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ACL Prevention Orthopedic Perspective
Phil Davidson MD Davidson Orthopedics Park City – November 2017
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What is the ACL and What’s it do?
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How is the ACL damaged and torn?
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So what’s the big deal, it doesn’t really hurt…
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The Meniscus
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Articular Cartilage
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Here is what we are trying to avoid !!
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How is it fixed? Graft Autograft Allograft Can COMBINE These Hamstring
Cadaver Tissue Bank Can COMBINE These
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New ACL in place
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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
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Why more female than male ACL injury??
Anatomy Hormones Environment Gear Fields Biomechanical and neuromuscular factors
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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
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ACL prevention MULTIPLY PROVEN EFFECTIVE PEP program Components:
74-88% DECREASE incidence ACL rupture matched female cohort Components: Warm Up Strengthening Plyometrics Agility Stretching
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Athletic Republic Program
Community Service Protecting Vulnerable Population Integrated Program Education Training Coordinate with Skilled Caregivers Several Ways to Participate Incorporates their unique skills
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Thank You davidsonorthopedics.com
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