Manajemen Fisioterapi pada Post Operative Rekonstruksi Anterior Cruciate Ligament dengan Allograft Tendon
Physiotherapy Management in Post Operative Anterior Cruciate Ligament Reconstruction with Allograft Tendon
Abstract
Penanganan operatif ruptur Anterior Cruciate Ligament (ACL) ditujukan pada pasien yang memiliki ketidakstabilan pada lututnya. Penanganan operatif pada rekonstruksi ACL dapat menggunakan tendon autograft atau allograft dengan beberapa gejala klinis yang timbul pada pasien pasca operasi secaa umum, seperti bengkak, penurunan ROM dan kekuatan otot serta gangguan keseimbangan. laporan kasus ini bertujuan untuk membahas tentang manajemen fisioterapi pada kasus post operative rekonstruksi ACL dengan tendon allograft. Studi ini merupakan laporan kasus. Data primer diperoleh melalui anamnesis dan pemberian intervensi intervensi berdasarkan pada protokol rehabilitasi rekonstruksi ACL mengunakan tendon allograf. Pasien laki-laki berusia 35 tahun telah melakukan operasi rekonstruksi ACL dengantendon allograft ke fisioterapi dengan kondisi lutut menggunakan 2 buah kruk. Pasien tidak mengeluhkan rasa nyeri namun kesulitan menekuk lutut kirinya. Intervensi fisioterapi yang diberikan pada pasien berfokus untuk mengontrol oedem yang terdapat pada knee sinistra, menguatkan grup otot quadriceps dengan menerapkan isometric strengthening, meningkatkan Range of Motion(ROM) dan latihan weight bearing untuk persiapan menumpu. Setelah pemberian intervensi fisioterapi selama 4 kali pertemuan, pasien menunjukkan kemajuan atau perubahan dimana terdapat peningkatan ROM pada gerakan fleksi knee joint sebesar 14º.
References
Evans J, Nielson Jl. Anterior Cruciate Ligament Knee Injuries. [Updated 2022 May. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
Fitrocha dan Prasetyo, E.B. (2015) “Penatalaksanaan Fisioterapi dengan modalitas infrared dan terapi latihan,” Pena Jurnal Ilmu Pengetahuan dan Teknologi, 25 (1), hal. 40–50.
Herman, M., & Komalasari, D. R. (2022). Penatalaksanaan Fisioterapi Post Operative Anterior Cruciate Ligament : Studi Kasus. PhysioHS, 4(Juni), 1–6.
Hulet, C., Sonnery, B., Ciara, C., Kristian, S., Laver, L., Zdanowicz, U., Stufkens, S. , dkk. (2019) ‘The use of allograft tendons in primary ACL reconstruction’, Knee Surgery, Sports Traumatology, Arthroscopy, 27(6), pp. 1754–1770. doi: 10.1007/s00167-019-05440-3.
Izzulhaq, F. (2019). Penatalaksaaan Fisioterapi pada Kondisi Median Meniscus Tear Knee Sinistra dengan Modalitas Ultrasound dan Terapi Latihan untuk Mengurangi Nyeri dan Meningkatkan Aktivitas Fisik dan Kemampuan Fungsional di RSP DR. Ario Wirawan Salatiga [Universitas Muhammadiyah Surakarta]. https://medium.com/@arifwicaksanaa/pengertian-use-case-a7e576e1b6bf
Jenkins, S.M. dkk. (2022) “Rehabilitation After Anterior Cruciate Ligament Injury : Review of Current Literature and Recommendations,” hal. 170– 179.
Kisner, C., Colby, A. L. and Borstad, J. (2018) Therapeutic exercise foundations and techniques. Seventh ed. Philadelphia: F.A Davis Company.
Mayeda, N. L., Komalasari, D. R., Rohayani, I. (2022). Penatalaksanaan Fisioterapi Post Operative Anterior Cruciate Ligament : Studi Kasus. Physiotherapy Health Science, 4(1), 11–17.
Nazario, M. P. e S., Bergamim, J. S. S. P., Nasrala, M. L. S., Nasrala Neto, E., Felippe, L. A., & Pletsch, A. H. M. (2019). Anterior Cruciate Ligament: Anatomy and Biomechanics. Journal of Health Sciences, 21 (2), 166. https://doi.org/10.17921/2447-8938.2019v21n2p166-169
Physiopedia (2021) Ultrasound in Wound Healing. Available at: https://www.physio-pedia.com/Ultrasound_in_Wound_Healing.
Physiopedia (2022) Anterior Cruciate Ligament (ACL) Rehabilitation. Available at: https://www.physio-pedia.com/Anterior_Cruciate_Ligament_(ACL)_Rehabilitation.
Teoli, D. and An., J. (2022) Transcutaneous Electrical Nerve Stimulation. StatPearls. Available at: https://www.ncbi.nlm.nih.gov/books/NBK537188/.
The Advanced Continuing Education Institute. (2022) Accelerated Rehabilitation Following ACL Allograft Reconstruction. Available at: www.AdvancedCEU.com.
Wang, H. De dkk. (2018) ‘Comparison of clinical outcomes after anterior cruciate ligament reconstruction with hamstring tendon autograft versus soft-tissue allograft: A meta-analysis of randomised controlled trials’, International Journal of Surgery, 56(June), pp. 174–183. doi: 10.1016/j.ijsu.2018.06.030.
Weppler, C.H. dkk. (2014) “The acute benefits and risks of passive stretching to the point of pain,” European Journal of Applied Physiology, 117(1), hal. 1713–1725.
Xu, M. dkk. (2020) ‘The influence of donor and recipient characteristics on allograft tendons: a systematic review’, Springer Nature B.V, 21, pp. 17–29. doi: 0.1007/s10561-019-09803-5.
The use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution 4.0 International License.
Author’s Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
User Rights
JFR's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JFR permits users to copy, distribute, display, and perform the work. Users will also need to attribute authors and JFR on distributing works in the journal.
Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article
Co-Authorship
If the article was jointly prepared by other authors, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JFR will not be held liable for anything that may arise due to the author(s) internal dispute. JFR will only communicate with the corresponding author.
Miscellaneous
JFR will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JFR's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.








