Diagnosis determines prognosis
ACL Injury Guidelines
Adequate tracking important
Teamwork with orthopaedic surgeon
depends on cartilage and meniscal condition
after Knee Active Program
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Running causes 6x body weight load on your knee
between physiotherapist and orthopaedic surgeon is essential for your rehabilitation
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Center of Expertise for posterior cruciate ligament injuries
Eindhoven University of Technology
Maxima Medical Center
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Rapid diagnosis important in sports
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Various treatment options
Good therapy with active lifestyle
injuries also occur in children
Rapid diagnosis may prevent surgery
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Essential for good patient care
Risk of arthrofibrosis is least if knee has good function before surgery, with limited swelling and adequate gait pattern
Only if really necessary
may be indicated with cruciate ligament surgery
Keyword in treatment
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For instability and osteoarthritis
Anatomy is important
Women suffer more anterior cruciate ligament injuries than men
surgery with your own hamstring tendons
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Dutch Arthroscopy Society 2011-2014
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Orthopaedic Associates Eindhoven Greater Area
Tertiary referral center for the Netherlands
A joint with multiple facets
Biking is recommended
Fontys University of Applied Sciences
Medial collateral ligament heals if diagnosed and treated early
France, Netherlands, USA
Anterior knee pain is common during fitness knee rehabilitation
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Maxima Medical Center (Eindhoven)
Orthopaedic Center Maxima Eindhoven and Veldhoven
Hamstring tendons regenerate after cruciate ligament surgery
Minimal invasive surgery
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Lesions of the meniscus and anterior cruciate ligament (ACL) often occur in pivoting sports such as football, field hockey and indoor sports. ACL ruptures occur up to 6 times more frequently in women than men. The injury occurs both in children and adults. Adequate treatment of ligament and meniscal injuries is essential for return to daily activities and sports. This treatment is often stepwise. Meniscal ruptures may sometimes be repaired, especially important in children and young adults. Survival of the meniscus is important for loading of the knee as well as prevention of osteoarthritis in the long run. Reconstruction of the ACL is still a topic of scientific debate. Illustrated is a case of an 11 year old girl who ruptured both medial and lateral mensicus as well as her anterior cruciate ligament.
Before I had this knee injury, I played basketball and rode horse back. I had no knee complaints until I got knocked over during a basketball match. I fell on my knee. This was may 2007. It took a while before I went to the doctor. Due to a persistent feeling of giving way, we went to the family physician. He sent us to a physiotherapist who told us to go the hospital. There, we first made X-rays. Nothing wrong on the X-ray so an MRI was made. After that, I needed surgery as soon as possible.
Part of my meniscus was removed, another part was repaired by sutures. My anterior cruciate ligament was ruptured. At that time, I did not realize that I had a very serious knee injury. I thought: if I do what they say, it will soon be over. But when I went back to school and was not allowed to play sports, well, I had lots of free time. I had to wear a knee brace for 2,5 years because my knee felt unstable. It was difficult at the start but I did get used to it after a while. I have now had my second surgery and my anterior cruciate ligament is reconstructed. It went very well. I am still in rehabilitation but am allowed to swim and ride horseback again. I am very grateful that I can do all this again. One thing is for sure, I don't miss the brace!
Thanks dr Janssen.