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When damage to the lateral ligaments of the knee joint may experience a partial or complete rupture, while often injured internal lateral ligament. In partial rupture of the lateral ligaments placed on 3-4 weeks of Paris splint is placed deep in the rear, when a complete rupture operative treatment, after which a plaster bandage up to the middle third of the thigh for 2-3 weeks. Therapeutic gymnastics is conducted by the method used in fractures of ligaments the femur and tibia. In the recovery period with great caution you should use exercises, stretching ligaments of the knee joint (swing exercises, lunges forward and to the side, squats, etc.).
the Damage of the cruciate ligaments relate to serious injuries of the knee joint, which leads to a significant impairment of its function. Distinguish between complete and incomplete ruptures of these communications. Incomplete rupture of the plaster bandage up to the middle third of the thigh for 3-5 weeks, with full recovery is carried out using various plastic materials (allotransplantata, Mylar tape, etc.) With subsequent fixation plaster cast for 1.5 months .
In the immobilization period of the injured extremity apply active finger movements of the foot, ankle and hip joints, isometric muscle tension femur and tibia. Their main goal is to increase muscle tone and prevent the formation of adhesions between the tendon of the rectus femoris and adjacent tissues. Exercises on isometric tension, the patient should do yourself every hour during the day: the number of reductions is not more than 4 first 6, later they can bring to 16-20. After 3-4 weeks allowed partial load on the injured limb.
In postmobilization period of physical therapy aimed at restoring range of motion in the knee joint, the normalization of the function of the neuromuscular system and restore the disturbed mechanism of the walk. The first exercise performed lying on the back, later - lying on your side, belly and sitting. It is important not to cause stretching of the restored connection. To increase the amplitude of motion in the knee joint shows exercises for walking with stepping over small obstacles (e.g., medicine balls) that has different height, it is helpful to walk up the stairs and do exercises on the bike, attracting to the movement of the hip, knee and ankle joints. Along with this that the treatment setting or use a slight pull on the block on the gym wall: the patient is in the prone position using a block device performs flexion of the tibia (within 15-20 min). When it reaches a certain angle of flexion in the knee joint a block device is reduced, which ensures the correct direction of traction. Contraindicated swing exercises, lunges to the side and forward, squats and other exercises that will help stretching tendon-ligamentous apparatus of the knee joint.
In the recovery period (approximately 3-4 months after the injury) physiotherapy aimed at restoring full knee function and neuromuscular system, comprehensive training of the patient to labor and household activities.
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