Clinical and functional outcomes of anterior cruciate ligament reconstruction and rehabilitation Clinical and functional outcomes of anterior cruciate ligament reconstruction and rehabilitation Author: BADIU ANCUTA DIANA Co-author: MACEC ADELINA Scientifics coordinator: Lecturer RUSSU OCTAV MD,PHD Universitatea de Medicina si Farmacie Targu Mures Universitatea de Medicina si Farmacie Targu Mures

Introduction The anterior cruciate ligament originates from the medial and anterior aspect of tibial plateau and runs superiorly, laterally and posteriorly toward its insertion on the lateral femoral condyle.

It provide 85% of total restraining force of anterior translation and prevents excessive tibial medial and lateral rotation, as well as varus and valgus stresses. Introduction

The anterior cruciate ligament (ACL) is the most commonly injured knee ligament. In the United States (US) there are between 100,000 and 200,000 ACL ruptures per year, with an annual incidence in the general population of approximately 1 in 3500, although the actual incidence may be higher.

Introduction There are four clasic symptoms : 1. hear a pop from inside the knee 2. feel the knee give away at the time of injury 3. swollen immediately or within a few hours 4. severe pain can not continue play

All patients were operated using single bundle ACL reconstruction technique and the rehabilitation protocol was identical to all of them.

The Aim of The Study : The aim of this study is to demonstrate the clinical and functional outcomes of ACL reconstruction and rehabilitation.

Material and method:  47 patients  18 females  29 males  aged between (mean age 27.4)  treated at Orthopaedics and Traumatology Clinc II in Târgu Mure  March 2012 – May 2013

Results and discussions : Average score before and Average score before and after the sugery BEFOREAFTER Number of values47 Minimum21,0069,00 25% Percentile43,0085,00 Median51,0090,00 75% Percentile60,0099,00 Maximum74,00100,0 Mean51,3490,00 Std. Deviation13,477,457

Results and discussions : The score before surgery

Results and discussions : The score after the surgery

Results and discussions : 1. Limp

2. Support Results and discussions :

3. Pain Results and discussions :

4. Instability Results and discussions :

5. Locking Results and discussions :

6. Swelling Results and discussions :

7. Stair-climbing Results and discussions :

8. Squatting Results and discussions :

Conclusions Using Tegner Lysholm Knee Scoring Scale we have managed to demonstrate an improvement of life condition of the patients after ACL reconstruction and rehabilitation.

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