Introduction and Diagnosis Critical Points Introduction and Diagnosis Patients with chronic insufficiency of the lateral and posterolateral structures may develop a gait abnormality characterized by excessive knee hyperextension during the stance phase of the gait cycle. Gait abnormality is easily…
Clinical Concepts The protocol described in this chapter was designed for opening-wedge high tibial osteotomy (HTO) and distal femoral osteotomy (DFO). The operative techniques, detailed in Chapter 26 , prevent delayed union or nonunion and collapse at the osteotomy site…
Clinical Concepts Critical Points Clinical Concepts Initial rehabilitation goal: prevent excessive compressive and shear forces through limited weight bearing General Postoperative Healing Expectations Rapid healing of peripheral meniscus repairs Delayed healing of complex meniscus repairs in middle third region Further…
Clinical Concepts Medial ligament injuries are among the most frequently treated problems of the knee joint. Whereas isolated superficial medial collateral ligament (SMCL) ruptures are common, concomitant damage to the anterior cruciate ligament (ACL) occurs in many cases, especially in…
Clinical Concepts Critical Points Clinical Concepts Protocol for posterior cruciate ligament reconstruction for procedures with high-strength two-strand graft (quadriceps tendon-bone, bone-patellar tendon-bone). Progress patient on athletic and occupational goals, condition of the articular surfaces and menisci, return muscle function, postoperative…
Clinical Concepts Critical Points Clinical Concepts Protocols are evaluation based: Progression is based on continual evaluation using the principles of anatomy, physiology, biomechanics, and surgery. Goals Regain normal knee stability Control joint pain, swelling, and hemarthrosis Regain normal range of…