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Training for surgery

Team Fysio Fitaal physiotherapy tilburg

Pre-operative training for an anterior cruciate ligament injury

After tearing the anterior cruciate ligament, athletes often opt for reconstruction. This means that the anterior cruciate ligament is repaired with a tendon from the hamstring, quadriceps or patellar tendon. The new cruciate ligament is placed in the knee at the site of the original cruciate ligament. This is all done in one surgery. After surgery, there is an intensive rehabilitation process that can last 12-15 months. 

We know that training is essential to regain optimal function in daily life and in your sport after anterior cruciate ligament surgery.

When you prepare yourself well for surgery, it has a great influence on the final result. So it is very important that you go into the surgery as fit as possible. We call this Better In Better Out (also BIBO). You will work digitally or under physical supervision of a specialized physio on strength and condition to be as fit as possible after your anterior cruciate ligament surgery. 

Some conditions are essential. Some orthopedists will not operate (for an isolated cruciate ligament tear, no other injury) if you do not meet the criteria below: 

  • Good flexion and extension of the knee, especially the extension should be good for a normal walking pattern
  • Little to no swelling in the knee, operating in an irritated knee increases the risk of complications 
  • An active and dynamic gait pattern is tremendously important for the continuation of rehabilitation after surgery 
  • Strength in the upper leg is essential. Studies indicate that it is only prudent to operate when the strength difference is less than 20% between the two legs 

Information and advice should definitely not be missing. Important topics that will be discussed are: the use of crutches, the extent to which you can strain the knee before and after surgery, when you can do what kind of work again and what the exercises will be immediately after your surgery. The better the preparation the better the final result!

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