Download Free Medical A TIME SERIES STUDY TO FINDOACL RECONSTRUCTION REHABILITATION: “WITH BRACE OR WITHOUT BRACEA TIME SERIES STUDY TO FINDOUT EFFECTIVENESS OF ACL RECONS PowerPoint Presentation

A TIME SERIES STUDY TO FINDOACL RECONSTRUCTION REHABILITATION: “WITH BRACE OR WITHOUT BRACEA TIME SERIES STUDY TO FINDOUT EFFECTIVENESS OF ACL RECONS PowerPoint Presentation

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Description : ACL reconstruction

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Published on : Mar 14, 2020 | Views : 1819 | Downloads : 2

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Slide 1-

A TIME SERIES STUDY TO FINDOUT EFFECTIVENESS OF ACL RECONSTRUCTION REHABILITATION: “WITH BRACE OR WITHOUT BRACE”
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INTRODUCTION: ACL is one of the most commonly injured ligaments of the knee. Symptomatic ACL tear can be reconstructed by using different autologous grafts which can be- 1.Hamstring tendon 2. Quadriceps tendon 3. Patellar tendon 4.Tendoachilis
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Traditional rehabilitation after ACL reconstruction emphasizes on the use of knee brace early post-operative period. Functional knee brace Knee immobilizer
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Aim: To evaluate the functional outcome of the patients following arthroscopic ACL reconstruction without post-operative bracing.
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MATERIAL & Methods: Time series analysis of 35 patients Single Surgeon FWB mobilization within 24 hours. October 2014 and December 2016 Inclusion criteria: Elective surgery Both gender Age limit(20-34 years) Desire to return to sports Exclusion criteria: Trauma Infection
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CYCLIC LOADING & ISOMETRICITY TUNNEL FIXATION ENHANCED RECOVERY
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Lysholm knee score and residual quadriceps wastage were measured clinically at- 3 months 6 months 12 months Lysholm score: Quadriceps wastage: Functional knee outcome score Eight questionnaires-Pain,Instability,Swelling,Locking,Limp,Stair climbing,Squatting & Need for support.
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Results:
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Discussion: Hospital stay averaged 2.5 days. No instabilities were noted at follow up examinations and no failure recorded. We noted in our series, the average Lysholm Knee Score at six months was comparable to that of other published series. However, our Lysholm scores averaged higher when compared to those of published series of braced patients at three months.
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Conclusion: ACL rehabilitation without brace gives eventually better outcome and promotes faster recovery due to the ability to work on the quadriceps at an earlier stage. This needs to be combined with a sound surgical technique.
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References: Edward R. McDevitt, Dean C. Taylor, “Functional Bracing After Anterior Cruciate Ligament Reconstruction”, A Prospective, Randomized, Multicenter Study, American journal of sports medicine, Vol. 32, No. 8, 2004 Harvi F. Hart, Kay M. Crossley, “Effects of an unloader knee brace of knee-related symptoms and function in people with post traumatic knee osteoarthritis after Anterior cruciate ligament reconstruction, The Knee, 2015 P. Chambat., ACL tear, Orthopaedics and Traumatology: Surgery and research (2013), 99S, S43-S52 Trevor B. Birmingham, John F. Kramer, Alexandra Kirkley, Effect of a Functional Knee Brace on Knee Flexion and Extension Strength After Anterior Cruciate Ligament Reconstruction, Arch Phys Med Rehabil Vol 83, October 2002 Antonio Vadala ` Æ Raffaele Iorio, The effect of accelerated, brace free, rehabilitation on bone tunnel enlargement after ACL reconstruction using hamstring tendons: a CT study, Knee Surg Sports Traumatol Arthrosc (2007) 15:365–371 MöllerE1,, Forssblad,Bracing versus nonbracing in rehabilitation after anterior cruciate ligament reconstruction: a randomized prospective study with 2-year follow-up, Knee Surg Sports Traumatol Arthrosc.,2001;9(2):102-8. Robert P. Engle, Knee ligament rehabilitation, Churchill Livingstone Inc. 1991
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Thank you!!!