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What's the best way to rehab my knee after an ACL reconstruction?

Patient Education • Panorama Orthopedics & Spine C...
After injuring my ACL I decided to try rehab without surgery. The electrical studies show too much activity, too soon, from the outside portion of my thigh muscle. I'm wondering what can be done about this? I still don't want surgery.
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What is a double-bundle ACL reconstruction?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
The anterior cruciate ligament, or ACL, is one of four major ligaments in the knee that provide stability to the joint. When a patient sustains a tear to the ACL, a sensation of instability, or giving out, may develop in the injured knee. In order to restore stability to the knee, your doctor may recommend an ACL reconstruction to insert a new ligament in the place of the damaged ACL.
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Is it a must to have reconstruction surgery for ACL tear?

Frequently Asked Questions
ACL tears do not have the capacity to heal by themselves. This is because of the poor blood supply and the presence of joint fluid. Similarly the torn edges of the ligament cannot be sutured together, as this procedure has very high failure rates and has been given up. The ideal way to get back the function of ACL is to have reconstrucion of ACL. Even though patient can manage activities like walking climbing stairs, without ACL.
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How reliable is ACL reconstruction surgery?

Dr. Prodromos - Chicago (Glenview) orthopedic - knee shoulde...
Dr. Prodromos recently completed a long-term follow-up study of over 200 of his ACL reconstruction patients. There were no instances of graft failure in this study.
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Is physiotherapy necessary before ACL reconstruction?

Frequently Asked Questions
Early surgical intervention to repair a torn ACL is not recommended in the vast majority of cases, and physiotherapy for at least four to six weeks is almost always recommended first in the amateur sportsperson. This approach has the advantage of allowing any other associated injuries to settle, and any inflammation to subside. Taking time to have physiotherapy also gives the patient and physiotherapist the opportunity to assess whether they feel there is a genuine need for reconstruction.
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Is ACL reconstruction a big operation?

Frequently Asked Questions
Compared with surgery for meniscal tears, ACL reconstruction is a much more involved procedure as it involves taking a tendon graft as indicated (usually the hamstring) from another part of the leg and using this to substitute the broken ligament. The time taken to recover from this type of surgery is much longer than for meniscal tears, and it may take up to nine months before you are able to undertake full sporting activities again.
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How will the knee function if the ACL is torn?

Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...
If no structure other than the ACL is injured, the knee usually regains it range of motion and is painless after six or eight weeks. The knee can then feel completely normal. However, it can be a "trick knee". If a knee does not have an ACL it can give way or be unstable when the person pivots or changes direction. The person can usually run straight ahead and ride a bicycle without a difficulty.
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Should I Wear A Knee Brace After ACL Reconstruction Surgery?

Search results for brace - Copernic Agent
Knee braces are common prescribed after an ACL reconstruction surgery. Are knee braces necessary if an ACL surgery has been performed? Will the knee brace ... Brace is a terrific activity for retired dogs, or for currently competitive ... For more info on training in brace, visit the obedience training articles . ... Spiderbrace handheld rig for digital video cameras. The Spiderbrace and Spiderbrace Mini-Rig, designed for the Canon XL1(s), XL2 and the ..
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How is a single-bundle ACL reconstruction performed?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
Most ACL reconstruction surgeries are done using a single-bundle reconstruction. A single-bundle ACL reconstruction uses a tendon graft to replace the torn ACL. Unfortunately, ACL tears cannot be repaired, or sewn together, and a graft must be used to reconstruct the ligament. When the ACL is reconstructed, the graft is placed in the position of the anteromedial bundle. Grafts are held in place by making a hole in the bone called a tunnel. One tunnel is made in the femur and one in the tibia.
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How does a double-bundle ACL reconstruction work?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
Instead of placing just one larger graft, the double-bundle ACL reconstruction procedure uses two smaller grafts. Therefore, there are essentially two ligament reconstructions, one for each bundle. The double-bundle procedure requires two additional bone tunnels to accommodate a second graft, and one additional incision. Studies have demonstrated some advantages of the double-bundle ACL reconstruction.
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Are there disadvantages to the double-bundle ACL reconstruction?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
This is a new procedure, and as is the case with any new procedure, the long-term results are not well understood. It is possible that this procedure will be an improvement on the standard single-bundle ACL reconstructions, but it is also possible that these patients may have the same, or even worse, long-term results. No one really knows just yet. The double-bundle is technically more demanding of a procedure, and there are fewer surgeons with experience in this surgical technique.
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Should I ask to have a double-bundle ACL reconstruction?

Double Bundle Anterior Cruciate Ligament - What is a Double-...
It is not clear that the double-bundle ACL reconstruction is a better procedure, but some patients are willing to try a new procedure in an effort to possibly improve their long-term result. Standard single-bundle ACL reconstructions have excellent results, with about 90% of patients able to return to activities at their pre-injury level. However, the results are not 100%, and some patients have persistent instability after ACL reconstructions, and may develop problems later in life.
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Which "graft" should I use for my ACL reconstruction?

FAQ Knee - Howard J Luks,MD
A graft is the tissue we will use to give you a new ACL. The choices available break down into two large categories. Autograft, your own tissue; or allograft, cadaveric tissue. If you elect to utilize your own tissue, the three grafts available are bone-patella tendon-bone grafts, quadriceps tendon grafts, and hamstring grafts. There are many different allografts available to reconstruct the ACL.
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How much physical therapy will I need after the ACL reconstruction?

Frequently Asked Questions
One of the main priorities after ACL reconstruction is to regain the knee range of motion. This along with establishing a good strengthening program is usually best done two to three times per week for the first four to six weeks. Because many insurance policies will not cover this many visits to the therapist, an independent home program may need to be instructed earlier. Compliance in performing the exercises in and out of the clinic is the key.
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What other knee structures can be injured when the ACL tears?

Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...
There are two types of cartilage in the knee. One type of fibrous cartilage is called the meniscus. Each knee has two crescent shaped menisci that act as a shock absorbers between the femur and tibia. There is a medial (inner) and lateral (outer) meniscus. The menisci are attached to the tibia. The ACL prevents excessive forward tibial motion at the knee joint. When the ACL tears, the knee can partially dislocate (subluxate).
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What is the initial treatment for a knee that may have a torn ACL?

Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...
The initial treatment of the injured joint is to apply ice and gentle compression to control swelling. A knee splint and crutches are used. Medical attention should be sought to confirm the diagnosis and to evaluate the entire extremity. X-rays are taken to rule out a fracture. Sometimes an MRI is needed, but usually the diagnosis can be made by physical examination.
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I like to snow and water ski. Can I still do these activities after ACL reconstruction?

Frequently Asked Questions
Unless the surgeon advises otherwise, most people return to enjoying both of these sports with the use of a brace. However, remember every individual injury is different. Following the recommendations of the surgeon is of utmost importance.
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When is the best time for reconstruction?

Jason J. Rosenberg, M.D., F.A.C.S. :: Frequently Asked Quest...
Breast reconstruction can be performed at the time of mastectomy (immediate reconstruction) or any time after the mastectomy has been performed (delayed reconstruction). While immediate reconstruction often provides the best cosmetic result, delayed reconstruction is often a good choice for women who will require radiation therapy as part of their cancer treatment.
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Is immediate or delayed breast reconstruction surgery best for me?

Breast Implants & Breast Augmentation Information - Breast C...
Most women are candidates for some type of immediate breast reconstruction. Since reconstruction is an additional major surgery, women should be carefully evaluated to understand all the risks and benefits. Multiple studies have shown tremendous psychological benefits to women who have immediate breast reconstruction.
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How can women have the best breast reconstruction possible?

Breast Implants & Breast Augmentation Information - Breast C...
Seek out plastic surgeons that have extensive experience in flap reconstruction. By using one's own tissue, skin and volume can be replaced to match shape, size and softness. Obtain a thorough plastic surgery consultation to evaluate all types of flap reconstruction; TRAM, VRAM (Verticle Rectus Abdominus Myocutaneous flap) and microsurgical flaps. Even though these procedures are more extensive, their satisfaction to patients is very high in the long term. For more information, contact Dr.
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When is the best time to have a knee replacement?

FAQTKR
There is no "best time". Most people decide to have their knees replaced when the pain becomes intolerable (e.g.- night pain or pain at rest), when their desired activities become impossible to pursue, or when medicines can no longer control the pain, after conservative, non-operative, treatments no longer help.
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Who are the best candidates for breast reconstruction?

FAQ: Cosmetic Surgery at TIA, Our Birmingham, London, Herefo...
Most women who had a mastectomy as a result of cancer are good candidates for breast reconstruction at TIA. The best candidates are those who seem to have eliminated the cancer through a mastectomy.
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I've heard a lot about ACL tears in the knee. Are PCL tears just as bad?

Patient Education • Panorama Orthopedics & Spine C...
Before having a total knee replacement, my doctor insists that I go to physical therapy. This is called preoperative treatment. Why is this necessary? I'm really ready for the operation. What is a bone bruise? After a car accident that dislocated my hip, I found out I also had a bone bruise around my knee. I'm 62 years old and have very bad knees from arthritis. I make my living cleaning other people's houses.
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What is a torn ACL?

Phoenix Orthopedic Evaluation Arizona Treatment Consultation...
The ACL (Anterior Cruciate Ligament) is a ligament in the center of your knee. The ACL gets damaged when twisted too far, which makes it a common injury in relation to sports or other physical activity. ACL Reconstruction is performed using a combination of open surgery and arthroscopic surgery. Before ACL reconstruction process begins, your surgeon will examine your knee arthroscopically, and repair any additional damage to the knee, such as a torn meniscus, or worn articular cartilage.
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What is an ACL tear?

FAQ Knee - Howard J Luks,MD
The ACL is the Anterior Cruciate Ligament. There are more than 4 major ligaments that essentially hold the knee together. Without one of more of these ligaments the knee would be loose and you would perceive that the knee was giving way or buckling. The ACL is the most commonly torn knee ligament. The ACL is usually torn as the result of a non-contact twisting injury. You will usually feel or hear a pop, the knee will buckle and within a short period of time, significant swelling will occur.
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Sports Medicine, Therapy, Rehabilitation and Surgery- Mass G...
The most common mechanism is a combination of a sudden stopping motion on the leg while quickly twisting at the knee. The planted foot remains stationary while the body rotates toward the opposite side of the body. This can happen in a sport such as basketball, when a player lands on the leg when coming down from a rebound or is running down the court and makes an abrupt stop to pivot. In football, soccer, or lacrosse, cleats prevent the foot from slipping during this motion.
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What is reconstruction and how is it done?

DCIS : Frequently Asked Questions
Breast reconstruction is surgery that recreates the breast after mastectomy. There are two main types of breast reconstruction available to most women after mastectomy: breast implants with saline or silicone, or muscle flap reconstruction. With implants, the implant is inserted underneath the skin and chest muscle. Muscle flap reconstruction involves using a woman's own tissue to rebuild a breast contour. Tissue may be taken from the back, stomach or buttocks.
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When is rehab needed?

Frequently Asked Questions — ChooseHelp.com
Most people finally consenting to a period of residential rehab have made personal and private efforts to reduce consumption or quit without success. Addiction progresses in severity, and the legacy of substance abuse includes learned life strategies, and even temporary changes in brain functioning or neuro chemistry. Willpower alone is rarely enough to overcome a serious addiction to drugs or alcohol, and without treatment few people can ever achieve sobriety.
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