By vgreene, 15 February, 2017 Tibial-independent or transtibial approach [M]; single/double-bundle technique recommended [S]; autografts or allografts3 OK [S]
By vgreene, 15 February, 2017 Image: AP/lateral XR knee first to r/o fx/dislocation [C], then MRI if needed to r/o internal knee pathology [S]
By vgreene, 15 February, 2017 Exam: neurovasc (esp. tibial/peroneal n.),1 joint line tenderness, step-off/deformity, effusion, varus/valgus laxity @ 0° and 30° extension, AP/rotational laxity, Lachman test2
By vgreene, 15 February, 2017 Hx: injury mechanism, popping/locking/catching, swelling, ability to weight-bear/return to play
By vgreene, 15 February, 2017 Post-op: No brace if isolated ACL [M]. Prevent future ACL tear via NM training6 [M], not brace [L]. Initiate post-op PT7 [M]. Return to play based on clinical judgment, not time/fxn criteria [L]
By vgreene, 15 February, 2017 If repair ACL, also fix assoc meniscal tear [L], esp. if locked knee [C], but not assoc incomplete MCL tear [L]
