from the fourth postoperative month: Group 1 (Conventional): exercises performed exclusively in a well\u2010lit environment (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009372). Group 2 (Darkness): exercises alternating between well\u2010lit and controlled dark conditions (&lt;10\u2009lux) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009131). Primary outcome was ACL graft re\u2010rupture; secondary outcomes included contralateral ACL rupture, functional scores (International Knee Documentation Committee [IKDC] Subjective Knee Form, Knee Injury and Osteoarthritis Outcome Score [KOOS], Lysholm, ACL\u2013Return to Sport after Injury [ACL\u2010RSI]) and return\u2010to\u2010sport level (Tegner Activity Scale). A minimum follow\u2010up of 5 years was required. Groups were matched for age, sex, graft type, baseline sports level and associated meniscal lesions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 446 patients (mean follow\u2010up: 5.8\u2009\u00b1\u20090.7 years) were analysed. The overall re\u2010rupture rate was 5.4% and tended to be lower in the Darkness group (3.2%) compared to the Conventional group (7.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.18). Contralateral ACL ruptures were significantly less frequent in the Darkness group (5.7% vs. 13.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). Functional scores (IKDC, KOOS, Lysholm, ACL\u2010RSI) showed no significant differences between groups. However, the final return\u2010to\u2010sport level was significantly higher in the Darkness group (Tegner 6.0 vs. 5.3;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A reathletization programme incorporating partial visual deprivation after ACL reconstruction may reduce the risk of contralateral injuries, despite no significant difference in functional scores. This simple, feasible approach warrants further evaluation in prospective controlled studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70378","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:16:06Z","timestamp":1773836166000},"page":"1885-1893","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A rehabilitation programme performed in darkness after anterior cruciate ligament reconstruction reduces the risk of secondary injuries"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3685-078X","authenticated-orcid":false,"given":"Frank","family":"Wein","sequence":"first","affiliation":[{"name":"Chirurgie des Articulations et du Sport (ARTICS) Essey\u2010les\u2010Nancy France"},{"name":"Clinique Louis Pasteur Essey\u2010les\u2010Nancy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0547-8508","authenticated-orcid":false,"given":"Eliott","family":"Leclerc","sequence":"additional","affiliation":[{"name":"CHRU Centre Chirurgical Emile\u2010Gall\u00e9 Nancy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5487-7753","authenticated-orcid":false,"given":"Julia","family":"Richard","sequence":"additional","affiliation":[{"name":"CHRU Centre Chirurgical Emile\u2010Gall\u00e9 Nancy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5215-1017","authenticated-orcid":false,"given":"Thomas","family":"Goetzmann","sequence":"additional","affiliation":[{"name":"Chirurgie des Articulations et du Sport (ARTICS) Essey\u2010les\u2010Nancy France"},{"name":"Clinique Louis Pasteur Essey\u2010les\u2010Nancy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Walbron","sequence":"additional","affiliation":[{"name":"Chirurgie des Articulations et du Sport (ARTICS) Essey\u2010les\u2010Nancy France"},{"name":"Clinique Louis Pasteur Essey\u2010les\u2010Nancy France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"issue":"7","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1136\/bjsm.2010.076364","article-title":"Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta\u2010analysis of the state of play","volume":"45","author":"Ardern CL","year":"2011","journal-title":"Br J Sports Med"},{"issue":"4","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"304","DOI":"10.2519\/jospt.2012.4005","article-title":"Suggestions from the field for return to sports 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