1. Clinical and functional outcomes of anterior cruciate ligament reconstruction and rehabilitation Clinical and functional outcomes of anterior cruciate ligament reconstruction and rehabilitation Author: BADIU ANCUTA DIANA Co-author: MACEC ADELINA Scientifics coordinator: Lecturer RUSSU OCTAV MD,PHD Universitatea de Medicina si Farmacie Targu Mures Universitatea de Medicina si Farmacie Targu Mures

2. Introduction The anterior cruciate ligament originates from the medial and anterior aspect of tibial plateau and runs superiorly, laterally and posteriorly toward its insertion on the lateral femoral condyle.

3. It provide 85% of total restraining force of anterior translation and prevents excessive tibial medial and lateral rotation, as well as varus and valgus stresses. Introduction

4. The anterior cruciate ligament (ACL) is the most commonly injured knee ligament. In the United States (US) there are between 100,000 and 200,000 ACL ruptures per year, with an annual incidence in the general population of approximately 1 in 3500, although the actual incidence may be higher.

6. Introduction There are four clasic symptoms : 1. hear a pop from inside the knee 2. feel the knee give away at the time of injury 3. swollen immediately or within a few hours 4. severe pain can not continue play

7. All patients were operated using single bundle ACL reconstruction technique and the rehabilitation protocol was identical to all of them.

8. The Aim of The Study : The aim of this study is to demonstrate the clinical and functional outcomes of ACL reconstruction and rehabilitation.

9. Material and method:  47 patients  18 females  29 males  aged between 13-59 (mean age 27.4)  treated at Orthopaedics and Traumatology Clinc II in Târgu Mure  March 2012 – May 2013

11. Results and discussions : Average score before and Average score before and after the sugery BEFOREAFTER Number of values47 Minimum21,0069,00 25% Percentile43,0085,00 Median51,0090,00 75% Percentile60,0099,00 Maximum74,00100,0 Mean51,3490,00 Std. Deviation13,477,457

12. Results and discussions : The score before surgery

13. Results and discussions : The score after the surgery

14. Results and discussions : 1. Limp

15. 2. Support Results and discussions :

16. 3. Pain Results and discussions :

17. 4. Instability Results and discussions :

18. 5. Locking Results and discussions :

19. 6. Swelling Results and discussions :

20. 7. Stair-climbing Results and discussions :

21. 8. Squatting Results and discussions :

22. Conclusions Using Tegner Lysholm Knee Scoring Scale we have managed to demonstrate an improvement of life condition of the patients after ACL reconstruction and rehabilitation.

23. Bibliography 1. Kisner C,Colby LA:The knee.Therapeutic exercise:foundations and techniques,4 th ed. Philadelphia:F>A> Davis Company;2002. 2. Magee DJ: Orthopaedic physical assessment, 4 th ed. Philadelphia: Saunders; 2002. 3. Hall CM, Brody LT: The knee.Therapeutic exercise: Moving toward function.Philadelphia : Lippincott Williams and Wilkins; 1999. 4. Barret DS : Proprioception and function after anterior cruciate reconstruction.J Bone Join Surg Br 73:83, 1991. 5. Koceja DM, Karmen G : Conditioned patellar tendon reflexes in sprint and endurance- trained athletes.Med Sci Sports Exerc 20:172, 1998. 6.Lysholm J, Gillquist J : Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 1982; 10-3:150-4. 7. Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR. The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med 2009; 37-5:890-7.

24. Thank you for your attention !