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Treatment of ACL tear. 1- Classic HX Treatment of ACL tear 2- X-Ray MRI.

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Presentation on theme: "Treatment of ACL tear. 1- Classic HX Treatment of ACL tear 2- X-Ray MRI."— Presentation transcript:

1 Treatment of ACL tear

2 1- Classic HX

3 Treatment of ACL tear 2- X-Ray MRI

4 Treatment of ACL tear 3- conservative or operative

5 Treatment of ACL tear 4- timing of surgery

6 Treatment of ACL tear 5- tourniquet

7 Treatment of ACL tear 6- Graft selection ( BTB- ST,G )

8 Treatment of ACL tear 7- Allograft (culture ? )

9 Treatment of ACL tear 8- notchplasty

10 Treatment of ACL tear 9- Debridement of ACL remnant

11 Treatment of ACL tear 10- single or double tunnel

12 Treatment of ACL tear 11- DVT prophylaxis

13 Treatment of ACL tear 12- Complications Inability to full Ext Inability to full Flex Manipulation Infection

14 Treatment of ACL tear 13- Rehabilitation ( home base ? )

15 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 )

16 Treatment of ACL tear 14- return to sport

17 Treatment of ACL tear 15- DJD after ACL treatment - predisposing factor

18 Treatment of ACL tear Stable enough but not normal enough so given a license to abuse the knee

19 Treatment of ACL tear 16 - ACL tear with varus deformity

20 Treatment of ACL tear 17 - Revision ( tunnel widening )

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