Cedera olahraga, posisi landing dengan lutut

flexi, external rotasi dan valgus force

KNEE INJURY

Tear ACL Tear Meniscus

Tear LCL
Lateral

 Hypermobile
 Unstable Penanganan non medis
 Swelling (dipijat/diurut)
 Pain
 Restricted motion

Repetitive injury 2x

Preoperative impairments
Advantages :
 sama/lebih kuat dari pada ACL
Reconstruction &  Rapid revascularization (6
repair meniscus Metode autograft dengan
weeks)
lateral tendon patella dengan
 Ability to return to preinjury
incisi anterio

Potential complications :
6 bulan post
 Anterior knee pain
rekonstruksi
 Pain during kneeling
 Extensor mechanism
 Longterm quadriceps muscle weakness
 Patellar fracture during graft harvest
 Patella tendon rupture
 -Nyeri saat gerakan ekstensi dibatas akhir ROM saat gerakan
pasif (starting position 10º)
-Pola jalan trendelenburg gait
-tightness m.hamstring, iliotibial band, m. gastrocnemius, dan
m.erector spine
-Muscle weak m. quadriceps dextra
-Penurunan kekuatan otot fleksor, ekstensor, abductor,
adductor hip dan fleksor serta ekstensor knee
-Meningkatnya suhu lokal knee dextra
oedem

Maximum protection Moderate protection Minimum protection

Goals : Goals : Goals :

Protect healing tissue Full-pain free ROM Transition to maintenance
Decrease joint effusion 4/5 muscle strength program
Establish home exercise
Normalize gait pattern Increase muscle strength,
program 
endurance, and power
Reduce risk of reinjury
Risk factor:
 Latihan yang kurang
tepat
 Extensor mechanism

Minimum
24 Protection Phase
WEEKS
11-24 weeks

Recurrent inflamation

Delay Protection Phase

Moderate protection
phase