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 a violation of its function, the motor activity of the athlete and the professional activity of the victim. Conservative treatment of this structure leads to a significant loss of function, permanent changes in the biomechanics of the knee joint; accompanied by instability, development of osteoarthritis and changes in the quality of life.

Over the past 30 years, a number of theoretical and clinical studies have proven that the optimal method for anterior cruciate ligament reconstruction 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 to be 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 conducting kinesitherapy after anterior cruciate ligament reconstruction is extremely important for achieving good postoperative results - overcoming postoperative pain; the swelling, the inflammation, the fusion of the transplant, the recovery of the range of motion, the stability of the knee joint; hypotrophy, the strength of the muscles moving the joint, and a return to normal motor mode and sport.

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