ACL Prevention Orthopedic Perspective Phil Davidson MD Davidson Orthopedics Park City – November 2017

What is the ACL and What’s it do?

How is the ACL damaged and torn?

So what’s the big deal, it doesn’t really hurt…

The Meniscus

Articular Cartilage

Here is what we are trying to avoid !!

How is it fixed? Graft Autograft Allograft Can COMBINE These Hamstring Cadaver Tissue Bank Can COMBINE These

New ACL in place

ACL ”Epidemic” in Female Athletes NCAA data shows 3 to 10 x more common in female than male athletes 250,000 annual total ACL tears in US Public Health problem

Why more female than male ACL injury?? Anatomy Hormones Environment Gear Fields Biomechanical and neuromuscular factors

Getting back to “fun stuff” Rehab: Brace Crutches Motion Machine (cpm) Ice Machine PT Critically important!!! Back to indoor biking: 3 wks Back to the gym: 2-3 wks Back to swimming: 4 wks Back to treadmill run: 6-8 wks Back to skiing/riding: 6 mos Back to soccer: 6 mos

ACL prevention MULTIPLY PROVEN EFFECTIVE PEP program Components: 74-88% DECREASE incidence ACL rupture matched female cohort Components: Warm Up Strengthening Plyometrics Agility Stretching

Athletic Republic Program Community Service Protecting Vulnerable Population Integrated Program Education Training Coordinate with Skilled Caregivers Several Ways to Participate Incorporates their unique skills

Thank You davidsonorthopedics.com