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ACL Reconstruction

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ACL Reconstruction
Anterior Cruciate Ligament or ACL is injured in many adolescent athletes. The ACL is a very common injury that happens to the ligament in the knee. The ACL is one of the four strongest ligament in the knee. “The bones of the skeleton are joined together by ligaments, which are strong, fibrous bands or sheets of connective tissue” (Kendall, McCreary, Provance, Rodgers, & Romani, 2005, p.9). ACL helps to support the knee when being active in sports or in situations where there is a lot of twisting and pivoting at quick speeds. After the ACL has been torn, many adolescents need to have the ligament repaired. There is several types of repair. Hamstring graft and Patella Tendon graft are the most common. Studies show both …show more content…
The portals are made in the front of the knee. They are used to allow surgeons to insert tools and instruments needed, as well as examining the other areas of the knee to insure there is not further damage to the knee. The common reconstruction technique are bone tunnels, these are drilled into the femur and tibia to position the new graft into the location where the torn ACL was positioned. A needle that has the hamstring graft threaded through the eye is inserted in the tunnel of the tibia, up through the femoral tunnel and pulled into position. The graft is held into position with screws, spiked washers, posts, or staples. These are generally not …show more content…
This consists of physical therapy and starts right after surgery. The main goals of the rehabilitation is to limit knee swelling, keep mobility of the kneecap, this will lessen the pain of the knee. There are six main phases of rehabilitation; during phase one which is week one thru two, icing and elevating of the knee to reduce swelling as well as starting to work on the range of motion this should be zero degrees to ninety degrees with minimal pain.. The second phase is weeks two thru four continues the range of motion this should be around one hundred twenty degrees, working to improve balance. Phase three is weeks four thru six, increasing the functions of exercises, such as biking and adding stairs, a patient should have eighty to ninety percent of motion returned at this point. Phase four is approximate six to ten weeks, begin to start sport training at low speed with no cutting or pivoting. Phase five is ten to sixteen weeks, the patient is allowed to begin running and agility training with caution of cutting and pivoting. Phase six is six to twelve months, being able to return to sports and activities (ACL Reconstruction Rehab Protocol, 2014, NP). Another goal is to return to full range of motion and to gain strength back in quadriceps and hamstring. Patients are allowed to return to activity when the pain and swelling is completely gone. They will also need to have full range of motion

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