John,
What is your patient's age? Aside from the occasional painful episodes of
twisting the knee does he have any other restrictions?
I would agree with the prior coments on the efficacy of braces.
Douglas M. White, PT, OCS
Milton, MA USA
john spencer wrote:
> 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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