ACL Rupture (knee) Flashcards
what is the principle compliant of ACL deficiency
rotatory instability with giving way on turning
what does clinical exam show
knee swelling (haemarthrosis or effusion) with excessive anterior translation of the tibia on anterior drawer test
1/3 recover, 1/3 compensate and 1/3 don’t cope true or false
true
what can physio do
strengthen and give training to the quadriceps and hamstrings muscles which can help
what group of patients are more likely to cope or compensate
older people
is primary repair of the torn ACL effective or not
not
what percentage of people go on to need a reconstruction
40%
what group of people usually get an ACL reconstruction straight away
professional sports people who need to back to their profession quickly
apart from sports people who else are common candidates for ACL reconstruction
people who’s knees give way on sedentary activities, people who have a strong desire to get back to high impact sports but can’t do this despite physio
what happens during an ACL reconstruction
tendon graft being passed through tibial and femoral tunnels at the usual location of the ACL in the knee and secured to the bone
what tendons are often used in an ACL reconstruction
patellar tendon or semitendinosis and gracilis autograft
what is required after ACL reconstruction
intensive rehabilitation
how long may it take to get back to high impact sports following an ACL reconstruction
a year
