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PNA RESEARCH CASE LIBRARYOrthopaedic Rehabilitation · 2024

The Integral Role of Physiotherapy in Combined Complete Anterior Cruciate Ligament and Posterior Cruciate Ligament Arthroscopic Reconstruction: A Case Report

Vaishnavi R. Waghe, Priya Tikhile, Deepali S. Patil

Cureus · 2024 · DOI: 10.7759/cureus.57556

Free full text available · Open access under CC BY 4.0; attribute the original authors.

THE CASE IN PLAIN ENGLISH

What happened?

A 30-year-old man developed right knee pain and swelling after a two-wheeler accident. Investigations identified complete ACL and PCL tears, followed by arthroscopic reconstruction and a structured physiotherapy programme.

Clinical findings

  • The combined ligament injury created substantial instability and functional limitations.
  • Surgical management included ACL reconstruction using semitendinosus and gracilis tendons and arthroscopic PCL reconstruction.
  • The case required rehabilitation to be coordinated with post-operative precautions and the surgical team's instructions.

Rehabilitation described in the report

  • A structured post-operative physiotherapy programme was delivered with progression tailored to the patient's recovery.
  • The original report describes rehabilitation over 12 weeks; the precise exercise selection and loading restrictions should be checked in the full text before clinical application.

Reported outcomes

  • The authors reported improvements in knee range of motion and muscle strength after 12 weeks.
  • The patient achieved improved functional mobility and independent ambulation.

Clinical lessons to consider

  • Combined ligament reconstruction is not the same as an isolated ACL pathway; respect the surgeon's specific precautions.
  • Track range, strength, gait and functional mobility, while progressing loading only when appropriate.
  • A published case can illustrate clinical sequencing but cannot establish one protocol as optimal.

Limitations — what this case cannot tell us

  • Single case with surgical and rehabilitation interventions combined, so the contribution of physiotherapy cannot be isolated.
  • Details from one patient should not override procedure-specific guidance.

Original source

Vaishnavi R. Waghe, Priya Tikhile, Deepali S. Patil. “The Integral Role of Physiotherapy in Combined Complete Anterior Cruciate Ligament and Posterior Cruciate Ligament Arthroscopic Reconstruction: A Case Report.” Cureus, 2024. DOI: 10.7759/cureus.57556

View the original publication

This page is an independently written educational summary, not a reproduction of the full paper. Check the original article for complete methods, outcome tables, references and licensing.