Surgical Timing and Rehabilitation (STaR) for Multiple Ligament Knee Injuries

of MLKI surgery and subsequent rehabilitation is lacking. In addition, return to preinjury military duty, work, and sports after MLKI is poorly understood. The Surgical Timing and Rehabilitation (STaR) Trial for MLKIs was designed to address these gaps in evidence for surgery and postoperative rehabilitation for military personnel and civilians that have a MLKI. The purpose of this protocol paper is to describe the rationale and methodology for the first randomized trials to investigate the impact of timing of surgery and rehabilitation for individuals with a MLKI on time to return to preinjury levels of military duty, work, and sports. The outcomes of the STaR Trial for MLKIs are of paramount importance from the personal and societal perspective of the impact of MLKIs. The optimal time for surgery and timing of postoperative rehabilitation may also reduce residual knee impairments and complication rates that contribute to the development of long-term disability after MLKI.

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Publication Details

Journal
JBJS Open Access
Published
2026-04-01
DOI
https://doi.org/10.2106/jbjs.oa.25.00052
Primary Topic
Knee injuries and reconstruction techniques
Type
article
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article

Surgical Timing and Rehabilitation (STaR) for Multiple Ligament Knee Injuries

Andrew D. Lynch, Travis C. Burns, Robert C. Schenck, Kathleen M. Poploski et al.
JBJS Open Access
Knee injuries and reconstruction techniques
article

Surgical Timing and Rehabilitation (STaR) for Multiple Ligament Knee Injuries

Andrew D. Lynch, Travis C. Burns, Robert C. Schenck, Kathleen M. Poploski, Dustin L. Richter, Charity G. Patterson, Alexandra B. Gil, Daniel B. Whelan, James J. Irrgang, Brian R. Waterman, Bruce A. Levy, Megan Dalzell, Christopher D. Harner, Al M.J. Getgood, Volker Musahl, Brett D. Owens, the STaR Trial for Multiple Ligament Knee Injuries Network
article en

Abstract

of MLKI surgery and subsequent rehabilitation is lacking. In addition, return to preinjury military duty, work, and sports after MLKI is poorly understood. The Surgical Timing and Rehabilitation (STaR) Trial for MLKIs was designed to address these gaps in evidence for surgery and postoperative rehabilitation for military personnel and civilians that have a MLKI. The purpose of this protocol paper is to describe the rationale and methodology for the first randomized trials to investigate the impact of timing of surgery and rehabilitation for individuals with a MLKI on time to return to preinjury levels of military duty, work, and sports. The outcomes of the STaR Trial for MLKIs are of paramount importance from the personal and societal perspective of the impact of MLKIs. The optimal time for surgery and timing of postoperative rehabilitation may also reduce residual knee impairments and complication rates that contribute to the development of long-term disability after MLKI.

JBJS Open AccessVol. 11(2)
Rutgers, The State University of New Jersey (US), Western University (CA), St. Michael's Hospital (CA), Orlando Health (US), University of New Mexico (US), University of Pittsburgh (US), Freddie Mac (United States) (US), Brown University (US), Urology San Antonio (US), University of Pittsburgh Medical Center (US), Healthy Start (US), Foundation for Physical Medicine and Rehabilitation (US), Wake Forest University (US)
Good health and well-being
Openalex Percentile: Top 28%
Knee injuries and reconstruction techniques
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