Online ISSN: 2515-8260

Keywords : anterior cruciate ligament

Rehabilitation Of Post-Surgical Anterior Cruciate Ligament Reconstruction- A Case Report

Simran Jaiswal; Aachal Birelliwar; Neha Chitale; Pratik Phansopkar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 3913-3917

Introduction: Anterior cruciate ligament is one of the main ligament responsible for maintaining the dynamic stability of the knee joint. It connects femur with tibia and prevents anterior translation of tibia.anterior cruciate ligament and posterior cruciate ligament are primary rotatory stabilizers of knee joint. Any damage to ACL disturbs the dynamics of knee joint. This case study is focused on the treatment of a person with ACL reconstruction of the left knee after an accident. There are various techniques of surgery and protocols of rehabilitation which are proposed for the treatment of anterior cruciate ligament injuries although still it remains unidentified as to which technique results in better outcome. Protocols of the rehabilitation have shown marked variations.
Case description: This is a case of 50 years old male who sustained anterior cruciate ligament tear after he meet with an accident. Patient had swelling over the knee region and giving away at the time of walking because of which he underwent anterior cruciate ligament reconstruction. The patient was mesomorphic in nature. Physical therapy rehabilitation protocol mainly focused on strengthening of quadriceps and hamstrings muscle and accordingly provided care in ways including postoperative weight bearing, gait training, improving strength of quadriceps and hamstring muscles.
Conclusion: Early postoperative recovery the patient had stiffness in the knee which required manipulations. Following these minor setbacks, the patient progressed well because of the motivation to continue with the physiotherapy and the management. The patient met all the goals of physiotherapy rehabilitation and did not have further complications.


Dr. Amruta Dinesh Varma; Rajasbala Dhande

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1977-1982

Abstract: Background: Understanding the RELATION between anterior cruciate ligament
and postero lateral corner TRAUMA with antero-lateral ligament of knee with it’s clinical
diagnosis would help us better understand the pattern of injury and to take proper
treatment action .Objectives :To find the correlation between pattern of injury of
anterolateralligament , anterior cruciate ligament and posterolateral corner injury on MRI
with it’s clinical correlation and associated findings. Methodology: A cross-sectional study
will be done at Acharya Vinoba Bhave Rural Hospital, Sawangi, involving52 patients who
present with knee trauma for MRI. The sample will be selected and involvement of
Anterior cruciate ligament ,postero lateral corner injury and antero-lateral ligament with
associated findings will be evaluated using T1, T2 and PD MRI sequences. These will be
compared and there association will be calculated which can be used for better planning of
treatment. Results: After appropriate statistical analysis, we expect to find association
between anterolateral ligament and anterior cruciate ligament tear with posterolateral
corner injury and this will be considered for reconstruction. Conclusion: In this
observational study, we expect associations between injured ligaments with aid of clinical
findings . We also expect to find a positive association between anterolateral ligament with
posterolateral corner injury and anterior cruciate ligament tear.

Anterior cruciate ligament reconstruction: single-bundle hamstring versus double-bundle reconstruction with lavsan (polyethylene terephtalate)

Murodjon Ergashevich IRISMETOV; Farrukh Makhamadjonovich USMONOV; Alisher Mukhammadjonovich KHOLIKOV; Kurbon Nurmamatovich RAJABOV; Murodjon Bakhodirovich TADJINAZAROV

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 951-959

Anterior cruciate ligament is one of the main stabilizateur of the knee joint. Many methods were suggested for its reconstruction with different allo- and autografts, as well as synthetic materials. The aim of study is to compare of two methods of ACL reconstruction. Material and metods. The study included 110 patients who underwent ACL reconstruction. I group (54 patients) underwent single-bundle ACL reconstruction with hamstring tendons, II group (56 patients) underwent double-bundle reconstruction with lavsan (polyethylene terephtalate) tape. Patients were evaluated with Lachman, anterior drawer and pivot-shift tests and Lysholm score. Results. Our results showed better results in double-bundle group, especially rotational stability was significant better. Conclusion. Independing of the method of ACL reconstructions these surgeries must be perform taking into account anatomic features and changes of the knee. Double-bundle technique of ACL reconstruction with lavsan provides better stability than single-bundle technique with hamstring tendons.