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Anterior Cruciate Trauma

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The following is a review of literature pertaining to the anterior cruciate ligament (ACL) reconstruction and the rehabilitation used for it. First, an overview of the anatomy and physiology of the anterior cruciate ligament will be given. The process by which the ACL injury is managed through reconstruction, repair, and rehabilitation will be seen from previous literature. This research will examine the two main different types of exercise, open kinetic chain and closed kinetic chain.
The Anterior Cruciate Ligament
The Anterior Cruciate Ligament, ACL, is located in the knee behind the patella. It attaches to the tibia at the anterior intercondylar area space. The other end attaches to the medial side of the lateral condyle in the femur. The …show more content…
Moses states that in the United Stated there are 80,000 ACL injuries a year with 13,800 of those being in the military population (2012). Bacchs and Boonos state that there is 30 incidents that are seen by physicians per a 100,000 person population (2001). Most commonly the anterior cruciate ligament is injured from lateral impact to the knee when it is in extension. There are two ways that the ACL can be injured by contact or non-contact. A contact ACL injury occurs when there is a connection with either another person or object. Non-contact occurs when the injured party is not contact by either an object or person. Evans, et. al, found in his study of a military population that a higher BMI and a narrow notch was the contributions that caused non-contact injures (2012).
Reconstruction
A torn ACL has a hard time healing on its own, so most times a surgical repair is chosen to fix the tear. This is normally done by a ligament graft of connective tissue being used in the repair. The ACL reconstruction is the most used form of ACL injury repair. There is a process that follows that can include all of the following; grafts, fixations, and rehabilitation. (Uçar, Koca, Eroglu, Eroglu, Sarp, Arik, & Yetisgin, 2014).
An ACL reconstruction consist of two stages in some cases. The first stage of the reconstruction is the removal of that injured ACL. After this there is a time where rehabilitation is started until the second stage occurs. The second stage consists of then putting in the ACL whether it be a graft or a cadaver

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