1. ACL Prevention Orthopedic Perspective
Phil Davidson MD
Davidson Orthopedics
Park City – November 2017

2. What is the ACL and What’s it do?

3. How is the ACL damaged and torn?

4. So what’s the big deal, it doesn’t really hurt…

5. The Meniscus

6. Articular Cartilage

7. Here is what we are trying to avoid !!

8. How is it fixed? Graft Autograft Allograft Can COMBINE These Hamstring
Cadaver
Tissue Bank
Can COMBINE These

9. New ACL in place

10. ACL ”Epidemic” in Female Athletes
NCAA data shows 3 to 10 x more common in female than male athletes
250,000 annual total ACL tears in US
Public Health problem

11. Why more female than male ACL injury??
Anatomy
Hormones
Environment
Gear
Fields
Biomechanical and neuromuscular factors

12. Getting back to “fun stuff”
Rehab:
Brace
Crutches
Motion Machine (cpm)
Ice Machine PT
Critically important!!!
Back to indoor biking: 3 wks
Back to the gym: 2-3 wks
Back to swimming: 4 wks
Back to treadmill run: 6-8 wks
Back to skiing/riding: 6 mos
Back to soccer: 6 mos

13. ACL prevention MULTIPLY PROVEN EFFECTIVE PEP program Components:
74-88% DECREASE incidence ACL rupture matched female cohort
Components:
Warm Up
Strengthening
Plyometrics
Agility
Stretching

14. Athletic Republic Program
Community Service
Protecting Vulnerable Population
Integrated Program
Education
Training
Coordinate with Skilled Caregivers
Several Ways to Participate
Incorporates their unique skills

15. Thank You davidsonorthopedics.com