This is done for patients with ACL tear and an unstable functional Knee.
Replace the torn Anterior Cruciate Ligament of the Knee “Known as ACL” with Hamstring tendon graft of the same knee. Tendon graft harvesting done through a 2 cm incision over the upper leg. Procedure is done all arthroscopically.
2 Bioabsorbable Interference screws (Mitek, USA)
The patient weight bears on the night of surgery with his knees in an immobilizer. Range of motion is started promptly
While sitting or lying down with the brace off, support your heel on a towel roll. Now let your knee straighten as much as possible. To increase the stretch you may activate your quadriceps muscle or apply some pressure (your hands or weight) on the thigh, but not over the knee cap. You should feel some stretching and mild discomfort behind the knee. Hold this stretch for 1-5 minutes, rest for 30-60 seconds, repeat 3-5 times consecutively, and perform 3-5 sessions per day.
Lie on your back with your brace off and slowly slide your foot toward your hips, as far as possible. You may use your other foot to push for greater motion. At this point it is normal to feel pressure in the front of the knee. Hold this for 5-10 seconds, Now slide the foot back until the knee is fully extended. Repeat 15-25 times, and perform 3-5 times per day.
Sit with your leg off the edge of a table or chair. Your brace should be off. Allow the knee to bend as far as possible. At first you may need to use the opposite leg to help slowly lower the foot. Then use the uninvolved foot to apply a little overpressure over the foot, trying to bend it further. At this point it is normal to feel pressure in the front of the knee. Hold this for 5-10 seconds, Repeat 10-20 times, and perform 3-5 times a day.
NOTE: It is necessary to do exercises to increase knee flexion. The previous three exercises all work on increasing knee flexion. If there is one that works better for you, you may do that exercise more often and spend less time on the other flexion exercises. They should be done with your brace off.
You can take the brace off for showering on post op day 1 and to do your exercises with physical therapy. However, you must wear the brace at all other times until your first post-operative follow-up visit, at which time we will discuss this further.
Typically, you will be able to resume driving ~2-4 weeks post-operatively depending on how quickly you heal after surgery.
This really depends on the individual patient specifically with respect to job demands (labor vs desk job). Some patients return to work as soon as 4-7 days post-operatively and others require extensive time away from work if “limited duty” is not available.
The typical therapy program will be a minimum of 6 months. The 1st phase of therapy will be designed to safely regain your range of motion while the 2nd phase of therapy will be directed at regaining function, strength, and endurance.
Remember that arthroscopy is performed by pumping in a lot of fluid into the knee and this fluid then escapes through the small incisions (portals) – this is entirely normal to occur after surgery.
Any signs of infection should be reported immediately – these include increased drainage (usually thick, cloudy, not liquid secondary to the arthroscopy), redness, increased warmth, and fevers.
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2nd Floor – # 108
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from 4 pm to 7 pm
30 شارع مراد – الجيزة
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