Dear All
I have a patient who had an ACL injury 5 years ago followed by an
arthroscopy which showed and ACL rupture (patient is unsure if this is a
total rupture or not).
Anterior draw test of the tibia shows no deficiency and the patient
reports only occassional instability when twisting femur medially on a
fixed tibia. Pain can last for several weeks following these episodes
with swelling.
There is no obvious hams/quads deficiency in terms of bulk or strength.
Questions...is there any research comparing outcomes of surgical repair
of such knees to leaving them well alone or non-surgical intervention?
(A surgeon is promising to operate on him in a few months).
Do you have any references to rehab protocols for such knees, especially
any regarding addressing the timing of hams contractions in relation to
peturbation of the knee.
Do you have anything to say about ACL braces that might allow this gent
to ski with greater confidence? (He hasn't dared to ski since the
accident)
Thanks in anticipation
--
john spencer
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