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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.
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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