Restore guide in ACL smoothly

Aug 6th, 2022
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How to Restore guide in ACL

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hey youre back with nova care sports medicine my name is Shana Israel physical therapist athletic trainer part of your local Philadelphia sports medicine team as we continue our ACL road to recovery I want to discuss today some common complications following ACL reconstruction as we know ACL reconstruction is extremely popular and generally speaking has good outcomes however when there are poor outcomes is most likely due to results of limited the range of motions specifically in the extensive range of motion we have discussed in our previous posts about the importance of early mobilization techniques to regain the extension range of motion a loss of as little of 5 has been shown to have altered joint mechanics increased scar tissue formation and poor long-term outcomes a loss of range of motion can be avoided with a good thorough rehab plan today I want to focus on some of these early manual therapy techniques have been shown to be helpful such as patellar mobilizations scar mobiliz

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The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.
Results. Successful ACL reconstruction paired with focused rehabilitation can usually restore stability and function to your knee. Within the first few weeks after surgery, you should strive to regain a range of motion equal to that of your opposite knee. Recovery generally takes about nine months.
Most often, surgeons recommend ACL reconstruction after it tears. For this procedure, the surgeon will remove the damaged ligament and replace it with a new one, called a graft, which can be made of tissue from the patients own kneecap tendons or hamstringsor from a deceased donor.
Not only is the procedure effective, but repaired tendons perform like new. Reconstruction patients even 20 years later revealed excellent performance, with over 85% still active.
After, a 2.4-mm guide pin is drilled from the anteromedial aspect of proximal tibia, passing through the tibial footprint (Video 1).
The ACL cannot heal on its own because there is no blood supply to this ligament. Surgery is usually required for athletes because the ACL is needed in order to safely perform the sharp movements that are required in sports.
Rehabilitation. Protect graft. Restore patellar mobility. Minimize arthrogenic muscle inhibition, re-establish quad control, regain full active extension. o Keep your knee straight and elevated when sitting or laying down. o Do not actively kick your knee out straight; support your surgical side when performing.

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