Anterior Cruciate Ligament Reconstruction
|
|
- Hugo Park
- 6 years ago
- Views:
Transcription
1 Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Anterior Cruciate Ligament Reconstruction Physiotherapy
2 This patient information booklet is designed to provide you with information about the Anterior Cruciate Ligament (ACL) reconstruction operation. It is designed to help you prepare for the operation and to answer some frequently asked questions. Please read the booklet carefully and ask your Physiotherapist if you are unsure about any of the information or have any further questions. What is the Anterior Cruciate Ligament (ACL)? There are four main ligaments in the knee joint which join the femur (thigh bone) to the tibia (shin bone). There is one ligament either side of the knee, and two within the knee, which help to make the joint stable. The ACL lies in the centre of the knee joint and attaches to the front of the tibia (shin bone) and the back of the femur (thigh bone). It is one of the main stabilising ligaments, helping to prevent forward movement of the tibia on the femur, therefore preventing giving way of the knee. The ACL is also important in providing information to the brain and muscles to control knee movement and balance. (This is called proprioception). The ACL is typically injured in a non-contact twisting movement and common in sports such as football, rugby, skiing etc. Injury makes the knee lax and unstable, often causing it to give way in everyday activities and during sports. What are the aims of ACL Reconstruction Surgery? To improve stability of the knee / prevent giving way To enable return to full function including contact sports 2
3 What do I need to consider before deciding to have the operation? You should fully understand the commitment needed to undergo the surgery and twelve month rehabilitation program. It will be necessary for you to arrange life (including work) around the rehabilitation before you agree to surgery. It is important to maintain as much movement and strength as possible in the injured leg pre-operatively. Your Physiotherapist can give you advice regarding specific exercises / gym workouts that are appropriate. Try to avoid any activities which cause giving way or instability of the knee. What happens during the Operation? The ACL can be reconstructed using a variety of methods which vary depending on the surgeon. The reconstruction involves replacing the ACL with a graft. The most common tissues to be used are either two tendons from the back of the thigh (hamstrings), or part of the tendon from the front of the thigh (patella tendon). The graft is normally harvested by a small incision on the inside of the knee and the operation continued by two small arthroscopic (key hole) incisions. The graft is held in place by metal screws or staples which do not need to be removed. The operation usually lasts 1 2 hours under a general anaesthetic. Research has shown 80 90% of patients have improved function of the knee following the surgery and rehabilitation. Are there any alternatives to surgery? ACL injuries can either involve a partial tear of the ligament or a complete rupture. These can be treated with a course of Physiotherapy to build up the muscles around the knee and improve proprioception. This can improve the stability of the knee and prevent an operation being necessary. In severe cases the knee may be too unstable and the ACL needs to be reconstructed. 3
4 What are the possible complications of surgery? Infection Antibiotics will be given to minimise the risk. Deep Vein Thrombosis (blood clot in the vein of leg) Early movement helps to prevent this. In higher risk patients anticoagulant (blood thinning) medications will be used. Failure of Graft / Fixation This is extremely rare, but occasionally the body does not accept the graft or it becomes dysfunctional. In this case, further investigations would be carried out. Patella Pain This can occur (usually after a patella tendon graft), particularly on squatting / kneeling for up to two years after surgery. Lack of confidence / stability in the knee The operated leg may not feel right for some time and may not feel stable enough to allow return to full sporting activities. Rehabilitation aims to address this. Swelling Swelling is very common after ACL reconstruction. It is essential that you rest with the leg elevated, as much as possible, for two weeks after surgery. You will also be advised to use ice packs on the knee regularly, and wear tubigrip (elastic bandage), in this two week period. This will speed up the recovery of the muscle strength and movement of the knee following the operation. 4
5 Rehabilitation This will be supervised by your Physiotherapist. He/She will give you advice about minimising swelling,and the safe use of crutches. He/She will also give you progressive exercises to regain get full movement, muscle strength and function. You will be seen by the Physiotherapist on the ward and then regularly as an outpatient for the first 3 4 months. Depending on progress you will then be seen less regularly for up to a year to help you get back to full function, including sport (if appropriate). The graft is a biological tissue and needs time to heal. Therefore there is a protocol of rehabilitation based on current recommendations to avoid putting excess stress on the graft. The protocol is used as a guide, for achieving the major milestones but your Physiotherapist will tailor the exercises to you as an individual. The overall rehabilitation plan aims initially to minimise swelling and regain full movement, particularly extension. Closed Kinetic Chain exercises are then started where the foot is in contact with the ground or weights surface. These are then progressed to Open Kinetic Chain exercises, where the foot moves freely, once knee stability improves. This booklet is a guide only and is not a strict protocol. Patients and post surgery recovery vary, therefore the exercises will be tailored to each individual. Days 1-2 After the Operation You will have: Light bandage on knee Analgesia (pain relief) regularly encouraged to ensure exercises and mobility carried out comfortably Ice / cold packs to minimise swelling Physiotherapy to start moving and strengthening the knee and to teach safe mobility on crutches including up/down stairs. 5
6 Physiotherapy Exercises 1. Ankles Move ankles up and down in a pumping action to improve circulation. Repeat... times. 2. Quads Sets (muscles at front of thigh) With the knee straight, pull the toes towards you and brace the knee to tighten the muscles at the front of the thigh. Repeat... times. 3. Hamstring Sets (muscles at back of thigh) Bend the knee slightly; push the heel down directly into the bed, to tighten the muscles at the back of the thigh. Repeat... times. 4. Heel Slides Slide the heel towards the buttock bending the knee to 90 degrees, (a right angle), then straighten again. Repeat... times. 6
7 5. Hanging Out Rest the heel on a pillow (or rolled towel) leaving a gap under the back of the knee. Keeping the knee straight let the leg relax and hang to stretch out the back of the knee. Hold... mins. Stairs technique on crutches One step at a time Going Up: Going Down: Non operated Followed by Crutches first leg first operated leg and crutches Followed by operated leg Remember: Good leg up Bad leg down Followed by non-operated leg 7
8 When Will I be able to go home? You will be in hospital 1-2 days depending on your progress. You will have a follow up outpatient physiotherapy appointment arranged for you. Exercises You should continue the exercises you have been shown on the ward (included in this booklet) at least 4 times every day. Achieving and maintaining full extension (straightness) of the knee is a major milestone. Hanging Out The same as exercise 5 on page 7 and: Lie on your front with both knees and lower legs off the end of the bed. Let the leg relax and hang to stretch out the back of the knee. You should alternate resting in both these positions for short periods as often as you can throughout the day to achieve and maintain full extension of the knee. Rest and Elevation You should rest lying down with the leg straight and elevated (leg higher than heart) as much as possible throughout the day to minimise swelling. When resting without elevating, the leg should be kept straight and level. Do not rest with a pillow under the knee. 8
9 Ice / Cold Packs You should continue ice / cold packs 4 times a day with the leg elevated as above. A bag of frozen peas wrapped in a damp tea towel (to prevent ice burns) can be used for 10 minutes. Analgesia (pain relief) You should take the painkillers you have been given so that you are able to do all of the exercises and weight bear comfortably. You should gradually wean them down as the pain settles or as advised by your doctor. Tubigrip (elastic bandage) You should wear tubigrip as advised by your Physiotherapist during the day. Tubigrip should always be removed at night. Wound Care You should avoid getting the scar wet until the stitches are removed days after the operation when you are reviewed in clinic. You can ask for a waterproof dressing from the nurse on the ward before you are discharged home. Crutches You should continue using the crutches until advised by your Physiotherapist that it is safe to walk independently. This is to minimise swelling. Driving You are not allowed to drive for 6 weeks following surgery. Please take advice from your Physiotherapist before driving again and contact your car insurance company. 9
10 Sleeping Do not sleep with a pillow under the knee as this reduces extension (straightness) in the knee. Return to work As a rough guide you can expect to return to an office job about 2 weeks after surgery. If you have a physical job, but can return to work on lighter duties that involve minimal walking, you may be able to return at about 4 6 weeks. More physically active jobs may take up to 3 months to return, particularly if they involve squatting or lifting. Please follow advice from your Physiotherapist. Return to sports If rehabilitation goes well you can return to non contact sports at about 9 months and contact sports at about 1 year following surgery. Please follow advice from your Physiotherapist. General Advice If you develop pain in your chest or calf; or your wound becomes hot, red, swollen or weeping you should contact your GP urgently, or come to Casualty at the hospital for advice. Weeks 1 2 Use pain and swelling as your guide to how much activity the knee can take. Your Physiotherapist will show you specific exercises to achieve these aims: Minimise swelling Maintain full extension (straightness) of the knee 10
11 Regain full range of flexion (bend) in the knee Regain normal walking without crutches Basic closed kinetic chain strengthening exercises for quads (front of thigh) and hamstrings (back of thigh) Basic proprioception exercises NO rotational forces through the knee (do not turn or twist on that side) During first 6 weeks Use swelling as your guide to how much activity the knee can take. Your Physiotherapist will show you specific exercises to achieve these aims: Swelling kept to a minimum Pain free Progress strengthening exercises (including hamstring flicks) Progress basic proprioception exercises Develop light endurance and strength training Start gym circuit at supervised, appropriate level 6 12 Weeks Your Physiotherapist will show you specific exercises to achieve these aims: Full range of movement Good quads and hamstring control through full range of movement Intermediate proprioception exercises Advanced closed kinetic chain exercises for strength Start swimming (no breast stroke) Improve function and confidence Continue independent gym circuit as per guidelines and advice 11
12 3 6 Months Your Physiotherapist will show you specific exercises to achieve these aims: Increase confidence and fitness levels Continue independent gym work for strength Start jogging on treadmill / straight lines at 4 months Progress to running gradually as able Start skipping exercises Progress to hopping in straight lines Advanced proprioception exercises 6 9 Months Your Physiotherapist will show you specific exercises to achieve these aims: Increase speed of balance reactions Increase coordination and agility e.g. shuttle runs, ball dribbling Directional changes in running, jumping and hopping Increase fitness levels further Sport specific training 9 12 Months Return to non-contact sports (3 4 months training will be required before return) 12 Months + Return to full contact sports (3 4 months training will be required before return) 12
13 When can I return to sporting activities? Return to contact sport is not recommended until strength and function measurements are more than 85% (on the operated leg) compared to the non operated leg. Guidance from your Physiotherapist will be given in regaining confidence in a sports environment by specific drills and training. The time taken to regain pre-injury level of skill and performance is very variable but can take 3 months of training and playing. Please remember that this protocol is used as a guide only for achieving the major milestones. Your Physiotherapist will tailor the exercises and progress of rehabilitation to you as an individual. Key reference sources National Ligament Regsitry Information.html For further information or advice, contact the Physiotherapy Department
14 Notes 14
15 15
16 Royal Surrey County Hospital (RSCH) NHS Foundation Trust fully subscribes to the National Patient Safety Agency (NPSA) Being Open best practice framework, November PALS and Advocacy contact details Contact details of independent advocacy services can be provided by our Patient Advice and Liaison Service (PALS) who are located in far left corner as you enter the main reception area. PALS are also your first point of contact for health related issues, questions or concerns surrounding RSCH patient services. Telephone: Opening hours: 9.00am 4.00pm, Monday to Friday If you would like information documents in large print, on tape or in another language or form please contact PALS. Review date: July 2017 Year Author: Susie Golding PIN Royal Surrey County Hospital NHS Foundation Trust 2014
Anterior Cruciate Ligament Reconstruction
Anterior Cruciate Ligament Reconstruction Physiotherapy Department Patient information leaflet This patient information booklet is designed to provide you with information about the Anterior Cruciate Ligament
Physiotherapy Information following Anterior Cruciate Ligament (ACL) Reconstruction
Physiotherapy Information following Anterior Cruciate Ligament (ACL) Reconstruction Name:... Surgery Date:... Graft:... Orthopaedic Outpatient Appointment Date: Time: Location: Contact Number: Contacting
Knee arthroscopy. Physiotherapy Department. Patient information leaflet
Knee arthroscopy Physiotherapy Department Patient information leaflet What is a knee arthroscopy? A knee arthroscopy is a type of keyhole surgery performed through small cuts in the skin. An instrument
Non weight bearing advice (post operative)
Non weight bearing advice (post operative) Physiotherapy Department Patient information leaflet Who is this booklet for? This booklet is for post-operative patients who have been told that they will have
Anterior Cruciate Ligament (ACL) Reconstruction
Further information Information on who to contact, i.e. web sites / telephone numbers of other departments / organisations which may be of help. How to contact us Watford General Hospital West Hertfordshire
GG10Rehabilitation Programme for Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction
GG10Rehabilitation Programme for Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction Femur ACL Graft Fibula Tibia The Anterior Cruciate Ligament (ACL) is one of the main ligaments in the
Stabilisation of the shoulder joint
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Stabilisation of the shoulder joint Physiotherapy Department Information leaflet for Name of Patient: Date: Name of Physiotherapist:
Anterior Cruciate Ligament (ACL) Reconstruction. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Anterior Cruciate Ligament (ACL) Reconstruction An information guide Anterior Cruciate Ligament (ACL) Reconstruction Post-operative regime
Arthroscopic subacromial decompression of the shoulder
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Arthroscopic subacromial decompression of the shoulder Physiotherapy Department Information booklet for Name of Patient: Date:
Advice following Anterior Cruciate Ligament (ACL) reconstruction
Advice following Anterior Cruciate Ligament (ACL) reconstruction Information for patients Mobilisation As soon as you feel well enough after the operation you will be able to get up and mobilise. You will
ACL Reconstruction Physiotherapy advice for patients
ACL Reconstruction Physiotherapy advice for patients Introduction This booklet is designed to provide you with advice and guidance on your rehabilitation after reconstruction of your anterior cruciate
Cheilectomy. Your guide to a successful outcome following surgery. Orthopaedic Department. Royal Surrey County Hospital. Patient information leaflet
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Cheilectomy Your guide to a successful outcome following surgery Orthopaedic Department What is Cheilectomy? This is surgery
Northumbria Healthcare NHS Foundation Trust. Knee Arthroscopy. Issued by the Orthopaedic Department
Northumbria Healthcare NHS Foundation Trust Knee Arthroscopy Issued by the Orthopaedic Department Introduction This guide has been produced to provide you with information regarding your knee arthroscopy
ANTERIOR CRUCIATE RECONSTRUCTION
ANTERIOR CRUCIATE RECONSTRUCTION Introduction The anterior cruciate ligament (ACL) is one of the main restraining ligaments in the knee. It runs through the centre of the knee from the back of the femur
Anterior Cruciate Ligament (ACL) Reconstruction Surgery
Anterior Cruciate Ligament (ACL) Reconstruction Surgery Patient Information Sports Knee Service Author ID: JA Leaflet Number: SKS 001 Version: 3 Name of Leaflet: Anterior Cruciate Ligament Reconstruction
Ankle Fracture Orthopaedic Department Patient Information Leaflet. Under review. Page 1
Ankle Fracture Orthopaedic Department Patient Information Leaflet Page 1 Ankle Fracture Welcome to the Dudley Group NHS Foundation Trust. This leaflet will provide you with information regarding the diagnosis
Big toe (Hallux) corrective surgery Including Scarf, Weils, Akin/Chevron
Big toe (Hallux) corrective surgery Including Scarf, Weils, Akin/Chevron Orthopaedic Department Patient information leaflet This patient information booklet is designed to provide you with information
Physiotherapy following peri acetabular osteotomy (PAO) surgery
Physiotherapy following peri acetabular osteotomy (PAO) surgery This leaflet explains more about returning to your everyday activities after your peri acetabular osteotomy (PAO). It explains the exercises
What is arthroscopy? Normal knee anatomy
What is arthroscopy? Arthroscopy is a common surgical procedure for examining and repairing the inside of your knee. It is a minimally invasive surgical procedure which uses an Arthroscope and other specialized
Mr Paul Y F Lee All in side - ACL Reconstruction Version 2.2. Sports Knee Surgery. Rehabilitation protocol. ACL Reconstruction.
Sports Knee Surgery Rehabilitation protocol ACL Reconstruction ACL Repair Meniscus Repair Surgeon: Paul Y F Lee MBBch, MFSEM, MSc, PhD, FRCS (T&O) Why ACL Reconstruction? The ACL helps to stabilize the
TOTAL KNEE REPLACEMENT PATIENT INFORMATION LEAFLET
TOTAL KNEE REPLACEMENT PATIENT INFORMATION LEAFLET This leaflet has been produced to help answer some questions you may have following your knee replacement. However if you still have any concerns or queries
Anterior Cruciate Ligament Reconstruction
Anterior Cruciate Ligament Reconstruction An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Knee arthroscopy surgery
Patient information Knee arthroscopy surgery i Important information for all orthopaedic patients undergoing knee arthroscopy surgery. Golden Jubilee National Hospital Agamemnon Street Clydebank, G81 4DY
Arthroscopy of the Knee
Arthroscopy of the Knee The information contained within this leaflet is only a guide and the timings and activities will depend upon your specific circumstances and Mr Hartley s individual instructions.
Knee Arthroscopy Exercise Programme
Chester Knee Clinic & Cartilage Repair Centre Nuffield Health, The Grosvenor Hospital Chester Wrexham Road Chester CH4 7QP Hospital Telephone: 01244 680 444 CKC Website: www.kneeclinic.info Email: office@kneeclinic.info
A PATIENT S GUIDE TO REHABILITATION POST KNEE REPLACEMENT SURGERY
A PATIENT S GUIDE TO REHABILITATION POST KNEE REPLACEMENT SURGERY Georgia Bouffard Student Physiotherapist Colin Walker Orthopaedic Knee Specialist Frank Gilroy BSc MSCP 1 CONTENTS Anatomy of the knee
Anterior Cruciate Ligament Reconstruction Patient Information
Anterior Cruciate Ligament Reconstruction Patient Information This information sheet is designed to help you to understand what an Anterior Cruciate Ligament (ACL) Reconstruction involves. I perform ACL
Postoperative Days 1-7
ACL RECONSTRUCTION REHABILITATION PROTOCOL Postoperative Days 1-7 *IT IS EXTREMELY IMPORTANT THAT YOU WORK ON EXTENSION IMMEDIATELY Goals: * Control pain and swelling * Care for the knee and dressing *
Arthroscopy Day Case. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Arthroscopy Day Case An information guide Arthroscopy Day Case Arthroscopy Day case Post-operative regime The post-operative rehabilitation
ACL Reconstruction surgery
Golden Jubilee National Hospital NHS National Waiting Times Centre ACL Reconstruction surgery Patient information guide Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk 2
Information and exercises following a proximal femoral replacement
Physiotherapy Department Information and exercises following a proximal femoral replacement Introduction The hip joint is a type known as a ball and socket joint. The cup side of the joint is known as
Surgery to reconstruct the anterior cruciate ligament of the knee (ACL reconstruction)
Surgery to reconstruct the anterior cruciate ligament of the knee (ACL reconstruction) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery
Information and exercises following dynamic hip screw
Physiotherapy Department Information and exercises following dynamic hip screw Introduction A dynamic hip screw is performed where the neck of femur has been fractured and where there is a good chance
Medial Patellofemoral Ligament (MPFL) Reconstruction Surgery
Medial Patellofemoral Ligament (MPFL) Reconstruction Surgery Patient Information Sports Knee Service Author ID: JA Leaflet Number: SKS 002 Version: 1.1 Name of Leaflet: Medial Patellofemoral Ligament Reconstruction
ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION, A PATIENT GUIDE.
ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION, A PATIENT GUIDE. Anatomy of the Right Knee Lateral Condyle of Femur Intercondylar notch Tibial Condyle Knee Straight Knee Bent KEY: Patella Kneecap Femur Thigh
Knee arthroscopy surgery
Golden Jubilee National Hospital NHS National Waiting Times Centre Knee arthroscopy surgery Patient information guide Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk Arthroplasty
Knee arthroscopy surgery
Patient information Knee arthroscopy surgery i Important information for all orthopaedic patients undergoing knee arthroscopy surgery. Golden Jubilee National Hospital Agamemnon Street Clydebank, G81 4DY
Anterior Cruciate Ligament Reconstruction Information about your operation and recovery
Anterior Cruciate Ligament Reconstruction Information about your operation and recovery This booklet has been written to give you information and advice about: the injury you have had to your Anterior
Excision of Morton s Neuroma
Excision of Morton s Neuroma Day Surgery Unit Patient information leaflet This leaflet outlines the risks, general advice and information about foot surgery called an excision of a Morton s Neuroma. If
PHASE ONE: THE FIRST SIX WEEKS AFTER INJURY
Exercises After Injury to the Anterior Cruciate Ligament (ACL) of the Knee Dr. Abigail R. Hamilton, M.D. PHASE ONE: THE FIRST SIX WEEKS AFTER INJURY Initially, the knee needs to be protected-use the knee
Proximal Medial Gastrocnemius Release (PMGR)
Proximal Medial Gastrocnemius Release (PMGR) Physiotherapy and Orthopaedic Department Patient information leaflet Date: Name of Patient: Name of Physiotherapist: Telephone: 01483 464153 This leaflet has
OSCELL MICROFRACTURE OR DRILLING OPERATION (PATELLOFEMORAL SITES) PATIENT ADVICE.
OSCELL MICROFRACTURE OR DRILLING OPERATION ( SITES) PATIENT ADVICE. Anatomy of the Right Knee example of a trochlea articular defect site Knee Straight Knee Bent KEY: Patella Kneecap Trochlea Groove on
ACL REHABILITATION. Key to Success
ACL REHABILITATION The overall rehabilitation plan emphasises the importance of pre-operative exercises followed post operatively by early control of swelling and regaining full extension (straightening)
Botulinum Toxin Treatment for children
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Botulinum Toxin Treatment for children Physiotherapy This patient information leaflet is designed to answer frequently asked
Ankle Arthroscopy. Day Surgery Unit Surgical Short Stay Physiotherapy Department. Royal Surrey County Hospital. Patient information leaflet
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Ankle Arthroscopy Day Surgery Unit Surgical Short Stay Physiotherapy Department Name of Patient: Date: Name of Physiotherapist:
What is an ACL Tear?...2. Treatment Options...3. Surgical Techniques...4. Preoperative Care...5. Preoperative Requirements...6
Table of Contents What is an ACL Tear?....2 Treatment Options...3 Surgical Techniques...4 Preoperative Care...5 Preoperative Requirements...6 Postoperative Care...................... 7 Crutch use...8 Initial
Therapy following a neck of femur fracture
INFORMATION FOR PATIENTS Therapy following a neck of femur fracture Name of patient: ffffffffffffffffffffffffffffffffffffffffffff Procedure: ffffffffffffffffffffffffffffffffffffffffffffffffffff Consultant:
Advice for patients following a Slap Repair
Contact Information Acute Musculoskeletal Therapy Team: 0151 676 5519 Patient Advice and Liaison Service (PALS): 0151 430 1376 Advice for patients following a Slap Repair St Helens Hospital Marshall Cross
ANTERIOR CRUCIATE LIGAMENT (ACL) INJURIES
ANTERIOR CRUCIATE LIGAMENT (ACL) INJURIES WHAT IS THE ACL? The ACL is a very strong ligament on the inside of the knee. It runs from the femur (thigh bone) obliquely down to the Tibia (shin bone). The
ACTIVITIES AND EXERCISES AFTER INJURY TO THE MEDIAL COLLATERAL LIGAMENT (MCL) OF THE KNEE
ACTIVITIES AND EXERCISES AFTER INJURY TO THE MEDIAL COLLATERAL LIGAMENT (MCL) OF THE KNEE PHASE 1: THE FIRST SIX WEEKS AFTER INJURY (grade 2 and 3) THREE WEEKS AFTER INJURY (grade 1) The knee should be
Inner side of knee. Outer side of knee. PCL - Posterior cruciate ligament. Femur Articular cartilage. ACL - Anterior cruciate ligament
ACL surgery Outer side of knee Inner side of knee PCL - Posterior cruciate ligament Femur Articular cartilage LCL - Lateral collateral ligament Lateral meniscus Tibia ACL - Anterior cruciate ligament MCL
Weber B ankle fracture Information for patients Outpatient Fracture Care Team: Shared care plan
Weber B ankle fracture Information for patients Outpatient Fracture Care Team: Shared care plan Orthopaedic Department Tunbridge Wells Hospital Tonbridge Road Pembury TN2 4QJ Telephone: 07734370108 Email:
Anterior Cruciate Ligament (ACL) Tears
WASHINGTON UNIVERSITY ORTHOPEDICS Anterior Cruciate Ligament (ACL) Tears Knowing what to expect for ACL surgery is key for a healthy surgery and recovery. Our sports medicine specialists are committed
Total knee replacement
Total knee replacement Inpatient and home exercises Information for patients MSK Orthopaedic Inpatients (Therapy) When you go home from hospital following your knee replacement, a referral will be made
King Khalid University Hospital
King Khalid University Hospital Rehabilitation Department Ortho Group Rehabilitation Protocol: ACL RECONSTRUCTION +/- MENSICAL REPAIR 1. General Guidelines: Time lines in this rehabilitation protocol are
OSCELL MICROFRACTURE OR DRILLING OPERATION (FEMORAL CONDYLE SITES) PATIENT ADVICE.
OSCELL MICROFRACTURE OR DRILLING OPERATION ( SITES) PATIENT ADVICE. Anatomy of the Right Knee example of a femoral condyle articular defect site Knee Straight Knee Bent KEY: Patella Kneecap Trochlea Groove
ACL REHABILITATION PROTOCOL
Name: ID: Date Of Surgery :DD / MM / YYYY Procedure: ACL REHABILITATION PROTOCOL Note :If another procedure like meniscus repair or OATS (Osteochondralautograft transfer) has been done along with ACL reconstruction
ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION PATIENT INFORMATION SHEET
ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION PATIENT INFORMATION SHEET Introduction You have injured your knee and it has been recommended that you undergo an operation to reconstruct your anterior cruciate
Anterior Cruciate Ligament Repair with the Internal Brace
Information about Anterior Cruciate Ligament Repair with the Internal Brace Mr. Mark Blyth (Consultant Orthopaedic Surgeon) Orthopaedic Research Unit, Glasgow Royal Infirmary, Gatehouse Building, 84 Castle
Anterior cruciate ligament reconstruction
Anterior cruciate ligament reconstruction The anterior cruciate ligament (ACL) is one of four ligaments in the knee which connect the femur bone to the tibia. It is located in the centre of the knee, together
Guidelines for patients having. Achilles Tendon Repair. Achilles Tendon Repair
Guidelines for patients having ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 Achilles Tendon Repair Please stick addressograph
Patient information and Rehabilitation Guidelines
1. INTRODUCTION Anterior Cruciate Ligament Reconstruction Patient information and Rehabilitation Guidelines This section provides a summary of information relating to injury to the Anterior Cruciate Ligament,
Soft tissue Injury of the Knee (self-management) Knee 3
Soft tissue Injury of the Knee (self-management) Knee 3 Fracture Care Team: Shared Care Plan Eastbourne - 01323 414928 Conquest - 01424 757576 Email - esht.vfc@nhs.net This information leaflet follows
Alternative methods for managing stairs and steps
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Alternative methods for managing stairs and steps Physiotherapy Department Name of patient: Date: Name of Physiotherapist:
Advice for patients following a Rotator Cuff Repair
Contact Information Acute Musculoskeletal Therapy Team: 0151 676 5519 Advice for patients following a Rotator Cuff Repair Patient Advice and Liaison Service (PALS): 0151 430 1376 St Helens Hospital Marshall
Knee joint arthroscopy
Critical Care, Theatres & Diagnostics Knee joint arthroscopy Information for patients This booklet answers some of the questions you may have about having a knee joint arthroscopy. It explains the risks
A Guide to the Management of an Anterior Cruciate Ligament (ACL) Injury
A Guide to the Management of an Anterior Cruciate Ligament (ACL) Injury Overview Advances in our understanding of ACL injuries have led to major changes in the management of these injuries over the last
Wedge incision of an ingrowing toenail
Wedge incision of an ingrowing toenail Children and young people Paediatrics Department Patient information leaflet What is an ingrowing toenail? This problem occurs when the toenail grows into the skin
Endovenous Laser Treatment (EVLT)
Endovenous Laser Treatment (EVLT) Day Surgery Unit Patient information leaflet What is Endovenous Laser Treatment (EVLT)? Endovenous laser therapy is a treatment for varicose veins which seals the vein
Mosaicplasty and OATS Rehabilitation Protocol
Mosaicplasty and OATS Rehabilitation Protocol PHASE 1: 0 2 weeks after surgery You will go home with crutches, cryocuff cold therapy unit and a CPM machine. GOALS: 1. Protect the cartilage transfer avoid
ACL Reconstruction. I ve torn my ACL, now what? Alta View Sports Medicine. Dr. James R. Meadows, MD
Alta View Sports Medicine Dr. James R. Meadows, MD Orthopedic Surgery & Sports Medicine 74 Kimballs Ln Ste 230, Draper, UT 84020 9844 S. 1300 E. Ste 100, Sandy, UT 84094 (801) 571-9433 www.meadowsmd.com
Hip Pain. Anatomy of the hip
Hip Pain Anatomy of the hip The hip is a ball and socket joint, the ball is on the head of femur (the top of the thigh bone) and the socket (acetabulum) is a part of the pelvis. It s surrounded by tendons
Your Stabilisation procedure Information for Patients
Your Stabilisation procedure Information for Patients This leaflet will provide you with general information about the anterior stabilisation procedure. It will briefly explain the operation procedure
Soft tissue injury to ankle Information for patients Outpatient Fracture Care Team: Shared care plan
Soft tissue injury to ankle Information for patients Outpatient Fracture Care Team: Shared care plan Orthopaedic Department Tunbridge Wells Hospital Tonbridge Road Pembury TN2 4QJ Telephone: 07734370108
ACL Reconstruction. Role of the Anterior Cruciate Ligament. Treatment of ACL tears. ACL Reconstruction
Role of the Anterior Cruciate Ligament The ACL stabilizes the knee when jumping, pivoting, or cutting. It prevents the shinbone (tibia) from sliding forward on the thigh bone (femur). ACL tears often occur
Reversed geometry shoulder replacement
Information and exercises Reversed geometry shoulder replacement Introduction The reversed geometry total shoulder replacement is designed for use in shoulders that have a deficient rotator cuff, arthritis
For more information on arthritis and knee replacements please see:
Chester Knee Clinic at Nuffield Health, The Grosvenor Hospital Chester Wrexham Road Chester CH4 7QP Consultant Orthopaedic Surgeon: Vladimir Bobic, MD, FRCSEd www.kneeclinic.info office@kneeclinic.info
King Khalid University Hospital
King Khalid University Hospital Rehabilitation Department Ortho Group Rehabilitation Protocol: PCL RECONSTRUCTION +/- ACL / MCL / LCL / POSTEROLATERAL CORNER 1. General Guidelines: Time lines in this rehabilitation
Knee Replacement PROGRAM. Nightingale. Home Healthcare
Knee Replacement PROGRAM TM Nightingale Home Healthcare With the help of Nightingale s experienced and professional rehabilitation team, you will be guided through a more complete and successful recovery
Ankle arthroscopy. If you have any further questions, please speak to a doctor or nurse caring for you
Ankle arthroscopy This leaflet aims to answer your questions about having an ankle arthroscopy. It explains the benefits, risks and alternatives, as well as what you can expect when you come to hospital.
Total Hip Replacement Exercise Booklet Cemented Femoral Stem Weight Bearing As Tolerated
Total Hip Replacement Exercise Booklet Cemented Femoral Stem Weight Bearing As Tolerated Patient Name: Surgeon: Date of Surgery: Physiotherapist: Department of Rehabilitation (416) 967-8650 ext. PR 99506
Patient information. Forefoot surgery. Barts Health Physiotherapy Website:
Patient information Forefoot surgery Barts Health Physiotherapy Website: www.bartshealth.nhs.uk/physiotherapy This booklet is for patients following surgery to the front of their foot. This may include
INITIAL REHABILITATION PHASE 0-4 weeks. Posterolateral Corner Injury
Posterolateral Corner Injury Indications for Surgery The main indication of PLC reconstruction surgery is symptomatic instability following PLC injury. The aim of PLC reconstruction surgery is to restore
REHABILITATION FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION (using Hamstring Graft)
REHABILITATION FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION (using Hamstring Graft) PHASE 1: (0-3 WEEKS) Goal: Protect graft, manage pain, decrease swelling and improve range of movement. To optimise
Exercises following arthroscopic (or open) anterior stabilisation
Physiotherapy patient information Exercises following arthroscopic (or open) anterior stabilisation Introduction The shoulder joint is designed to give a large amount of movement, therefore support from
Ankle Sprain. Information for patients. This booklet provides information for patients with ankle sprain. Physiotherapy
Ankle Sprain Information for patients This booklet provides information for patients with ankle sprain. Physiotherapy Website http://www.mtw.nhs.uk/physiotherapy/ Telephone 01892 632902 / 01622 224308
Physiotherapy after your hip arthroscopy
Physiotherapy after your hip arthroscopy This leaflet gives you advice about recovering from your hip arthroscopy. It explains exercises you should do each day, things to look out for and some general
working together for the benefit of patients RECONSTRUCTION OF THE ACL Enquiries:
working together for the benefit of patients RECONSTRUCTION OF THE ACL Enquiries: 01905 794858 The knee is a complex joint that depends on bones, ligaments and muscles for its stability. There are four
Repair of Epigastric, Umbilical or Incisional Hernia
Repair of Epigastric, Umbilical or Incisional Hernia Day Surgery Unit Surgical Short Stay Unit Patient information leaflet 2 What is an epigastric, umbilical or incisional hernia? A hernia is a defect
Lateral Collateral Ligament Sprain
What is lateral collateral ligament sprain? Lateral Collateral Ligament Sprain A sprain is a joint injury that causes a stretch or tear in a ligament, a strong band of tissue connecting one bone to another.
Advice: After the Removal of a Lower Leg Cast
Advice: After the Removal of a Lower Leg Cast The aim of this leaflet is to give you some understanding of the problems you have with your condition and to provide some advice on how to manage this. It
Posterior Lumbar Spinal Fusion
Posterior Lumbar Spinal Fusion Information to help patients prepare for a Posterior Lumbar Spinal Fusion Operation Directorates of Orthopaedic and Rheumatology, and Neurosciences Produced: February 2007
Patient Information Sports Knee Service
High Tibial Osteotomy Surgery Patient Information Sports Knee Service Author ID: JA Leaflet Number: SKS 004 Version: 1 Name of Leaflet: High Tibial Osteotomy Surgery Date Produced: September 2017 Review
Arthroscopic Surgery
175 Cambridge Street, 4 th floor Boston, MA 02114 Tel: 617-726-7500 Arthroscopic Surgery What is arthroscopy? Arthroscopy is a surgical procedure that orthopedic surgeons use to visualize, diagnose and
TPO (Triple Pelvic Osteotomy) Information for young people
Produced: Oct 2014 Ref: 201/02 Author: Clinical Support Review: May 2020 Royal Orthopaedic Hospital NHS Foundation Trust Patient Information Information for young people Welcome to the Royal Orthopaedic
Information for Patients having Total Knee Replacement Surgery
Information for Patients having Total Knee Replacement Surgery Hello You will be coming into hospital for your surgery and we hope your stay will be pleasant. We have written this booklet to give you information
INFORMATION FOR PATIENTS. Arthroscopic Bankart repair
INFORMATION FOR PATIENTS Arthroscopic Bankart repair This booklet contains information about the shoulder surgery that you have been advised to have, and aims to answer some of the questions you may have
Trapeziectomy. Day Surgery Unit. Patient information leaflet
Trapeziectomy Day Surgery Unit Patient information leaflet This leaflet outlines the risks, general advice and information about hand surgery called trapeziectomy. If you have any questions or concerns,
Arthroscopic capsular release. Information for patients Orthopaedics - Upper Limb
Arthroscopic capsular release Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation