Index to Chiropractic Literature
Index to Chiropractic Literature
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Friday, April 4, 2025
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ID 25150
  Title Rehabilitation of tibial plateau fracture following anterior cruciate ligament reconstruction: A case report
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883891/
Journal J Chiropr Med. 2018 Mar;17(1):63-67
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: The purpose of this case report was to describe the management of a tibial plateau fracture in a patient who had undergone anterior cruciate ligament (ACL) reconstruction 3.5 years earlier.

Clinical Features: A 36-year-old man presented with pain and edema following a fall from a height of approximately 2 m while skateboarding. The patient reported having undergone arthroscopic ACL reconstruction with allograft and bioabsorbable screws 3.5 years earlier. Computed tomography scan revealed a comminuted fracture extending through the graft tunnel, as well as evidence of tunnel widening and incomplete bone resorption and generation within the tibial tunnel.

Intervention and Outcome: A trauma surgeon repaired the plateau fracture with internal fixation. The patient was non-weight bearing for 8 weeks while undergoing rehabilitation in a chiropractic clinic (spinal manipulation, physiotherapy, nutritional support) twice per week and returned to full activity within 3 months.

Conclusions: The patient responded favorably to the treatment protocol, which included rehabilitation by a doctor of chiropractic and co-management with a trauma surgeon.

Author keywords: Tibia; Tibial Fractures; Anterior Cruciate Ligament Reconstruction; Chiropractic

Author affiliations: Department of Life Sciences, Palmer College of Chiropractic Port Orange, Port Orange, Florida

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.

 
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