ACL Prevention Orthopedic Perspective
ACL Prevention Orthopedic Perspective. Phil Davidson MD Davidson Orthopedics Park City – November 2017. What is the ACL and What’s it do?. How is the ACL damaged and torn?. So what’s the big deal, it doesn’t really hurt…. The Meniscus. Articular Cartilage.
ACL Prevention Orthopedic Perspective
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Presentation Transcript
ACL PreventionOrthopedic Perspective Phil Davidson MD Davidson Orthopedics Park City – November 2017
How is it fixed? • Graft • Autograft • Hamstring • Allograft • Cadaver • Tissue Bank • Can COMBINE These
ACL ”Epidemic” in Female Athletes • NCAA data shows 3 to 10 x more common in female than male athletes • 250,000 annual total ACL tears in US • Public Health problem
Why more female than male ACL injury?? • Anatomy • Hormones • Environment • Gear • Fields • Biomechanical and neuromuscular factors
Getting back to “fun stuff” • Rehab: • Brace • Crutches • Motion Machine (cpm) • Ice Machine • PT • Critically important!!! • Back to indoor biking: 3 wks • Back to the gym: 2-3 wks • Back to swimming: 4 wks • Back to treadmill run: 6-8 wks • Back to skiing/riding: 6 mos • Back to soccer: 6 mos
ACL prevention • MULTIPLY PROVEN EFFECTIVE • PEP program • 74-88% DECREASE incidence ACL rupture matched female cohort • Components: • Warm Up • Strengthening • Plyometrics • Agility • Stretching
Athletic Republic Program • Community Service • Protecting Vulnerable Population • Integrated Program • Education • Training • Coordinate with Skilled Caregivers • Several Ways to Participate • Incorporates their unique skills