Case Series Utilizing Drop-out Casting for the Treatment of Knee Joint Extension Motion Loss Following Anterior Cruciate Ligament Reconstruction

Logerstedt, David; Sennett, Brian J.

doi:10.2519/jospt.2007.2466

Cited by 16 publications

(5 citation statements)

References 35 publications

(54 reference statements)

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“…With standard physical therapy treatments (range of motion treatments, soft tissue manipulation, moist heat), the mean flexion contracture decreased to 5°, 2°, 1°, and 1°at 3, 6, 12, and 24 months postoperatively, respectively. Logerstedt and Sennett [16] described the use of a drop-out cast, which held the knee in extension without the application of elastic bands. The cast was applied by the patient for 6 to 8 hours every night in conjunction with stretching, exercise, and knee mobilization, to treat four patients who had a mean age of 20 years and who had recalcitrant knee flexion contractures after anterior curciate ligament reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Custom Device for the Treatment of Flexion Contractures after Total Knee Arthroplasty

McGrath

Mont

Siddiqui

et al. 2009

Clin Orthop Relat Res

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Knee flexion contractures can severely impair function after total knee arthroplasties. We evaluated the use of a custom-molded knee device to treat 47 patients who had knee flexion contractures (mean, 22°; range, 10°-40°) after primary or revision total knee arthroplasties and who had failed conventional therapeutic methods. The device was used for 30 to 45 minutes per session two to three times per day in conjunction with standard physical therapy modalities two to three times per week. Twentyseven of 29 patients who underwent primary total knee arthroplasty and 13 of 18 patients who underwent revisions achieved full extension after a mean treatment time of 9 weeks (range, 6-16 weeks). Full knee extension was maintained at a minimum followup of 18 months (mean, 24 months; range, 18-36 months). The mean Knee Society knee and functional scores improved from 50 points and 34 points to 91 points and 89 points, respectively. This protocol had comparable rates of improvement in knee extension with less treatment time when compared with other nonoperative treatments reported in the literature.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a Custom Device for the Treatment of Flexion Contractures after Total Knee Arthroplasty

McGrath

Mont

Siddiqui

et al. 2009

Clin Orthop Relat Res

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“…30,43 If full extension is not achieved by week 2, low-load long-duration stretching techniques, such as prone hangs (FIGURE 1) or bag hangs, are needed to effectively restore full knee extension. 55,61 …”

Section: Isolated Acl Reconstructionmentioning

confidence: 99%

Current Concepts for Anterior Cruciate Ligament Reconstruction: A Criterion-Based Rehabilitation Progression

Adams¹,

Logerstedt²,

Hunter‐Giordano³

et al. 2012

J Orthop Sports Phys Ther

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416

409

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SYNOPSIS The management of patients after anterior cruciate ligament reconstruction should be evidence based. Since our original published guidelines in 1996, successful outcomes have been consistently achieved with the rehabilitation principles of early weight bearing, using a combination of weight-bearing and non–weight-bearing exercise focused on quadriceps and lower extremity strength, and meeting specific objective requirements for return to activity. As rehabilitative evidence and surgical technology and procedures have progressed, the original guidelines should be revisited to ensure that the most up-to-date evidence is guiding rehabilitative care. Emerging evidence on rehabilitative interventions and advancements in concomitant surgeries, including those addressing chondral and meniscal injuries, continues to grow and greatly affect the rehabilitative care of patients with anterior cruciate ligament reconstruction. The aim of this article is to update previously published rehabilitation guidelines, using the most recent research to reflect the most current evidence for management of patients after anterior cruciate ligament reconstruction. The focus will be on current concepts in rehabilitation interventions and modifications needed for concomitant surgery and pathology.

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“…The inclusion of serial casts, drop-out casts and or daily physical therapy may further address loss of motion for those individuals not responding to traditional interventions [17,18]. Additional conservative measures may include joint aspiration, nonsteroidal anti-inflammatory drugs, and oral corticosteroids.…”

Section: Early Post-operative Complicationsmentioning

confidence: 99%

Prevention and Management of Post-operative Complications Following ACL Reconstruction

Eckenrode

Carey

Sennett

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review The goal of this paper is to review the current management and prevention of post-operative complications after anterior cruciate ligament (ACL) reconstruction. Trends in rehabilitation techniques will be presented, in addition to suggestions for interventions and expected milestones in ACL reconstruction recovery. Recent Findings ACL reconstruction protocols have evolved to more of a criterion-based progression rather than a tissuehealing time frame. Given the evolution of ACL surgical reconstruction techniques and rehabilitation protocols, the risk of post-operative complications can arise both early and late in the recovery process. This paper will discuss the role of preventative measures as it applies to the post-operative patient with ACL reconstruction. Summary Short-term complications following ACL reconstruction include infection and deficits to knee motion and strength, whereas long-term complications include secondary ACL injury to either the involved or contralateral knee and lack of ability to return to high-level sports following this procedure. Future research should continue to address the multifactorial causes of secondary ACL injury and limited ability of patients to return to high level activities.

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Case Series Utilizing Drop-out Casting for the Treatment of Knee Joint Extension Motion Loss Following Anterior Cruciate Ligament Reconstruction

Cited by 16 publications

References 35 publications

Evaluation of a Custom Device for the Treatment of Flexion Contractures after Total Knee Arthroplasty

Evaluation of a Custom Device for the Treatment of Flexion Contractures after Total Knee Arthroplasty

Current Concepts for Anterior Cruciate Ligament Reconstruction: A Criterion-Based Rehabilitation Progression

Prevention and Management of Post-operative Complications Following ACL Reconstruction

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