ACL Reconstruction with the LARS Ligament

Posted on 21. Oct, 2010 by The Sports Physiotherapist   LACKING APPROPRIATE RESEARCH SUPPORT OR THE NEXT GOLD STANDARD? It must be the hottest debate in knee surgery at the moment. Should ACL reconstructions be performed using the LARS (Ligament Augmentation and Reconstruction System) or should orthopaedic surgeons continue to use the more traditional four strand hamstring (4HS) or bone patella tendon bone (BPTB) grafts? It is a good question. Obviously for us as sports physiotherapists the choice is not ours to make, but, invariably the injured athlete will ask…

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Acute Anterior Shoulder Dislocation: Surgical or Conservative Management?

  Posted on 18. Nov, 2010 by The Sports Physiotherapist Anterior shoulder dislocation is a common injury in an athletic population, particularly young males competing in contact sports. Anterior dislocation accounts for up to 96% of all shoulder dislocations (Goss 1988). This means, therefore, that the sports physiotherapist will encounter this condition with high frequency. Accordingly, we must be confident that the treatments and advice that we deliver to these athletes is evidence based. This article discusses the current research comparing the use of surgical and conservative (physiotherapy) management of…

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Primary Patellar Dislocation: Evidence Based Management

Posted on 19. Apr, 2011 by The Sports Physiotherapist INTRODUCTION Patellar dislocation accounts for 2 – 3% of all knee injuries, however, is the second most common cause of knee haemarthrosis (Aglietti et al., 2001). Patellar dislocation is most commonly associated with sports injuries, and therefore, is encountered commonly by the sports physiotherapist. In recent times there has been controversy on the most appropriate forms of management following primary (or first time) patellar dislocation. This post discusses evidence based management of primary patellar dislocations. SUBJECTIVE EXAMINATION The athlete will often…

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