Blot out cross in ACL

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How to blot out cross in ACL

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welcome to our live webcast nerve blocks for tka beyond the adductor canal thank you for joining us my name is heidi border and iamp;#39;m senior meeting planner for azra and will be the host for tonightamp;#39;s webinar we are joined tonight by our moderator dr uma shastri of the north side hospital in atlanta who is going to introduce tonightamp;#39;s topic and speakers welcome dr shastri thank you heidi and thank you to azra and pyunk for making this webinar possible good evening everyone and thank you for joining us for our discussion on nerve blocks for total knee arthroplasty seeing the evolution of the management of the total knee arthroplasty patient has really been incredible weamp;#39;ve gone from admitted uncomfortable patients on pca to doing femoral and sciatic catheters in patients still keeping them admitted but comfortable at least to doing a variety of techniques that allows us to discharge these patients home in a matter of hours it really is amazing and although

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What is the evidence of ACL healing?

Conclusion. After management of acute ACL rupture with a novel bracing protocol, 90% of patients had evidence of ACL healing on a 3-month MRI (continuity of the ACL). More ACL healing on a 3-month MRI was associated with better knee function and QOL, less passive knee laxity and a higher return-to-sport rate.

What are the chances of ACL healing?

The Filbay et al (2021) data demonstrated that 56% of people enrolled in a rehab-alone group had a healed ACL 2 years after the initial injury. This is really exciting data, but we should take this with caution as its preliminary data based on a small sample (n=26).

What is cross bracing for ACL?

The Cross Bracing Protocol involves applying a knee brace, ideally within the first 10 days post injury, and immobilizing the knee at 90 degrees flexion for the first 4 weeks, 24 hours per day2. This aligns with the orthopaedic principles of reduction and immobilisation of injured tissues.

What is evidence of ACL tear?

Secondary signs include bone marrow edema (secondary to bone contusion) in more than half of ACL tears. The characteristic ACL bone bruising involves the middle third of the Lateral femoral condyle and the posterior third of the lateral tibial plateau.

How do you know when your ACL is healing?

On average, patients resume sports and other activities between 6-12 months after surgery. No pain or swelling, full range of motion in the knee, and good muscle strength and endurance are all signs your recovery is going smoothly.

What is a novel bracing protocol to manage acute ACL injury?

The Cross Bracing Protocol involves immobilising the patients knee in a brace set at a fixed angle of 90 degrees for four weeks following an ACL injury. Subsequently, each week permits increased extension: first to 60 degrees, then 45 degrees, then 30 degrees, 20 degrees, and finally 10 degrees.

How do you rule out ACL?

The Lachman test is the most accurate test for detecting an ACL tear. Magnetic resonance imaging is the primary study used to diagnose ACL injury in the United States. It can also identify concomitant meniscal injury, collateral ligament tear, and bone contusions.

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