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ACL injury used to be a career-ending injury for competitive athletes; however, in recent years ACL reconstruction surgery followed by physical therapy has allowed many athletes to return to their pre-injury level of performance. [62] Long term complications of ACL injury include early onset arthritis of the knee and/or re-tearing the ligament.
Knee injury doctors have long thought that a torn ACL required surgery to fix. New research suggests a non-surgical treatment may be as effective. Torn ACLs may heal with therapy instead of ...
The surgery required is governed by the type of abnormality present, but often involves a sulcoplasty, a deepening of the trochlear sulcus where the patella sits, a realignment of the attachment of the patella tendon on the tibia, and tightening or releasing of the capsule on either side of the patella, according to which side the patella is ...
ACL injuries in children are a challenge because children have open growth plates in the bottom of the femur or thigh bone and on the top of the tibia or shin. An ACL reconstruction typically crosses the growth plates, posing a theoretical risk of injury to the growth plate, stunting leg growth, or causing the leg to grow at an unusual angle. [18]
Treatment could involve anything from rest and physical therapy to surgery to replace the torn ligament, followed by physical therapy. Training programs exist to help reduce the risk of an ACL injury.
Pre-rehabilitation before ACL reconstruction surgery has been shown to help with recovery post operation. Increased knee extensor strength and range of motion for those who participated in a pre-rehabilitation program in the first 3 to 6 weeks, but no significant change at 3 to 6 months. [37]
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