Treatment of ACL tear

Treatment of ACL tear

1- Classic HX

Treatment of ACL tear

2- X-Ray

MRI

Treatment of ACL tear

• 3- conservative or operative

Treatment of ACL tear

• 4- timing of surgery

Treatment of ACL tear

• 5- tourniquet

Treatment of ACL tear

• 6- Graft selection ( BTB- ST,G )

Treatment of ACL tear

• 7- Allograft (culture ? )

Treatment of ACL tear

• 8- notchplasty

Treatment of ACL tear

• 9- Debridement of ACL remnant

Treatment of ACL tear

• 10- single or double tunnel

Treatment of ACL tear

• 11- DVT prophylaxis

Treatment of ACL tear

• 12- Complications

Inability to full Ext Inability to full Flex Manipulation Infection

Treatment of ACL tear

• 13- Rehabilitation ( home base ? )

Treatment of ACL tear

• 13- Rehabilitation -2 wk ( 90 ROM – SLR ) - 2-4 wk (bike –quarter squat – treadmill) - 4-8 wk (kin-com 90 to 40 ) - 8-12 wk (slow form running – slide board ) - 12-16 wk (knee Ext machin ) - 16-20 wk (plyometric- jogging )

Treatment of ACL tear

• 14- return to sport

Treatment of ACL tear

• 15- DJD after ACL treatment

- predisposing factor

Treatment of ACL tear

• Stable enough but not normal enough

so given a license to abuse the knee

Treatment of ACL tear

• 16 - ACL tear with varus deformity

Treatment of ACL tear

• 17 - Revision ( tunnel widening )