Postoperative Rehabilitation Using the Means of Fitness in the Ligamentoplasty of ACL Rupture in the Knee

Abstract

Purpose: Presentation of the content and results of postoperative rehabilitation in the ligamentoplasty of anterior cruciate ligament (ACL) rupture in the knee with the help of the fitness means. Material. A study of case was organized for this purpose, with only one subject diagnosed with instability of the left knee (old ACL rupture) local hematoma, clinically and radiologically confirmed. Surgery is performed using arthroscopy - ligamentoplasty ACL with OTO autograft. The subject had a favorable post-surgery evolution and was discharged with the following recommendations: dressings every three days, removal of the sutures 14 days after surgery, rehabilitation gym continued according to the program; walking with progressive support on the operated foot, treatment in conformity with Rp and check up in the clinic after 6 weeks. Results. The analysis of the means of fitness used during the rehabilitation sessions revealed that those means of fitness (exercises and apparatus) that would not impede or aggravate the rehabilitation were selected for the first sessions. In some cases, compensatory workouts were made with one limb (leg) on some apparatus, paying attention to the load optimization and effort dosing for each exercise. Conclusions. The observance of the general principles and the efficient use of the kinesiological techniques for postoperative rehabilitation at knee joint level with the help of the fitness means contributed to toning and developing the muscle strength and resistance and to the reduction of joint ligament stability at the knee.