Knee Injuries in Sports: Surgical Management and Rehabilitation Strategies

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Kilcoyne KG, Dickens JF, Haniuk E, Cameron KL, Owens BD. Epidemiology of Meniscal Injury Associated With ACL Tears in Young Athletes. Lindeque BGP, ed. Orthopedics. 2012;35(3):208-212. doi:10.3928/01477447-20120222-07

Salamon D, Stachowiak J, Sosin J, et al. Knee injuries in football – types, circumstances, impact and prevention. Qual Sport. 2024;34:56199. doi:10.12775/QS.2024.34.56199

Ristolainen L, Kettunen JA, Kujala UM, Heinonen A. Sport injuries as the main cause of sport career termination among Finnish top‐level athletes. European Journal of Sport Science. 2012;12(3):274-282. doi:10.1080/17461391.2011.566365

Treuting R. Minimally invasive orthopedic surgery: arthroscopy. Ochsner J. 2000;2(3):158-163.

D’Lima DD, Fregly BJ, Patil S, Steklov N, Colwell CW. Knee joint forces: prediction, measurement, and significance. Proc Inst Mech Eng H. 2012;226(2):95-102. doi:10.1177/0954411911433372

Harput G. Kinesiology of the knee joint. In: Comparative Kinesiology of the Human Body. Elsevier; 2020:393-410. doi:10.1016/B978-0-12-812162-7.00022-9

Chaitow L, DeLany J. The knee. In: Clinical Application of Neuromuscular Techniques, Volume 2. Elsevier; 2011:447-501. doi:10.1016/B978-0-443-06815-7.00013-9

Fox AJS, Bedi A, Rodeo SA. The basic science of human knee menisci: structure, composition, and function. Sports Health. 2012;4(4):340-351. doi:10.1177/1941738111429419

Rong GW, Wang YC. The role of cruciate ligaments in maintaining knee joint stability. Clin Orthop Relat Res. 1987;(215):65-71.

Domnick C, Raschke MJ, Herbort M. Biomechanics of the anterior cruciate ligament: Physiology, rupture and reconstruction techniques. World J Orthop. 2016;7(2):82-93. doi:10.5312/wjo.v7.i2.82

Kreder HJ, Hawker GA. THE KNEE. In: Fam’s Musculoskeletal Examination and Joint Injection Techniques. Elsevier; 2010:65-88. doi:10.1016/B978-0-323-06504-7.10006-5

March L, Little C. ARTICULAR CARTILAGE IN HEALTH AND DISEASE. In: The Musculoskeletal System. Elsevier; 2010:77-95. doi:10.1016/B978-0-7020-3377-3.00006-8

Sophia Fox AJ, Bedi A, Rodeo SA. The basic science of articular cartilage: structure, composition, and function. Sports Health. 2009;1(6):461-468. doi:10.1177/1941738109350438

Hoemann C, Lafantaisie-Favreau CH, Lascau-Coman V, Chen G, Guzmán-Morales J. The Cartilage-Bone Interface. J Knee Surg. 2012;25(02):085-098. doi:10.1055/s-0032-1319782

Krishnan C, Allen EJ, Williams GN. Effect of knee position on quadriceps muscle force steadiness and activation strategies. Muscle Nerve. 2011;43(4):563-573. doi:10.1002/mus.21981

Waligora AC, Johanson NA, Hirsch BE. Clinical anatomy of the quadriceps femoris and extensor apparatus of the knee. Clin Orthop Relat Res. 2009;467(12):3297-3306. doi:10.1007/s11999-009-1052-y

Zhang L, Liu G, Han B, et al. Knee Joint Biomechanics in Physiological Conditions and How Pathologies Can Affect It: A Systematic Review. Appl Bionics Biomech. 2020;2020:7451683. doi:10.1155/2020/7451683

Escamilla RF. Knee biomechanics of the dynamic squat exercise: Medicine and Science in Sports and Exercise. Published online January 2001:127-141. doi:10.1097/00005768-200101000-00020

Shimokochi Y, Shultz SJ. Mechanisms of noncontact anterior cruciate ligament injury. J Athl Train. 2008;43(4):396-408. doi:10.4085/1062-6050-43.4.396

Yu B, Garrett WE. Mechanisms of non-contact ACL injuries. Br J Sports Med. 2007;41 Suppl 1(Suppl 1):i47-51. doi:10.1136/bjsm.2007.037192

Donelon TA, Dos’Santos T, Pitchers G, Brown M, Jones PA. Biomechanical Determinants of Knee Joint Loads Associated with Increased Anterior Cruciate Ligament Loading During Cutting: A Systematic Review and Technical Framework. Sports Med - Open. 2020;6(1):53. doi:10.1186/s40798-020-00276-5

Gul A, Khan Z. The Role of MRI Scan in Sports-Related Anterior Cruciate Ligament Injuries: A Case Report-Based Literature Review. Cureus. 2024;16(3):e55941. doi:10.7759/cureus.55941

Chien A, Weaver JS, Kinne E, Omar I. Magnetic resonance imaging of the knee. Pol J Radiol. 2020;85:509-531. doi:10.5114/pjr.2020.99415

Knee Joint Biomechanics: Relevance to Imaging. Semin Musculoskelet Radiol. 2003;07(1):043-058. doi:10.1055/s-2003-41084

Dugan SA. Sports-Related Knee Injuries in Female Athletes: What Gives? American Journal of Physical Medicine & Rehabilitation. 2005;84(2):122-130. doi:10.1097/01.PHM.0000154183.40640.93

Gurau TV, Musat CL, Voinescu DC, et al. Incidence and prevalence of injuries in some sports – review. Balneo and PRM Research Journal. 2023;14(Vol.14, 4):617. doi:10.12680/balneo.2023.617

Maniar N, Cole MH, Bryant AL, Opar DA. Muscle Force Contributions to Anterior Cruciate Ligament Loading. Sports Med. 2022;52(8):1737-1750. doi:10.1007/s40279-022-01674-3

Padua DA, DiStefano LJ, Hewett TE, et al. National Athletic Trainers’ Association Position Statement: Prevention of Anterior Cruciate Ligament Injury. J Athl Train. 2018;53(1):5-19. doi:10.4085/1062-6050-99-16

Venkataraman S, Ethiraj P, Shanthappa AH, Vellingiri K. Association of Meniscus Injuries in Patients With Anterior Cruciate Ligament Injuries. Cureus. 2022;14(6):e25878. doi:10.7759/cureus.25878

Şeyma Torgutalp Ş, Dönmez G, Korkusuz F. Incidence rates of injuries associated with anterior cruciate ligament tear diagnosed by magnetic resonance imaging: A retrospective cohort study. Turk J Sports Med. 2021;56(1):33-37. doi:10.47447/tjsm.0475

Blumenschein LA, Kolin DA, Fabricant PD, et al. Prevalence of Concomitant Injuries by Sport in Pediatric Patients With ACL Rupture. Orthop J Sports Med. 2024;12(8):23259671241260051. doi:10.1177/23259671241260051

Luvsannyam E, Jain MS, Leitao AR, Maikawa N, Leitao AE. Meniscus Tear: Pathology, Incidence, and Management. Cureus. 2022;14(5):e25121. doi:10.7759/cureus.25121

Makris EA, Hadidi P, Athanasiou KA. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials. 2011;32(30):7411-7431. doi:10.1016/j.biomaterials.2011.06.037

Yüce A, Yerli M, Misir A. Injury mechanism of patellar dislocation in professional athletes: a video analysis study. Turk J Sports Med. 2023;58(3):118-124. doi:10.47447/tjsm.0738

Mitchell J, Magnussen RA, Collins CL, et al. Epidemiology of Patellofemoral Instability Injuries Among High School Athletes in the United States. Am J Sports Med. 2015;43(7):1676-1682. doi:10.1177/0363546515577786

Fulkerson JP. Diagnosis and Treatment of Patients with Patellofemoral Pain. Am J Sports Med. 2002;30(3):447-456. doi:10.1177/03635465020300032501

Hall R, Foss KB, Hewett TE, Myer GD. Sport Specialization’s Association With an Increased Risk of Developing Anterior Knee Pain in Adolescent Female Athletes. Journal of Sport Rehabilitation. 2015;24(1):31-35. doi:10.1123/jsr.2013-0101

Fortier LM, Stylli JA, Civilette M, et al. An Evidence-Based Approach to Multi-Ligamentous Knee Injuries. Orthop Rev (Pavia). 2022;14(4):35825. doi:10.52965/001c.35825

Buyukdogan K, Laidlaw MS, Miller MD. Surgical Management of the Multiple-Ligament Knee Injury. Arthrosc Tech. 2018;7(2):e147-e164. doi:10.1016/j.eats.2017.08.079

McAdams TR, Mithoefer K, Scopp JM, Mandelbaum BR. Articular Cartilage Injury in Athletes. Cartilage. 2010;1(3):165-179. doi:10.1177/1947603509360210

Falah M, Nierenberg G, Soudry M, Hayden M, Volpin G. Treatment of articular cartilage lesions of the knee. Int Orthop. 2010;34(5):621-630. doi:10.1007/s00264-010-0959-y

Flanigan DC, Harris JD, Trinh TQ, Siston RA, Brophy RH. Prevalence of Chondral Defects in Athletes’ Knees: A Systematic Review. Medicine & Science in Sports & Exercise. 2010;42(10):1795-1801. doi:10.1249/MSS.0b013e3181d9eea0

Theodorou A, Komnos G, Hantes M. Patellar tendinopathy: an overview of prevalence, risk factors, screening, diagnosis, treatment and prevention. Arch Orthop Trauma Surg. 2023;143(11):6695-6705. doi:10.1007/s00402-023-04998-5

Canosa-Carro L, Bravo-Aguilar M, Abuín-Porras V, et al. Current understanding of the diagnosis and management of the tendinopathy: An update from the lab to the clinical practice. Disease-a-Month. 2022;68(10):101314. doi:10.1016/j.disamonth.2021.101314

Walton J, Kozina E, Woo F, Jadidi S. A Review of Patellar Tendinopathy in Athletes Involved in Jumping Sports. Cureus. 2023;15(10):e47459. doi:10.7759/cureus.47459

Papaleontiou A, Poupard AM, Mahajan UD, Tsantanis P. Conservative vs Surgical Treatment of Anterior Cruciate Ligament Rupture: A Systematic Review. Cureus. Published online March 20, 2024. doi:10.7759/cureus.56532

Monk AP, Davies LJ, Hopewell S, Harris K, Beard DJ, Price AJ. Surgical versus conservative interventions for treating anterior cruciate ligament injuries. Cochrane Bone, Joint and Muscle Trauma Group, ed. Cochrane Database of Systematic Reviews. 2016;2016(4). doi:10.1002/14651858.CD011166.pub2

Shekhar A, Pilar A, Ponnanna KM, Tapasvi S. ACL repair for athletes? J Orthop. 2022;31:61-66. doi:10.1016/j.jor.2022.04.001

Kataoka K, Hoshino Y, Nukuto K. Anterior cruciate ligament reconstruction: Recent evolution and technical improvement. Journal of Joint Surgery and Research. 2023;1(1):97-102. doi:10.1016/j.jjoisr.2023.02.002

Hanna T, Smith NP, Sebastianelli WJ. Treatment, Return to Play, and Performance Following Meniscus Surgery. Curr Rev Musculoskelet Med. 2022;15(3):157-169. doi:10.1007/s12178-022-09754-7

Ozeki N, Seil R, Krych AJ, Koga H. Surgical treatment of complex meniscus tear and disease: state of the art. Journal of ISAKOS. 2021;6(1):35-45. doi:10.1136/jisakos-2019-000380

Paxton ES, Stock MV, Brophy RH. Meniscal Repair Versus Partial Meniscectomy: A Systematic Review Comparing Reoperation Rates and Clinical Outcomes. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2011;27(9):1275-1288. doi:10.1016/j.arthro.2011.03.088

Camp CL, Krych AJ, Dahm DL, Levy BA, Stuart MJ. Medial Patellofemoral Ligament Repair for Recurrent Patellar Dislocation. Am J Sports Med. 2010;38(11):2248-2254. doi:10.1177/0363546510376230

Ryskamp D, Meeks BD, Gonzalez R, et al. Impact of the Number of Patellar Dislocations on Outcomes of Isolated Medial Patellofemoral Ligament Reconstruction. Orthop J Sports Med. 2024;12(12):23259671241274769. doi:10.1177/23259671241274769

Örs Ç, Çaylak R, Karataş Ö, Sarpel Y. Anatomical medial patellofemoral ligament reconstruction improves sport participation and activity levels in adolescents with recurrent patellar dislocation. Jt Dis Relat Surg. 2024;35(3):674-683. doi:10.52312/jdrs.2024.1518

Rodríguez-Merchán EC, De la Corte-Rodríguez H, Encinas-Ullán CA, Gómez-Cardero P. Complications of surgical reconstruction of multiligament injuries of the knee joint: diagnosis, prevention and treatment. EFORT Open Rev. 2021;6(10):973-981. doi:10.1302/2058-5241.6.210057

Richter DL, Schenck RC, Wascher DC, Treme G. Knee Articular Cartilage Repair and Restoration Techniques: A Review of the Literature. Sports Health. 2016;8(2):153-160. doi:10.1177/1941738115611350

Krych AJ, Gobbi A, Lattermann C, Nakamura N. Articular cartilage solutions for the knee: present challenges and future direction. Journal of ISAKOS. 2016;1(2):93-104. doi:10.1136/jisakos-2015-000037

Husen M, Custers RJH, Hevesi M, Krych AJ, Saris DBF. Size of cartilage defects and the need for repair: a systematic review. Journal of Cartilage & Joint Preservation. 2022;2(3):100049. doi:10.1016/j.jcjp.2022.100049

Memon AR, Quinlan JF. Surgical Treatment of Articular Cartilage Defects in the Knee: Are We Winning? Advances in Orthopedics. 2012;2012:1-6. doi:10.1155/2012/528423

Abraham VT, Kambhampati SBS, D.’Ambrosi R. The role of in-office needle arthroscopy in orthopedic practice: A review. JASSM. 2024;0:1-8. doi:10.25259/JASSM_48_2024

Rathod V, Shrivastav S, Gharpinde MR. Knee Arthroscopy in the Era of Precision Medicine: A Comprehensive Review of Tailored Approaches and Emerging Technologies. Cureus. 2024;16(10):e70932. doi:10.7759/cureus.70932

Reddy K, Gharde P, Tayade H, Patil M, Reddy LS, Surya D. Advancements in Robotic Surgery: A Comprehensive Overview of Current Utilizations and Upcoming Frontiers. Cureus. 2023;15(12):e50415. doi:10.7759/cureus.50415

Abaszadeh F, Ashoub MH, Khajouie G, Amiri M. Nanotechnology development in surgical applications: recent trends and developments. Eur J Med Res. 2023;28(1):537. doi:10.1186/s40001-023-01429-4

Monson J, Schoenecker J, Schwery N, Palmer J, Rodriguez A, LaPrade RF. Postoperative Rehabilitation and Return to Sport Following Multiligament Knee Reconstruction. Arthrosc Sports Med Rehabil. 2022;4(1):e29-e40. doi:10.1016/j.asmr.2021.08.020

Badawy CR, Jan K, Beck EC, et al. Contemporary Principles for Postoperative Rehabilitation and Return to Sport for Athletes Undergoing Anterior Cruciate Ligament Reconstruction. Arthrosc Sports Med Rehabil. 2022;4(1):e103-e113. doi:10.1016/j.asmr.2021.11.002

Appelen D, van Loo E, Prins MH, Neumann MH, Kolbach DN. Compression therapy for prevention of post-thrombotic syndrome. Cochrane Database Syst Rev. 2017;9(9):CD004174. doi:10.1002/14651858.CD004174.pub3

Lee B, Yoon D, Yim J. Effects of an Early Exercise Program with Cryotherapy on Range of Motion, Pain, Swelling, and Gait in Patients with Total Knee Arthroplasty: A Randomized Controlled Trial. JCM. 2024;13(5):1420. doi:10.3390/jcm13051420

Buckthorpe M, La Rosa G, Villa FD. RESTORING KNEE EXTENSOR STRENGTH AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: A CLINICAL COMMENTARY. Int J Sports Phys Ther. 2019;14(1):159-172.

Adams D, Logerstedt DS, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. J Orthop Sports Phys Ther. 2012;42(7):601-614. doi:10.2519/jospt.2012.3871

Akbar S, Soh KG, Jazaily Mohd Nasiruddin N, Bashir M, Cao S, Soh KL. Effects of neuromuscular training on athletes physical fitness in sports: A systematic review. Front Physiol. 2022;13:939042. doi:10.3389/fphys.2022.939042

Ghaderi M, Letafatkar A, Thomas AC, Keyhani S. Effects of a neuromuscular training program using external focus attention cues in male athletes with anterior cruciate ligament reconstruction: a randomized clinical trial. BMC Sports Sci Med Rehabil. 2021;13(1):49. doi:10.1186/s13102-021-00275-3

Zech A, Hübscher M, Vogt L, Banzer W, Hänsel F, Pfeifer K. Neuromuscular Training for Rehabilitation of Sports Injuries: A Systematic Review. Medicine & Science in Sports & Exercise. 2009;41(10):1831-1841. doi:10.1249/MSS.0b013e3181a3cf0d

Yılmaz O, Soylu Y, Erkmen N, Kaplan T, Batalik L. Effects of proprioceptive training on sports performance: a systematic review. BMC Sports Sci Med Rehabil. 2024;16(1):149. doi:10.1186/s13102-024-00936-z

Davies G, Riemann BL, Manske R. CURRENT CONCEPTS OF PLYOMETRIC EXERCISE. Int J Sports Phys Ther. 2015;10(6):760-786.

Huang H, Huang WY, Wu CE. The Effect of Plyometric Training on the Speed, Agility, and Explosive Strength Performance in Elite Athletes. Applied Sciences. 2023;13(6):3605. doi:10.3390/app13063605

Chandra S, Sharma A, Malhotra N, Rizvi MR, Kumari S. Effects of Plyometric Training on the Agility, Speed, and Explosive Power of Male Collegiate Badminton Players. J Lifestyle Med. 2023;13(1):52-58. doi:10.15280/jlm.2023.13.1.52

Buckthorpe M. Optimising the Late-Stage Rehabilitation and Return-to-Sport Training and Testing Process After ACL Reconstruction. Sports Med. 2019;49(7):1043-1058. doi:10.1007/s40279-019-01102-z

Haines S, Baker T, Donaldson M. Development of a physical performance assessment checklist for athletes who sustained a lower extremity injury in preparation for return to sport: a delphi study. Int J Sports Phys Ther. 2013;8(1):44-53.

Draovitch P, Patel S, Marrone W, et al. The Return-to-Sport Clearance Continuum Is a Novel Approach Toward Return to Sport and Performance for the Professional Athlete. Arthrosc Sports Med Rehabil. 2022;4(1):e93-e101. doi:10.1016/j.asmr.2021.10.026

Fares MY, Khachfe HH, Salhab HA, Bdeir A, Fares J, Baydoun H. Physical Testing in Sports Rehabilitation: Implications on a Potential Return to Sport. Arthrosc Sports Med Rehabil. 2022;4(1):e189-e198. doi:10.1016/j.asmr.2021.09.034

Hedt C, McCulloch PC, Harris JD, Lambert BS. Blood Flow Restriction Enhances Rehabilitation and Return to Sport: The Paradox of Proximal Performance. Arthrosc Sports Med Rehabil. 2022;4(1):e51-e63. doi:10.1016/j.asmr.2021.09.024

Cognetti DJ, Sheean AJ, Owens JG. Blood Flow Restriction Therapy and Its Use for Rehabilitation and Return to Sport: Physiology, Application, and Guidelines for Implementation. Arthrosc Sports Med Rehabil. 2022;4(1):e71-e76. doi:10.1016/j.asmr.2021.09.025

Ardern CL, Kvist J, Webster KE. Psychological Aspects of Anterior Cruciate Ligament Injuries. Operative Techniques in Sports Medicine. 2016;24(1):77-83. doi:10.1053/j.otsm.2015.09.006

McArdle S. Psychological rehabilitation from anterior cruciate ligament-medial collateral ligament reconstructive surgery: a case study. Sports Health. 2010;2(1):73-77. doi:10.1177/1941738109357173

Liang W, Zhou C, Bai J, et al. Current advancements in therapeutic approaches in orthopedic surgery: a review of recent trends. Front Bioeng Biotechnol. 2024;12:1328997. doi:10.3389/fbioe.2024.1328997

Milano G. Knee surgery, arthroscopy, sports traumatology, cartilage repair and technology in orthopaedics: looking for a possible unifying concept for joint care. Joints. 2016;4(3):133. doi:10.11138/jts/2016.4.3.133

Cantivalli A, Cottino U, Bonasia DE, Rosso F, Rossi R. Robotic Systems in Knee Surgery: Current Concepts and Future Perspectives. Prosthesis. 2023;5(4):1257-1274. doi:10.3390/prosthesis5040086

Batailler C, Shatrov J, Sappey-Marinier E, Servien E, Parratte S, Lustig S. Artificial intelligence in knee arthroplasty: current concept of the available clinical applications. Arthroplasty. 2022;4(1):17. doi:10.1186/s42836-022-00119-6

Milano G, Sánchez M, Jo CH, Saccomanno MF, Thampatty BP, Wang JHC. Platelet-rich plasma in orthopaedic sports medicine: state of the art. Journal of ISAKOS. 2019;4(4):188-195. doi:10.1136/jisakos-2019-000274

Li X, Wang M, Jing X, et al. Bone Marrow- and Adipose Tissue-Derived Mesenchymal Stem Cells: Characterization, Differentiation, and Applications in Cartilage Tissue Engineering. Crit Rev Eukaryot Gene Expr. 2018;28(4):285-310. doi:10.1615/CritRevEukaryotGeneExpr.2018023572

Torres-Torrillas M, Rubio M, Damia E, et al. Adipose-Derived Mesenchymal Stem Cells: A Promising Tool in the Treatment of Musculoskeletal Diseases. Int J Mol Sci. 2019;20(12):3105. doi:10.3390/ijms20123105

Welch T, Mandelbaum B, Tom M. Autologous Chondrocyte Implantation: Past, Present, and Future. Sports Medicine and Arthroscopy Review. 2016;24(2):85-91. doi:10.1097/JSA.0000000000000115

Welton KL, Logterman S, Bartley JH, Vidal AF, McCarty EC. Knee Cartilage Repair and Restoration: Common Problems and Solutions. Clinics in Sports Medicine. 2018;37(2):307-330. doi:10.1016/j.csm.2017.12.008

Makris EA, Gomoll AH, Malizos KN, Hu JC, Athanasiou KA. Repair and tissue engineering techniques for articular cartilage. Nat Rev Rheumatol. 2015;11(1):21-34. doi:10.1038/nrrheum.2014.157

Paschos NK. Editorial Commentary: Major Technical Advances in Knee Anterior Cruciate Ligament Reconstruction Address Anatomy, Biomechanics, and Healing. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2022;38(6):1978-1979. doi:10.1016/j.arthro.2022.01.028

De Fazio R, Mastronardi VM, De Vittorio M, Visconti P. Wearable Sensors and Smart Devices to Monitor Rehabilitation Parameters and Sports Performance: An Overview. Sensors (Basel). 2023;23(4):1856. doi:10.3390/s23041856

Lobo P, Morais P, Murray P, Vilaça JL. Trends and Innovations in Wearable Technology for Motor Rehabilitation, Prediction, and Monitoring: A Comprehensive Review. Sensors. 2024;24(24):7973. doi:10.3390/s24247973

Christino MA, Fantry AJ, Vopat BG. Psychological Aspects of Recovery Following Anterior Cruciate Ligament Reconstruction. J Am Acad Orthop Surg. 2015;23(8):501-509. doi:10.5435/JAAOS-D-14-00173

Gökmen, M. Y., Çepikkurt, F., Belibağlı, M. C., Uluöz, M., Özyol, F. Ç., Bavlı, Ö., ... & Türkmen, M. (2024). Do we need a guideline for all: a qualitative study on the experiences of male athletes following anterior cruciate ligament reconstruction. BMC Sports Science, Medicine and Rehabilitation, 16(1), 1-14.

Uluöz, E. (2019). The effects of changes of volleyball official game rules on sports injuries: A comparison between pre-and post-2016 period at the elite level. Uluslararası Kültürel ve Sosyal Araştırmalar Dergisi, 5(2), 717-731.

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