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Postoperative Rehabilitation Postoperative rehabilitation protocols for reconstructed or repaired medial knee injuries focus on protecting the ligaments/grafts, managing swelling, reactivating the quadriceps, and establishing range of motion. A safe range of motion ("safe zone") should be measured by the surgeon intraoperatively and relayed to ...
Since anaesthesia is used there is a chance of anaesthesia complications including adverse reactions or allergic reactions. A Brostrom repair should be considered a last resort after a patient has tried a series of non-surgical options, such as wearing a boot cast after the injury, going to physical therapy for an extended period of time, etc.
The rehabilitation after the surgery is different for each knee. The beginning rehab for the ACL graft knee is focused on reducing swelling, gaining full range of motion, and stimulating the leg muscles. The goal for the graft donor need is to immediately start high repetition strength training exercises. [17]
The quality of the repair tissue after these "bone marrow stimulating techniques" depends on various factors including the species and age of the individual, the size and localization of the articular cartilage defect, the surgical technique, e.g., how the subchondral bone plate is treated, and the postoperative rehabilitation protocol.
A 2011 study reported histologically confirmed hyaline cartilage regrowth in the knee. The successful protocol involved arthroscopic microdrilling/ microfracture surgery followed by postoperative injections of autologous peripheral blood progenitor cells (PBPCs) and hyaluronic acid. [15]
The procedure ElAttrache describes sounds a bit similar to what he did with New York Jets star Aaron Rodgers last week, placing an internal brace on the quarterback's ruptured Achilles tendon.
The goals of rehabilitation following an ACL injury are to regain knee strength and motion. If an individual with an ACL injury undergoes surgery, the rehabilitation process will first focus on slowly increasing the range of motion of the joint, then on strengthening the surrounding muscles to protect the new ligament and stabilize the knee.
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