Numerous of the Physical Therapy continuing education courses I have attended are taught by other Physical Therapists. Since many of the patients we see on a typical basis are post surgical, I am shocked a lot more courses do not have input from orthopedic surgeons.
We recently interviewed a prominent orthopedic surgeon to get his input on rehabilitation following an Anterior Cruciate Ligament (ACL) reconstruction surgery.
Right here are some excerpts from the interview.
PhysicalTherapyContinuingEducation.Org: What are some of the crucial outcomes you are looking for when a patient comes back to see you after the surgery?
ACL Surgeon: So, I believe important factors are early on, again, gaining that extension, decreasing the swelling, receiving that motion going, and then getting them on a bike and truly functioning with them. And then the other point is not attempting to do issues too quickly. Ive observed some patients that have come back from therapists and stated, Nicely, they attempted to have me do this jumping or operating or hopping or items like that just before they had been ready, and once again, that was not necessarily in my protocol. Sometimes the sufferers undertaking so effectively that the therapist thinks that they might be in a position to do sophisticated issues sooner, and that may not be the case.
So, communication I consider is critical, and both with the troubles that are going on that are not excellent, or concerns that are excellent that they may want to communicate and say, Johnny appears great and is carrying out genuine effectively. What do you believe about performing this? And I truly appreciate that type of feedback and I appreciate the time that is taken that somebody like you will take with the athlete, and the knowledge that you take in really receiving this patient back.
If I do a excellent surgery and everything goes fantastic but we dont have excellent rehabilitation then its all for not. At the very same time I give a massive quantity of credit to the physical therapists and the athletic trainers that operate with these athletes simply because theyre genuinely assisting the athletes along, and receiving them to exactly where they need to have to be, and if we didnt have them then they wouldnt be able to get back. So, I consider its truly a joint effort and a combined effort that we can all take pride in when the athlete does get back on the field.
PhysicalTherapyContinuingEducation.Org: Excellent. Any exciting perform on the horizon that youre aware of in regards to ACL reconstruction?
ACL Surgeon: It continues to advance. Theres some function with some of my colleagues that I utilised to work with at Vanderbilt in Tennessee that theyve been seeking at growth aspects and ways to potentially help to optimize healing of the ACL and looking at various scalpels that we may possibly be making use of. Some off the shelf ACL type tissue that might be grown in the lab. That may be a methods off, but I feel thats really intriguing.
In addition, I think the rehabilitation continues to evolve and advance, so I believe thats fascinating as well. We continue to acquire a greater understanding of what have been carrying out and how to get men and women back and been extremely satisfied with the outcomes.
Some of the work too, and Ive completed some of the double bundle variety procedures, I believe theres a role for those, perhaps not as a primary ACL kind of surgery, but employing two tunnels for the ACL and revision surgery might be really valuable and Ill be very pleased with that. So, theres some function completed there that weve all got a excellent understanding of the anatomy of the ACL and once more, I believe understanding exactly where to location the ACL is genuinely crucial and that has come beneath excellent understanding with the idea of the two tunnel or double bundle strategies as effectively.
So, I believe its all evolving and we are obtaining better at fixing these. Were obtaining far better at carrying out the rehabilitation and delivering much better outcomes for our individuals, and thats genuinely what its about.