treatment of acl tear. 1- classic hx treatment of acl tear 2- x-ray mri
TRANSCRIPT
Treatment of ACL tear
Treatment of ACL tear
1- Classic HX
Treatment of ACL tear
2- X-Ray
MRI
Treatment of ACL tear
• 3- conservative or operative
Treatment of ACL tear
• 4- timing of surgery
Treatment of ACL tear
• 5- tourniquet
Treatment of ACL tear
• 6- Graft selection ( BTB- ST,G )
Treatment of ACL tear
• 7- Allograft (culture ? )
Treatment of ACL tear
• 8- notchplasty
Treatment of ACL tear
• 9- Debridement of ACL remnant
Treatment of ACL tear
• 10- single or double tunnel
Treatment of ACL tear
• 11- DVT prophylaxis
Treatment of ACL tear
• 12- Complications
Inability to full Ext Inability to full Flex Manipulation Infection
Treatment of ACL tear
• 13- Rehabilitation ( home base ? )
Treatment of ACL tear
• 13- Rehabilitation -2 wk ( 90 ROM – SLR ) - 2-4 wk (bike –quarter squat – treadmill) - 4-8 wk (kin-com 90 to 40 ) - 8-12 wk (slow form running – slide board ) - 12-16 wk (knee Ext machin ) - 16-20 wk (plyometric- jogging )
Treatment of ACL tear
• 14- return to sport
Treatment of ACL tear
• 15- DJD after ACL treatment
- predisposing factor
Treatment of ACL tear
• Stable enough but not normal enough
so given a license to abuse the knee
Treatment of ACL tear
• 16 - ACL tear with varus deformity
Treatment of ACL tear
• 17 - Revision ( tunnel widening )