Combined Anterior Cruciate and Medial Patellar-Femoral Ligament Reconstruction: A Case Study

Faculty Mentor

John Gerber

Presentation Type

Oral Presentation

Start Date

5-7-2024 10:45 AM

End Date

5-7-2024 11:05 AM

Location

PAT 348

Primary Discipline of Presentation

Wellness & Movement Sciences

Abstract

OBJECTIVE: To provide athletic trainers, physicians, and other healthcare professionals with more information regarding anterior cruciate ligament (ACL) and medial patellar-femoral ligament (MPFL) combination injuries and the rehabilitation process after reconstruction surgery. BACKGROUND: There is a plethora of research regarding ACL injuries and rehabilitation. Rehabilitation following MPFL surgery is much less abundant. The combination ACL and MPFL injury and subsequent surgical reconstruction is extremely rare. Only a singular case report is found in the literature and that particular report does not include much information regarding the rehabilitation following surgery. RECOMMENDATION: The recommendations for this presentation are based on a singular, non-athletic patient, and considerations must be made for competing athletes. Recommendations include modifying an ACL post-surgical rehabilitation protocol to account for the MPFL reconstruction, and patellar glide requirements. The modifications may include a delay in patellar mobilization, more time in a full leg brace or more aggressive pursuit of knee flexion progress.

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May 7th, 10:45 AM May 7th, 11:05 AM

Combined Anterior Cruciate and Medial Patellar-Femoral Ligament Reconstruction: A Case Study

PAT 348

OBJECTIVE: To provide athletic trainers, physicians, and other healthcare professionals with more information regarding anterior cruciate ligament (ACL) and medial patellar-femoral ligament (MPFL) combination injuries and the rehabilitation process after reconstruction surgery. BACKGROUND: There is a plethora of research regarding ACL injuries and rehabilitation. Rehabilitation following MPFL surgery is much less abundant. The combination ACL and MPFL injury and subsequent surgical reconstruction is extremely rare. Only a singular case report is found in the literature and that particular report does not include much information regarding the rehabilitation following surgery. RECOMMENDATION: The recommendations for this presentation are based on a singular, non-athletic patient, and considerations must be made for competing athletes. Recommendations include modifying an ACL post-surgical rehabilitation protocol to account for the MPFL reconstruction, and patellar glide requirements. The modifications may include a delay in patellar mobilization, more time in a full leg brace or more aggressive pursuit of knee flexion progress.