the fittal method
A phased treatment
of the anterior cruciate ligament
Successful rehabilitation consists of several phases and steps. Good strength, stability and control of the knee is necessary to safely return to your sport. Both after surgery and with a conservative policy. For this purpose we use our specialized FITAL method, with the result that you will be able to progress under your own steam again.
This is how we treat the anterior cruciate ligament:
In this phase, we focus primarily on symptom reduction. There is often swelling, pain and reduced mobility of the knee. In addition, it is important to regain good control over your quadriceps (thigh muscle). After injury to the anterior cruciate ligament or surgery on that knee, we often see a significant decrease in strength and mass of the quadriceps. It is therefore of crucial importance to quickly regain proper function of the quadriceps. In addition, it is important to get back to a normal walking pattern.
The final phase focuses particularly on maximum strength, jumping power and explosiveness. This is all necessary to be able to change direction quickly within your sport. We also work towards a competition condition so that you can continue to perform under fatigue. The quality of movement must remain good under these conditions. The chance of re-injuring your anterior cruciate ligament is much greater under fatigue.
what's best for you?
Surgical intervention or conservative treatment?
- In the Netherlands, more than 9000 VKB reconstructions are performed per year. Most primary VKB reconstructions are performed with a bone-patellar tendon-bone (BPTB) graft or hamstring (HS) graft. Both methods lead to good functional results and restoration of passive stability.
- A better understanding of the structure and function of the anterior cruciate ligament has ensured that treatment, both operative and nonoperative(conservative) continues to evolve. Not operating can also be a responsible choice in some cases.
In people who are highly active and who like to play a sport where you have to jump, turn or cut, surgery is the best solution in most cases.