Physical Therapy for Compound Knee Ligament Injury After Simultaneous Reconstruction of Anterior and Posterior Cruciate Ligaments

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  • 膝複合靭帯損傷における，　前及び後十字靱帯同時再建術後の理学療法
  • 症例報告 膝複合靭帯損傷における,前及び後十字靱帯同時再建術後の理学療法
  • ショウレイ ホウコク シツ フクゴウ ジンタイ ソンショウ ニ オケル ゼン オヨビ コウジュウジ ジンタイ ドウジ サイケン ジュツゴ ノ リガク リョウホウ

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Abstract

  We performed physical therapy on a patient who had undergone simultaneous reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) for compound knee ligament injury. The physical therapy program was designed based on Tooyama's concept published in 1996 and our own regimens for postoperative therapy for separate ACL and PCL reconstructions.<br>  The results of our physical therapy were as follows: In four months after the surgery, the range of knee motion had been fully recovered. In 16 months postoperatively, the knee ligament had become stable. Knee extention strength had been restored 87% and its flexion strength 103%. The functional ability test found that knee performance was good.<br>  Worthy of note were the following three main features of this physical therapy: (1) To minimize stress on ligament until the minimum recovery level of recovery is expected after reconstruction, muscular workout to make quadriceps and hamstrings contracted simultaneiusly was performed so as not to induce contractions of only hamstrings; (2) We kept the chief physician posted on the recovery status of the knee motion range since mobilized arthroscopy might have been required because of knee contracture; (3) Knee coodination training was performed to enhance knee functional ability.

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