By vgreene, 9 January, 2015 Post-op: No post-op brace if isolated ACL [M]. Prevent future ACL tear via NM training<sup>11</sup> [M], not brace [L]. Initiate post-op PT<sup>12</sup> [M]. Return to play based on clinical judgment, not time/fxn criteria [L].
By vgreene, 9 January, 2015 Also fix assoc. meniscal tear [L], esp. if locked knee [C], but not assoc. incomplete MCL tear [L]
By vgreene, 9 January, 2015 Tibial-independent or transtibial approach [M]; single/double-bundle technique recommended [S]; autografts or allografts<sup>10</sup> OK [S]
By vgreene, 9 January, 2015 Image: AP/lateral XR knee 1st to r/o fx/dislocation [C], then MRI if needed to r/o internal knee pathology [S]
By vgreene, 9 January, 2015 Exam: neurovasc (esp. tibial/peroneal n.),<sup>8</sup> joint line tenderness, step-off/deformity, effusion, varus/valgus laxity @ 0° and 30° extension, AP/rotational laxity, Lachman test<sup>9</sup>
By vgreene, 9 January, 2015 Hx: injury mechanism, popping/locking/catching, swelling, ability to weight-bear/return to play.
By vgreene, 9 January, 2015 Post-op: No brace if isolated ACL [M]. Prevent future ACL tear via NM training<sup>6</sup> [M], not brace [L]. Initiate post-op PT<sup>7</sup> [M]. Return to play based on clinical judgment, not time/fxn criteria [L].