Kinesitherapy after anterior cruciate ligament reconstruction

Presentation of Kinesitherapy after anterior cruciate ligament reconstruction

The anterior cruciate ligament is the main stabilizing structure in the knee joint. Its damage leads to disruption of its function, the motor activity of the athlete and the professional activity of the injured person. Conservative treatment of this structure leads to significant loss of function, permanent changes in the biomechanics of the knee joint; accompanied by instability, development of osteoarthritis and changes in quality of life.

Over the past 30 years, a number of theoretical and clinical studies have proven that the optimal method for reconstruction of the anterior cruciate ligament in the knee joint is the use of the middle third of the patellar tendon with bone blocks (bone - tendon - bone). In Europe and the USA, this method is considered the "gold standard"; according to which the results of one or another type of treatment are evaluated; of one or another type of surgical technique.

It is an indisputable fact that the conduct of kinesitherapy After anterior cruciate ligament reconstruction, it is of utmost importance for achieving good postoperative results - overcoming postoperative pain; swelling, inflammation, graft union, restoration of range of motion, stability of the knee joint; hypotrophy, strength of the muscles moving the joint, and return to normal motor activity and sports.

The published programs for kinesitherapy after reconstruction of the anterior cruciate ligament of the knee joint show the evolution and aggressiveness of the applied kinesitherapy means, consistent with the surgical methods of treatment. They outline the main tasks that need to be solved. Even more relevant is the question of what means are used to achieve the set tasks and when they should be applied. The hypothesis in writing this monograph is that if we present the theoretical and practical experience of the authors, we will facilitate the compilation of kinesitherapy programs after reconstruction of the anterior cruciate ligament of the knee joint, consistent with the type of surgical treatment, its adequate physical load and prevention of complications.