ACL Reconstruction Guidebook (2.2MB) - Dartmouth-Hitchcock

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DEPARTMENT OF ORTHOPAEDICS | Sports Medicine Team Release letter for students date: patient: provider: Being treated for: expected length of treatment & recovery period: The above patient is being treated by the Sports Medicine Team at Dartmouth-Hitchcock Medical Center in Lebanon, NH by the named provider for the condition/injury mentioned. We have noted the expected treatment and recovery period. To support the student’s recovery and treatment success, the following measures are required. We are requesting that the school/campus safety and security staff assist in this by allowing and/or supporting the following special needs this student has: Campus transportation, specifically: Dorm room moved to a lower level or a handicap accessible room Arrangements for school residential infirmary stay: Early class release for safe travel between campus locations Exemption from athletic training/PE classes until further notice Restriction from PE class or sports as follows: Will have knee/ankle surgery on (date): provider signature: telephone and contact information: Dartmouth-Hitchcock Medical Center One Medical Center Drive Lebanon, NH 03756-0001 Phone (603) 650-7788 Fax (603) 650-0725 Dartmouth-Hitchcock Clinic | Mary Hitchcock Memorial Hospital | Dartmouth Medical School | V.A. Medical Center, White River Junction, VT dhsports.org
ACL Reconstruction: choosing a Graft type Source: A.D.A.M., Inc. You have sustained an injury to your knee; this has led to a tear in one of the stabilizing ligaments in your knee, specifically your ACL, Anterior Cruciate Ligament. You are now working toward a decision of treatment for this injury. Should you choose surgery, you need to understand ACLs are reconstructed not repaired; sewing torn ACLs has not been successful. It is important before you proceed with surgery that you eliminate, as much as possible, any pain and stiffness in the knee. This can be done by working with the physical therapist for up to six weeks. In our practice, there are three primary choices for graft selection to reconstruct your ACL. You and the surgeon will discuss which graft type is most appropriate for you and your level of activity. 1. Patellar tendon autograft (tendon is taken from you) 2. Hamstring tendon autograft (tendon is taken from you) 3. Allograft (tendon is taken from a cadaver) Source: American Academy of Orthopaedic Surgeons 1. Patellar tendon autograft: the middle third of the patellar tendon of the patient, along with a bone plug from the shin and the kneecap is used. This method is often recommended for high-demand athletes and patients whose jobs do not require a significant amount of kneeling. Patients have expressed concern about knee pain when kneeling and pain behind the kneecap. Plus, there may be a slight increase in the risk for postoperative knee stiffness. ACL Reconstruction: Choosing a Graft Type
Page 1 and 2: DePARtment of oRthoPAeDiCs SportS M
Page 3 and 4: You probably have many questions ab
Page 5 and 6: PATIENT tip What Should I Pack for
Page 7 and 8: Prepare Your Shower ■ Some patien
Page 9 and 10: 12 What to Expect the Day of Surger
Page 11 and 12: 14 Preventing Blood Clots The preve
Page 13 and 14: 16 Frequently Asked Questions After
Page 15 and 16: Now that your surgery is done, your
Page 17 and 18: Your pain medications ■ Based on
Page 19 and 20: Six Weeks and On How you will feel
Page 21 and 22: physical therapy Protocol: Courtesy
Page 23 and 24: acL Reconstruction: Courtesy of: SP
Page 25 and 26: acL Reconstruction: Courtesy of: SP
Page 27: Washing Instructions Directions for
Page 31 and 32: Patient Decision aids Find this dec

ACL Reconstruction Guidebook (2.2MB) - Dartmouth-Hitchcock

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