ACL Prevention Orthopedic Perspective Phil Davidson MD Davidson

ACL Prevention Orthopedic Perspective Phil Davidson MD Davidson Orthopedics Park City – November 2017

What is the ACL and What’s it do?

How is the ACL damaged and torn?

So what’s the big deal, it doesn’t really hurt…

The Meniscus

Articular Cartilage

Here is what we are trying to avoid !!

How is it fixed? • Graft – Autograft • Hamstring – Allograft • Cadaver • Tissue Bank – Can COMBINE These

New ACL in place

ACL ”Epidemic” in Female Athletes • NCAA data shows 3 to 10 x more common in female than male athletes • 250, 000 annual total ACL tears in US • Public Health problem

Why more female than male ACL injury? ? • Anatomy • Hormones • Environment – Gear – Fields • Biomechanical and neuromuscular factors

Getting back to “fun stuff” • Rehab: – Brace – Crutches – Motion Machine (cpm) – Ice Machine • PT – Critically important!!! • • • Back to indoor biking: 3 wks Back to the gym: 2 -3 wks Back to swimming: 4 wks Back to treadmill run: 6 -8 wks Back to skiing/riding: 6 mos Back to soccer: 6 mos

• MULTIPLY PROVEN EFFECTIVE • PEP program – 74 -88% DECREASE incidence ACL rupture matched female cohort • Components: – Warm Up – Strengthening – Plyometrics – Agility – Stretching ACL prevention

Athletic Republic Program • Community Service • Protecting Vulnerable Population • Integrated Program – Education – Training – Coordinate with Skilled Caregivers • Several Ways to Participate • Incorporates their unique skills

Thank You davidsonorthopedics. com