Date of Award

5-2021

Document Type

Thesis

First Advisor

Mark Romanick

Keywords

Patellar tendon, ACL autograft, pop during jumping, infrapatellar tendon rupture, patellar tendon rupture, patellar ligament

Abstract

Background and Purpose: This article describes the 3 -month outpatient physical therapy management of a patient who had his left patellar tendon reattached after a rupture and repalr. Patient had a previous anterior cruciate ligament (ACL) reconstruction with a left patellar tendon autograft. Upon physical therapy (PT) evaluation, he presented with decreased left knee ROM, strengths moderate swelling, and pain involved all in the left knee

Purpose: The purpose of this article will be to go into further depth with the interventions utilized for this particular patient. At the end, we will discuss the end results in comparison to the starting base line that this patient was ati.

Description: The treatment of this patient involved therapeutic exercises including strengthemng, stretching, and ROM. We also focused on gait training with assistive devices, patellar mobilizations, and cwotherapy throughout the episode of care.

Outcomes: Following PT intervention, patient demonstrated full and equal bilaterally knee flexion and extension AAROM, 5/5 and normal strength, equal bilaterally knee circumference (with visual inspection), zero pain at rest and during activities, and a normal and confident gait pattern. He was able to get back to works ADL's, and weight training without any limitations or setbacks.

Discussion: The rationale for the treatment of this patient was based off of multiple article sources relevant to similar surgeries, the protocol, and treating the patients presenting symptoms. His treatment interventions were adjusted accordingly to his response which was assessed frequently throughout this episode of care

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