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

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Presentation transcript:

Treatment of ACL tear

1- Classic HX

Treatment of ACL tear 2- X-Ray MRI

Treatment of ACL tear 3- conservative or operative

Treatment of ACL tear 4- timing of surgery

Treatment of ACL tear 5- tourniquet

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

Treatment of ACL tear 7- Allograft (culture ? )

Treatment of ACL tear 8- notchplasty

Treatment of ACL tear 9- Debridement of ACL remnant

Treatment of ACL tear 10- single or double tunnel

Treatment of ACL tear 11- DVT prophylaxis

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

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

Treatment of ACL tear 13- Rehabilitation -2 wk ( 90 ROM – SLR ) wk (bike –quarter squat – treadmill) wk (kin-com 90 to 40 ) wk (slow form running – slide board ) wk (knee Ext machin ) wk (plyometric- jogging )

Treatment of ACL tear 14- return to sport

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

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

Treatment of ACL tear 16 - ACL tear with varus deformity

Treatment of ACL tear 17 - Revision ( tunnel widening )

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