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Att SueBW

Posted By: drmark
Date: Sunday, 31 August 2008, at 12:53 p.m.

In Response To: Re: 45 year old w/ torn ACL (SueBW)

> Tom,

> We have a completely different treatment plan for combined
> ACL-LCL ruptures for the initial 4-6 weeks following the
> injury, which includes appropriate rehabilitation exercises
> and gentle knee motion. After receiving instruction from a
> therapist, these can all be done at home.

> You will be at a disadvantage if you decide to have surgery
> if you've literally done zero for a month - the muscle
> atrophy will be a real negative factor in your
> postoperative recovery. I'd think about seeking another
> opinion.

> SueBW

Sue, are you saying that the Cincinatti approach is NOT to acutely repair/reconstruct complete lateral and posterolateral injuries, but to do ordinary prehab type of rehabiliation????

I would have thought that such would be reasonable in mild to at most moderate lateral sided injuries, although LaPrade says in his book to immobilize them for s short time, so that too is probably reasonable.

I hope that the Goose hasn't done too much damage to my brain.

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