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Phase 6
Return To Sport Phase – Month 6 – 9 And Beyond Aim The aim of this phase is to progress sport training and to develop strength and endurance levels to allow return to full sporting activity. This takes time, especially in building up confidence to progress to full contact activities. Return to contact sport is…
History and Examination of the Knee
Traditionally, examination of a joint involves the principle ‘look, feel, move’. Whilst this adage may still hold true for basic examination of the knee, the order and sequence of examination changes depending on the likely diagnosis suggested by the history. For example when examining a severely arthritic knee it is not necessary to examine for…
UK National Ligament Registry
Tim Spalding is one of the lead developers of the UK National Ligament Registry launched at BASK (British Knee Society Meeting) in March 2013. For detailed information see the website www.uknlr.co.uk or the attached pdf file All knee surgeons are encouraged to register through the website and to enter their patients into this nationally approved…
Post-operative care: 6 weeks onwards
The second phase of rehabilitation from six weeks onwards is directed at building up strength in the leg while the area of bone regrowth becomes stronger. After three months functional activities can be introduced. At the 6-week follow-up appointment X-rays are taken and, if satisfactory, the brace is removed. Free full weight bearing is allowed….
Phase 4
Strength Phase – Weeks 6 – 12 Aim At six weeks the graft will be solidly fixed into bone so that more vigorous strength training can start. Thigh muscle tone and definition (quadriceps / hamstrings) will be hopefully have been maintained during the first post op phase and now the main strength work can begin….
The Operation
The ‘keyhole surgery’ operation to reconstruct the ACL involves replacing it with other strong tendons from areas around the knee. Two main grafts are in common use: the Hamstring Tendon graft and the Patella Tendon graft. Both are considered to be equally good and the choice usually depends on the surgeon’s preference. Currently the Hamstring…