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welcome to e3 rehab Im dr. mark serdika physical therapist and today with the help of dr. Nicole serdika were going to bust the myth that seated leg extensions are dangerous for the anterior cruciate ligament after surgical reconstruction lets start by looking at the anatomy and function of the ACL so it attaches from the medial aspect of the lateral femoral condyle to the anterior intercondylar area of the tibial plateau it primarily resists excessive anterior translation of the tibia on the femur which is mainly what were looking at today as well as resists varus valgus and axial rotation forces after an ACL reconstruction some of the first activities that youll be doing are things like walking and squatting now when you walk the peak anterior sheer force of the tibia on the femur is going to be about 355 Newtons at 16.8 degrees of knee flexion when we squat theres about a 3.6 percent strain on the ACL now right after surgery the surgeon will do whats called the Lockman pass
