Recovery After an ACL Reconstruction Video

Sports Injury Forum Michael DeFranco MD interviews Guest William Clancy, M.D. Inventor of ACL Reconstruction, Orthopaedic surgeon for 1980 gold medal winning U.S. Hockey Team (Miracle on Ice) about recovery from ACL reconstruction surgery.
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Recovery after an ACL Reconstruction Interviewer: You already talked a little bit earlier about the link, the time it takes to get an athlete back to play after an ACL reconstruction, what are the criteria that you use other than those time frames to say “Okay, you have had an ACL reconstruction, you are ready to go back to your sport.” Interviewee: Well one, you have to have probably 90% quad strength and hamstring strength compared to your opposite knee. Two, we have criteria about how far your single leg jump you have to do, you have to finish the whole running program. When you complete all of the rehab, those patients are not -- so I say, ready to jump in as if they were fresh because we can't reduplicate in a physical therapy setup all the things that they have to do on a field such as football or soccer, even basketball. Because those things happens so quickly and so fast that there is a time when you release them, your releasing them to go back to practice to redevelop their—redevelop their abilities to cut and react to somebody coming to them. There is another thing which I call the elastic component of the muscle. And what I have, I have them all doing as much jump roping as possible. Interviewer: What is the benefit of a jump roping? Interviewee: Well, I think it’s just like jumping off the box, except you are doing it at a much faster rate. At jump roping, you have to be very quick, you have to be very quick, your—has to be very quick, otherwise, you are going to trip on your jump rope may—on the other knee. Interviewer: Now, we mentioned the use of a brace and not after a treatment for—what about after they have had their ACL reconstruction is, wearing a brace something you recommend when they return of their sport to help protect their knee in the reconstructive ligament? Interviewee: Actually, I never use a brace post—unless, the patient wants it. Because number one, all about mechanical studies have totally shown that the forces are so much greater in which they see in just normal everyday cutting than the brace can control. Second of all, I don’t want them to be brace conscious. I want them to believe and feel that their knee is normal. Otherwise, I worry about subconscious where they are going to favor that knee and we know for a fact that the incidence of tearing the ACL on the other knee is 7% higher. Interviewer: Actually, I’ve had an ACL reconstruction in the other knee. Interviewee: Right, and so I want them to be back and feel like they are normal and react as they’re normal. So I really don’t use Post Op Braces, or functional braces.

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