Own Your Bones

ah.com

Own Your Bones

Summer 2012

Own Your Bones

Patient

newsletter

See us at

these events

Lombardi Walk/Run

for Cancer

Saturday, June 9

8:15 a.m.

Milwaukee County Zoo

10001 W. Blue Mound Road

Milwaukee

lombardifoundation.org

55 Plus Health and

Lifestyle Fair

Friday, June 15

11 a.m. to 1 p.m.

Greenfield Community Center

7215 W. Cold Spring Road

Greenfield

Franklin National Night Out

Friday, August 6

6 to 9 p.m.

Franklin Library

9151 W. Loomis Road

Franklin

Proud sponsors

Eisenbahn Marathon and

Half Marathon

Sunday, June 10

West Bend

adrenalineraces.org/marathon

Adrenaline Triathlon

Saturday, August 25

Sheboygan County

adrenalineraces.org/triathlon

New techniques in ACL reconstruction may reduce

risk of arthritis in the future

By Mark Wichman, MD, Sports Medicine

Mark Wichman, MD

Traditional techniques have stabilized the knee, but newer techniques allow even

better stability and also may reduce the progression of arthritis in the future.

With all the press these days of season-ending anterior cruciate ligament (ACL)

injuries in professional athletes, we are becoming increasingly aware of how

devastating this injury can be to an athlete. Many “weekend warriors” also have

suffered this injury and will continue to benefit from ongoing research in ACL

reconstruction. Newer techniques are now available that may allow our patients to

return to sports with a more stable knee that is less likely to wear out over time. Recent biomechanical

evaluation of ACL reconstructions have allowed researchers to find technical factors that may provide

for a better outcome. This research has focused less on the type of ACL graft material used and more on

both the size and correct position of the graft in the knee. The idea is to place the new ACL closer to

where the natural ligament exists prior to injury. This concept can be referred to as “anatomical” ACL

reconstruction. Many variations of this technique exist and there is controversy about which, if any, is

superior. This information has been duplicated by different surgeons and is likely to find its way to most

surgeons’ practices in one form or another. Surgeons, understandably, are reluctant to modify techniques

that have worked well in the past. We will continue to improve the techniques of ACL reconstruction

with the ultimate goal of restoring stability to the knee, get the patient back to the active lifestyle that

he/she desires, and try to prevent the

degenerative changes that often have

accompanied this injury in the past.

How can I take an active role as

a patient?

• Keep in shape! There is good evidence

that ACL injury prevention works.

Discuss this with your physical

therapist or trainer for specific

exercises that can help. Recent data

suggests that between 50 and 80

percent of ACL injuries can actually

be prevented.

• If injury to the ACL does occur,

discuss the strategy of restoring your

ACL function with your doctor. Don’t

be afraid to ask questions. This tells us

that you are interested and listening.

To learn more about Dr. Mark Wichman

and our entire orthopaedic team or

to request an appointment, go to

ortho.ah.com or call 414-649-7900.

Saturday Morning

Sports Injury Clinic

Aug. 25 to Oct. 20

• No appointment needed

• Evaluations provided by

board-certified and

fellowship-trained sports

medicine physicians

• Open to all fall sports

athletes regardless of

school affiliation

Aurora Medical Center

2999 N. Mayfair Road, Suite 100

Wauwatosa • 414-479-7000 • ortho.ah.com

Appointments will be billed to your insurance, so please

bring your insurance card with you. Clinic open to athletes

with acute injuries sustained during competition. An adult

must accompany athletes under age 18.

Game on!

Continued


ACL rehabilitation

By Katie Marcouiller, DPT, Aurora Sports Medicine Institute

Due to recent

advancements in surgical

techniques and graft

placement in anterior

cruciate ligament (ACL)

reconstructive surgery,

Katie Marcouiller, DPT physical therapists now

can feel confident in

progressing their patients back to sports at

a faster rate. Previously, it was common

to rehabilitate for a year or more before

returning to sports. Now, patients often are

allowed to return to the sports they love

after only six months.

During the past 15 years, we have learned

more about the ACL and how it heals after a

reconstructive surgery. In addition, surgeons

have improved their techniques and their

ability to place the grafts in better locations,

allowing a faster return to activity. If a

surgeon permits, a patient can be put on

an accelerated rehabilitation protocol,

which focuses on gaining range of motion

and strength in a quicker fashion, thereby

allowing the patient to return to sports in

a shorter time span. Not all patients are

candidates for accelerated rehab, but those

that are will find themselves progressing

toward more intense activities faster than

patients of a few years ago.

Regardless of whether a patient is put on

an accelerated program or not, the focus of

ACL rehabilitation is based upon closedchain

exercises. These are activities where

the feet remain in contact with the floor and

the body is moved over the feet. Examples

of exercises that are closed-chain include

squats, lunges, step-ups and leg press.

Additional activities a patient could

expect during ACL rehabilitation are

balance, agility ladders, plyometrics and

eventually twisting/turning movements.

Whether a patient is undergoing an

accelerated or standard rehabilitation,

he/she should expect to pass a functional

testing series in order to be cleared to return

to sports. These series of tests will evaluate

the patient’s ability to develop power and

force. The tests will compare the surgical

leg to the non-surgical leg in activities such

as jumping, twisting and moving side to

side. Once an adequate score is attained,

the physical therapist and the physician

may clear the patient to return to sports.

For more information on rehabilitating

ACL injuries or other sports medicine

topics, call the Aurora Sports Medicine

Hotline at 800-219-7776 or visit us

online at Aurora.org/ChalkTalks.

Videos

Summer recipe

Flank steak kebobs

• 1-pound flank steak sliced cross grain

Marinade for steak

• 2 cloves of chopped garlic

• 4 tbsp. red wine vinegar

• 2 tbsp. soy sauce

• 2 tbsp. maple syrup

Vegetables

• Onion

• Red/yellow peppers

• Pea pods

• Sliced mushrooms

• Zucchini

Marinate sliced steak for two hours or

longer. Drain and blot excess marinade

off steak. Grill over direct heat on a

metal grate or skewers until done.

Marinate vegetables separately with

olive oil and sea salt. Grill on a metal

grate or skewers. Serve over rice. Enjoy!

Hear from our patients and physicians on

Watch these YouTube videos and others by scanning this

code with your smart phone or going to ortho.ah.com

and clicking on “In the Media.”

• Dr. Mike Anderson:

– Superior Approach to Total Hip

• Dr. Bruce Faure:

– Post Hip Surgery BFF’s

• Dr. Paul Miller:

– All Inside ACL Explained

• Dr. Mark Wichman:

– Back on the Ice After ACL Surgery

– Lifting Weights After Rotator Cuff Surgery

We can help.

Our orthopaedic services include:

• Foot/ankle

• Hand/wrist/elbow

• Hip

• Knee

• Musculoskeletal

oncology

• Pain management

• Podiatry

• Shoulder

• Spine/back/neck

• Sports medicine

To request an appointment, visit ortho.ah.com

or call the Greater Milwaukee area location

listed below that’s most convenient to you.

Eastern Milwaukee County (Northshore) and Ozaukee County

262-387-8300

Downtown Milwaukee and Southern Milwaukee County

414-649-7900

Western Milwaukee County and Waukesha County

262-532-1555

Washington County

877-600-1999

Please share your suggestions and submissions for future editions of our newsletter.

Email eniemiec@ah.com or call 414-479-7078.

ortho.ah.com

Locations throughout southeastern Wisconsin – near where you work or live!

• Meet our specialists • Learn about our services • Find a nearby location

• Request an appointment • Watch our YouTube videos ... It’s all at ortho.ah.com

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