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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Orthopedics

Advisor

Tom Colletti

Abstract

Purpose: The purpose of this article is to review the presentation, diagnosis, imaging, surgical treatment, and rehabilitation for anterior cruciate ligament tears.

Method: A PubMed literature search was conducted with search terms ACL tear, quadriceps tendon autograft, surgical management of ACL tear, and ACL rehabilitation. Fifteen pertinent articles were retrieved and served as the basis for this clinical review.

Results: Quadriceps tendon autograft is associated with lower rates of re-rupture and less post operative complications.

Conclusion: The anterior cruciate ligament (ACL) is the most commonly injured knee ligament, with 100,000 to 200,000 ACL ruptures each year and an annual incidence of approximately one in 3,500 in the general population. Following a proper diagnostic evaluation, the surgical management of ACL tears using an autograft versus an allograft should be determined on a case-by-case basis, however, an autograft is preferred in younger individuals. There is a correlation that exists between fewer post-operative complications and completion of a structured rehabilitation program prior to surgical intervention.

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