ACL Hamstring Tendon Autograft Reconstruction Protocol . Anterior Cruciate Ligament Reconstruction Allograft ACL (Achilles Tendon)-Accelerated Rehab Dr. David R. Guelich This rehabilitation protocol has been designed for patients with ACL-HS reconstruction who anticipate returning to a high level of activity early postoperatively. ACL Reconstruction with Patellar Tendon Allograft Rehabilitation Protocol. Rehabilitation Protocol: Anterior Cruciate Ligament (ACL) Reconstruction with Bone -Patellar Tendon-Bone Allograft . Knee Arthroscopy, ACL Reconstruction with Allograft Day of surgery A. *Isokinetic test (chronic). Phase One: 0-2 weeks Post Op. While the post-op dressing is in place, icing should be done continuously. Allograft Anterior Cruciate Ligament Reconstruction: Indications, Techniques, and Outcomes tary discusses the factors affecting graft selection, with emphasis on indications and the technique of allograft ACL-R, as well as the rehabilitation and outcomes specific to this surgical approach. 12, 96 An allograft selection has the advantage of having no graft donor-site morbidity, and donor-site precautions are not necessary during the rehabilitation process. Maintain skin integrity at portal sites, remove surgical dressing at … Physical therapy protocol for ACL reconstruction with allograft Pre-op education Instruct the patient in ankle pumps, quad sets, seated knee flexion, supine SLR, hamstring stretches, gait training with crutches and protection of the graft. * Post Op exercise instruction. ACL Bone Patellar Tendon Bone Reconstruction Allograft / Autograft Rehabilitation Protocol Weight Bearing Brace Range of Motion Therapeutic Exercises PHASE I 0-4 weeks As Tolerated with Crutches* Week 1: locked in full extension for ambulation and sleeping Weeks 1 … The knee is a simple hinge joint at the connection point between the femur and tibia bones. ACL reconstruction for ACL ruptures is associated with a high rate of return to sports performance and improved knee functional scores. ACL Reconstruction Rehabilitation Protocol One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. ACL Reconstruction Rehabilitation Framework . Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. This is different from an ‘autograft’ reconstruction, in which the patient’s own tissue is used. Physical Therapy may be necessary prior to surgery. Patient education on all safe self-care techniques for dressing and bathing within all surgical precautions. ACL RECONSTRUCTION RECOVERY & REHABILITATION PROTOCOL PREOPERATIVE: If you have suffered an acute ACL injury and surgery is planned, the time between injury and surgery should be used to regain knee motion, decrease swelling, and maintain muscle tone. Thomas Youm, MD FACS 1056 Fifth Avenue NY, NY 10028 • (212)348­3636 Rehabilitation Protocol: ACL Reconstruction with Allograft Name: _____ Date: _____ • ACL reconstruction with allograft is a procedure which involves taking tissue from a cadaver (deceased person who has chosen to donate their tissues) and using that tissue to creat a ‘new’ ACL. ACL Reconstruction Protocol . Even the best studies published so far include a vast array of donor (allograft) tissues: from young and old patients, from hamstrings, Achilles tendons and patella tendons, and from un-registered banks with variable exposure to … MD f/u at 8-11 days. An allograft is a tendon used from something other than … In an ACL reconstruction, a graft is used to replace the torn ligament. The most important of these to the knee’s stability is the Anterior Cruciate Ligament (ACL). ACL reconstruction is the surgical treatment of choice to restore stability at the knee joint. Rehabilitation Guidelines for ACL Reconstruction in the Adult Athlete (Skeletally Mature) Anterior cruciate ligament (ACL) injuries affect men and women across a wide age range and at all levels of athletics. • Quad sets • Leg lifts • Active flexion/passive extension • Patella mobilization • Quadriceps/Hamstrings isometrics at 90° ACL Reconstruction Protocol PG. Diet as tolerated B. ACL RECONSTRUCTION PROTOCOL (Patellar Tendon, Quad Tendon, Hamstring and Allograft) *The rehabilitation for hamstring tendon graft and patellar tendon graft is differentiated within the protocol. An ACL reconstruction may be necessary to return to sports activity, restore knee joint stability and limit the future risk of cartilage and meniscus damage. POSTOPERATIVE: Pain Medicine: Place occlusive dressing over … The knee becomes unstable with a ruptured ACL and the joint may become more damaged over time. It is by no means intended to be a substitute for one’s clinical de- Clinical and functional outcomes after ACL reconstruction using allograft tissue compared to autograft tissue appear to be similar. Discussion. About the Anterior Cruciate Ligament (ACL) There are four main ligaments that stabilize the knee. GALLAND/KIRBY ACL RECONSTRUCTION: BONE-TENDON-BONE AUTO / ALLOGRAFT POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 – 14 • Dressing: – POD 1: Debulk dressing, TED Hose in place – POD 2: Change dressing, keep wound covered, continue TED Hose – POD 7-10: Sutures out, D/C TED Hose when effusion resolved 2 Remove post op dressing at the first PT visit, cleanse and apply band-aids If Aquacel AG is used change at post op day 7 being being cautious not to peel off the derma-bond seal. Therefore, crutches and brace are continued for 6 weeks. GENERAL GUIDELINES Focus on protection of graft during primary re-vascularization (8 weeks) and graft fixation (8 –12 weeks) For ACL reconstruction performed with meniscal repair or transplant, defer to ROM and weightbearing precautions outlined in the meniscal repair/transplant protocol. The anterior cruciate ligament (ACL) is important for maintaining stability of the knee joint, particularly in activities involving weaving, pivoting or kicking. There are two types of reconstructive surgeries to repair an ACL – allograft and autograft. 1. ACL RECONSTRUCTION – HAMSTRING AUTO / ALLOGRAFT OR POSTERIOR TIBIALIS ALLOGRAFT Post-op Days 1 – 14 Dressing – POD 1: Debulk dressing, TED Hose in place – POD 2: Change dressing, keep wound covered, continue TED Hose – POD 10-14: Sutures/Staples out, D/C … ACL reconstruction involves replacing the torn ACL with tissue taken from the patient (autograft) or taken from a tissue donor (allograft). We are less aggressive initially with hamstring tendon grafts because soft tissue to bone healing takes longer (approx 12 weeks) in comparison to bone to bone (approx 8 weeks).
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