Background/Purpose: Despite evidence showing that pre-operative factors (especially swelling, quadriceps strength, range of motion, and mental preparedness) have great effects on the outcomes of ACL reconstruction, surgeons continue to perform the procedure on patients even when the condition of the knee is not ideal. The purpose of this case study is to look in depth at how pre-operative knee range of motion affects outcomes following ACL reconstruction surgery. Case Description: The patient is a 37-year-old female who presented to physical therapy following traumatic injury to the ACL and MCL of her left knee. The patient desired to try a conservative approach to the treatment of her knee before committing to surgery. Outcomes: After 3 weeks of physical therapy, the patient continue to have a feeling of instability and desired to progress with a surgical option. Discussion: The patient was only able to attend 7 therapy sessions prior to opting for a surgical option. At this time, she continued to demonstrate mild deficits in ROM. Secondary to financial limitations, the patient had to continue post-operative PT elsewhere.
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anterior cruciate ligament, rehabilitation, pre-operative, physical therapy, non-surgical
Mohan, Jan. "BENEFITS OF PRE-OPERATIVE REHABILITATION FOR ANTERIOR CRUCIATE LIGAMENT INJURY." (2014). http://digitalrepository.unm.edu/dpt/51