Acl Reconstruction Report

Background: The anterior cruciate ligament (ACL) rupture is a common and limiting injury among young active population. ACL reconstruction is associated to significant technical advances in recent decades and to a growing trend for the use of hamstring tendon autograft. The use of this graft is apparently associated with lower rates of postoperative morbidity. However there is some concern regarding the risk of laxity.

There are different techniques that repair a torn ACL. The popular method for surgeons is the patellar tendon graft procedure. This type of ACL replacement uses the middle third of the person’s own patellar tendon and replacing the damage tendon with it. The advantages are that the fixation is very strong and the patellar tendon replacing

Thus obtaining on proposed rehabilitation program in accordance with the scientific foundations in order to achieve the desired benefit which represents in enhancing the functional efficiency of athletes after ACL surgery for return to their preinjury state and participate in their sports activities.

It is expected that the forms are equivalent. To analyze this idea, comparisons were made between the form, with different scoring methods as well as the IDKC to determine the similarities with responsiveness, and whether the construct of the ADLS form changed. This evaluation is imperative to confirm that the ADLS is comparable to other standardized forms, such as the IDKC. Therefore, this knowledge would be able to further the advancement of knee quality for patients in limitations, results, techniques and accuracy in surgeries after

Estimations indicate that each year in the United States 200,000 ACL tears occur, with approximately 50 percent of those tears requiring reconstructive surgery: Furthermore, about half of those ACL tears are accompanied by a torn meniscus (the cartilage that acts as the shock absorber between the shin bone and the thigh bone) and/or injuries to other ligaments. Common symptoms of a torn ACL include knee instability, swelling and pain.

With an ever increasing number of people becoming involved with athletic activities, there is an increasing number of injuries occurring which can be devastating for the individual. Most of the injuries that affect athletes occur in one of four structures in the human body: bones, muscles, tendons, or ligaments. Because ligaments attach bone to bone and play a major part in providing stability for joints, the major stabilizing ligament in the knee, the anterior cruciate ligament (ACL), assists in performing everyday actions of the human body including sitting, standing, walking, running, dancing, and participating in other sports. The injury that specifically affects this ligament is very serious and always

Every Tuesday and Thursday, Dr. Alpert wakes up at 6:30 AM, which allows him enough time to brew his morning coffee and prepare for the day all before making his first cut in the operating room at 8:00 AM. He performs his surgeries at either Ashton Surgical Center in Hoffman Estates, IL on Tuesday, or at Algonquin Road Surgical Center in Lake In the Hills, IL on Thursday. “I typically have surgeries from eight in the morning to about two in the afternoon, which allows three to five patients per day depending on the procedure. Every time I have an ACL reconstruction, I turn on my some of my favorite oldies music to get me in the groove.” During a typical ACL reconstruction, Dr. Alpert scrapes out the old, ruptured ACL and swaps it with a graft that is most commonly obtained from the hamstring or the patellar tendon. “I prefer to use the hamstring, especially with women. The procedure classically takes about an hour and a half to complete, and the patient is able to start rehab the next day. With ACL tears being such a frequent injury among female athletes, particularly in non-contact sports, it is currently being researched just why that is.”

INCREASE IN TEARS Anterior cruciate ligament injuries are receiving a great deal of notice because of the incidence of injury that occurs not only in the athletic population but also in those individuals who are recreationally active (Russell, 2006). Each year in the United States there are approximately 250,000 ACL injuries. This is approximately 1 in 3,000 in the general population (Boden, 2000). Of these injuries, about 175,000 require reconstructive surgery. These surgeries had an estimated cost of over two billion dollars annually in the United States (Yu, 2007). These statistics alone make it obvious that this injury occurs very often. The ACL is one of the most commonly disrupted ligaments in the knee. While the prevalence of the injury has increased, so has the number of athletes in the world since ACL injury research first began. Women are now allowed to participate in sports and new sports are being participated in

The main focus in the first stage of the rehabilitation problem will be to get 100% range of movement back into the athletes injured knee with no pain being suffered as he currently only has 70% range of movement and 2 months post-surgery the Fowler Kennedy Sport Medicine Clinic suggest that he should have full range of movement (ROM) in his knee (Werstin, 2009). It will hope to achieve this by introducing closed kinetic chain exercises (CKC) which are exercises that use a resistance such as squats and bicycling (Heijne et al, 2004) but also must remember that it is just as vital to maintain the highest level of strength and function possible in the unaffected knee as well, this is important as during the program we will use the unaffected leg as a comparison to assess the progress of the affected knee (Hiemstra et al, 2000). These have been chosen as according to Fleming et al 2003, CKC

The participants then completed the functional evaluation by completing three one-leg hop tests on each limb. The longest distance was recorded and calculated as the percentage of the performance of the ACL reconstructed leg over the uninvolved leg, the scores were calculated as the limb symmetric index (LSI). The authors of this study defined the ceiling effect as the percent of participants who received the maximum score of 100 points. The Spearman correlation coefficient was used to examine the correlation between both scales and the limb symmetric index and was interpreted as r > 0.5 which indicated a strong association. The Kolmogorov-Smirnov test was then used to examine the distribution

The overall objectives that were taken under consideration included nearly all aspects in regards to functionality of the knee (14). Many studies have placed patients recovering from ACL reconstruction on rehab regimens with the hope to improve various aspects concerned with how well and at what levels the knee can function. Treatment programs, accelerated or non-accelerated commonly encompass similar exercises and physical activity such as stretching, strength training, and activation of muscles through electrical stimulation. The intensity and general progression of therapy is where the two significantly contrast. With the use of weight bearing exercises, or strength training within the accelerated regimen, it has been proven to limit muscle weakness as a consequence of immobilization after surgery. Shelbourne carried out this method of intervention every week, 2-3 times per week, while progressively increasing weight and the degrees to which the knee was stretched. The results were assessed using The Cybex Isokinetic Device, a

When an ACL is torn there is usually a whip-like snap of the lower extremity that can be observed as the ACL tears (Ireland, 1999, p.152). In visualizing this high-risk ”position of no return,” we comprehend the importance of a “get-down” knee-flexed, 2-footed balanced position (Ireland, 1999). In the no-return position, the hip abductors and extensors have shut down, and the pelvis and hip are uncontrolled.

A torn ACL is one of the most serious and common knee injuries. Many aspects play a role in the treatment and rehabilitation of this injury. This paper will discuss the anatomy of the knee, describe a torn ACL, and the rehabilitation.

This essay deals with the current treatments, rehabilitation procedures and onsets following anterior cruciate ligament (ACL) injuries. Within this essay, there will be information including the causes, characteristics, and symptoms of ACL injuries. Throughout the United States, there are estimated to be 200,000 ACL injuries per year with 100,000 of those injuries being treated through ACL reconstruction (Evans, Shaginaw, & Bartolozz, 2014). With a satisfactory ACL reconstruction outcome between 75%-97%. From the 10%-15% failure rate of ACL reconstruction, the primary fault is due to technical mistakes at 70% (Samitier, Marcano, Alentorn-Geli, Cugot, Former, & Moser,

This proposal is innovative because it combines a proven, effective exercise protocol with Vibromyography (VMG) Assessment tests to accurately measure the knee ROM and strength gains post surgery (1). Measuring the knee ROM and strength of the quadriceps will help determine whether or not an accelerated exercise intervention will yield better results, and in a shorter duration, compared to a traditional, non-accelerated intervention. Evaluating the knee range of motion and strength of the muscles surrounding the quadriceps will conclude whether or not the accelerated exercise intervention will be effective because it looks beyond the simple, quantitative scope of functional ability and knee stability, but rather will measure knee characteristics