Anterior Cruciate Ligament Reconstruction: Open or Closed?
The Physical Therapy profession has been around for many years. “The American physical therapy profession emerged during and following the First World War as a result of the need for trained providers of therapeutic exercise – who practiced under the supervision of a physician – for the rehabilitation of injured soldiers.” (Wrynn, 2014) The profession over the past few years has had a huge expansion in need. “Physical therapists (PTs) provide services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients with injuries or disease. (Physical Therapist, 2012) Physical Therapist work with the patient to make sure …show more content…
In the past an injury to the ACL has been considered “career ending.” The anatomy of the anterior cruciate ligament is created to support the knee. The ACL creates a cross in the knee when prepared with the posterior cruciate ligament, PCL. The job of the anterior cruciate ligament is to keep the tibia from moving anteriorly and the femur from rotating.
In recent years is has become one of the most rehabilitated ligament is in the body right up there with the bicep tendon. Over the past few years anterior cruciate ligament injuries have increased and are spreading across different age and gender lines. Most of the ACL injuries that we see can be classified as a contact injury. I use a contact injury here to mean that two people or even a person and an object, such as a ball, collide with a massive force and cause the movement of the knee in a way that tears the ligament. An example of this would be when two soccer players collide as they are going for the ball and the force of player one hits player two on the back of the knee causing the tibia to move in that anterior motion further than the limits of the anterior cruciate ligament and causing the tear. The fix for this is through surgery known and an ACL Reconstruction.
The anterior cruciate ligament reconstruction is the most common option to repair the ACL after injury. An anterior cruciate ligament reconstruction consists of
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In my speech I am going to start off by letting my audience know some facts about ACL tears. My speech is going to be all about the Anterior Cruciate Ligament and how it tears. I feel that I am certified to speak about this topic because I have torn my ACL before and I know just about everything there is to know about the whole process. I will go into detail about what the acl is, how it can be torn, and the process to go through after it has been torn.
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
The anterior cruciate ligament (ACL) is one of the four main ligaments in the knee joint that connect it to the shin bone (tibia) and thigh bone (femur). It 's located deep within the joint, behind the kneecap (patella), above the shinbone, and below the thighbone. The ACL lies diagonally across the middle of the knee and plays a role in keeping the knee stable during movement. Partial tears of the ACL can occur, but are rare. Most ACL tears are either near-completes or complete tears. After experiencing an ACL tear, an athlete has a 15 times
This short and round ligament, like all other ligaments, prevents slippage within the joint and allows the joint to properly pivot when performing an action (Duff 300). Without this particular ligament, the knees would be fragile and more susceptible to injury. Therefore, it would be impossible to do the simplest movements that are done by humans everyday, like walking and even sitting. This is one reason why many athletes should be aware of the physical indications that arise if they have torn their ACL while participating in athletic activities.
The ACL originates from the medial and anterior aspect of the tibial plateau and runs superiorly, laterally, and posteriorly toward its insertion on the lateral femoral condyle. Together with the posterior cruciate ligament (PCL), the ACL guides the instantaneous center of rotation of the knee, therefore controlling joint kinematics. To a lesser degree, the ACL checks extension and hyperextension. The ACL is not as strong as the posterior cruciate ligament (PCL), and it is less strong at its femoral origin than at its tibial insertion. Muscles surrounding the knee joint contribute to knee stabilization during lower extremity movements.
The Anterior Cruciate Ligament “…is a primary restraint to anterior drawer of the tibia” (Halewood & Amis, 2015, p. 2790) which means that it keeps the tibia from moving too far forward. Providing controlled extension, it is also a primary player in knee stability (Kisner & Colby, 2012, p. 803). It
An ACL is the Anterior Cruciate Ligament (ACL) which is a ligament in the knee and is an essential internal stabilizer of the knee joint and helps in restraining hyperextension. It is injured when it’s when the biomechanics of this ligaments limits are exceeded or over stretched, often with a hyperextended mechanic. It was thought that
There are also the Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament (PCL). These two ligaments coexist in the center of the knee and balance out the weakness of the other; the ACL “prevents the shin bone from sliding out in front of the thigh bone” while the PCL “prevents the shin bone from sliding backwards under the femur” (Vorvick). Despite how the ACL and the PCL work together, the ACL is one of the most well-known major injuries in sports.
Treatment is determined by on the severity of the case and depends on the individual’s activity level and symptoms. Non-surgical remedies include rest, ice, and crutches. When surgery is required arthroscopic (most common) along with other minimally invasive techniques will be considered. Arthroscopic ACL reconstruction is considered when the patient is young, involved in athletics, or at risk for further disability or injury if not treated. Other factors include the number of episodes of instability, previous injury to the knee, current health, whether or not the patient understands the risk and alternatives, and more. During surgery, your doctor will make small incisions around the knee. The damaged ACL is removed and a tendon from a deceased
In the sports world the word ACL brings absolute horror and cringe with it. That’s because when an ACL tears it can be one of the most painful experiences an athlete can have, especially with the surgeries and recovery it brings with it. Along with that, the ACL is in the deep part of the middle of the knee, so most of the time when you damage your ACL you most likely have damaged something else. Women especially have to worry about the overall health of their knees as they have a 4.8% greater chance of tearing their ACL than men (Musgrave). ACL tears are one of the worst injuries in the sports world and in order to recover to full health it takes time, patience, and a hard-work ethic.
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.
Among ligament reconstruction, the anterior cruciate ligament (ACL) is the most commonly reconstructed ligament of the knee. Many graft options are available for ACL reconstruction. Bone–patellar tendon–bone autograft has rigid fixation and has bone-to-bone healing, but it has donor site morbidity, among the complications ,anterior knee pain is the most common.
The knee joint consists of four ligaments, two intra-capsular which are the ACL and the PCL and two extra-capsular ligaments including the MCL and LCL. The ACL is an extremely strong stabiliser which prevents anterior displacement of the knee. The ACL is a ligament and therefore connects one bone to another, the femur with the tibia. The ACLs origin is from the anterior intercondylar eminence of the tibia (home,2017) and the fibres pass upwards, backward and laterally inserting into the lateral condyle of the femur.
The purpose of the clinical commentary is to provide a good understanding on how anterior cruciate ligament (ACL) is loaded during weight bearing and non-weight bearing exercises. Thus this article compared the most commonly utilized weight and non-weight bearing exercises in ACL reconstruction rehabilitation. Both weight bearing and non-weight bearing showed increased load on ACL between ten to 30 degree of knee flexion. The load on ACL decreases beyond 50 degree of knee flexion. However, the load is greater when performing open kinetic chain exercise such as seated knee extension compared to the close chain exercises. In order to decrease the force on the ACL with seated knee extension, the resistance pad should be placed proximal to the
Surgical and non-surgical treatments are the two proposed protocols following anterior cruciate ligament injury, the rehabilitation programs in the both protocols revealed similar outcomes at two years. The choice of treatment depends on the functional stability of the injured knee as well as on the injured subject. The rehabilitation regime for the surgical treatment starts prior to the operation and aims to regain full range of motion, improve lower limb strength and function as much as possible. Following the operation, the rehabilitation program consists of four stages with different goals and milestones. The program exercises start from simple range of motion exercises to sport-specific exercises. Close kinetic chain and gait training