{"id":5230,"date":"2023-10-25T19:47:07","date_gmt":"2023-10-25T17:47:07","guid":{"rendered":"https:\/\/www.fisiobalance.cat\/tratamiento-domiciliario-de-artroplastias-fisiobalance\/"},"modified":"2025-01-03T10:37:28","modified_gmt":"2025-01-03T09:37:28","slug":"reconstruccio-lligament-creuat-anterior","status":"publish","type":"post","link":"https:\/\/www.fisiobalance.cat\/ca\/reconstruccio-lligament-creuat-anterior\/","title":{"rendered":"RECONSTRUCCI\u00d3 LLIGAMENT CREUAT ANTERIOR"},"content":{"rendered":"

Qu\u00e8 \u00e9s la lligamentopl\u00e0stia?<\/strong><\/h2>\n

La ligamentopl\u00e0stia<\/a> \u00e9s una operaci\u00f3 amb qu\u00e8 s’opera el lligament creuat anterior<\/a> per substituir-lo per un de sa, donat pel mateix pacient i procedent d’un banc.<\/p>\n

Aix\u00f2 cal si s’ha produ\u00eft un traumatisme articular<\/strong> que ha provocat el trencament del lligament en q\u00fcesti\u00f3.<\/p>\n

\"\"<\/p>\n

Mecanisme lesional<\/u><\/h2>\n

La lesi\u00f3 del lligament creuat anterior<\/em> amb reposici\u00f3 d’artropl\u00e0stia<\/strong>, \u00e9s causada per una inclinaci\u00f3 interior del genoll amb rotaci\u00f3 externa de la t\u00edbia que va cap a la hiperextensi\u00f3 del genoll provocant un moviment de cisalla, en desaccelerar la cursa, el genoll no mant\u00e9 la estabilitat i per l’exc\u00e9s de for\u00e7a i punt d’inclinaci\u00f3 i rotaci\u00f3, el lligament no suporta la c\u00e0rrega i es trenca.<\/strong><\/p>\n

OBJECTIUS DE FISIOTER\u00c0PIA A L’ARTROPL\u00c0STIA DE LLIGAMENT CREUAT ANTERIOR A CADA FASE<\/h2>\n

Protocol inicial de primera visita<\/h2>\n

Es far\u00e0 una anamnesi<\/strong> per con\u00e8ixer antecedents i estat actual del genoll<\/strong>, per poder enfocar els objectius a tractar a curt, mitj\u00e0 i llarg termini per a cada pacient individualitzant el tractament.<\/p>\n

Posteriorment realitzarem una avaluaci\u00f3 visual i palpat\u00f2ria de la cicatriu<\/strong> i valorarem l’estabilitat del genoll per saber en quina fase aquesta de la recuperaci\u00f3 i poder pautar el proc\u00e9s de rehabilitaci\u00f3.<\/p>\n

Podrem classificar les pautes de rehabilitaci\u00f3 en 5 fases, segons l’estat d’evoluci\u00f3 en qu\u00e8 es trobe el pacient.<\/p>\n

Possibles fases en les quals ell pacient pot estar<\/h2>\n

En cas que el pacient, aquest per temps en una fase m\u00e9s avan\u00e7ada per\u00f2 no hagi realitzat aquesta fase, es realitzar\u00e0 la fase pr\u00e8via, de manera preventiva, per poder tenir una \u00f2ptima rehabilitaci\u00f3, ja que en cada fase preparem cada estructura d’una manera espec\u00edfica.<\/p>\n

    \n
  1. La primera fase<\/strong> ser\u00eda de la semana 0-4:<\/li>\n<\/ol>\n
      \n
    • treballarem cicatriu, mobilitat de genoll, embenats compressius, i t\u00e8cnica de mobilitat global per millorar rang de moviment de genoll.<\/li>\n
    • realitzant un treball de for\u00e7a de forma isom\u00e8trica per evitar p\u00e8rdua de for\u00e7a i endarrerir el proc\u00e9s de readaptaci\u00f3, millorant els teixits i refor\u00e7ant la musculatura.<\/li>\n<\/ul>\n

      2. La segona fase ser\u00eda de la semana 5-8:<\/p>\n

        \n
      • es prioritzar\u00e0 el treball flexi\u00f3 i extensi\u00f3 completa de genoll, incidirem en el treball de for\u00e7a amb c\u00e0rregues redu\u00efdes, introduirem el treball inicial de propiocepci\u00f3 i estabilitat de la cama afecta i reeducarem la marxa.<\/li>\n<\/ul>\n

        \"\"<\/p>\n

        3. La tercera fase ser\u00eda de la semana 9-12:<\/p>\n

          \n
        • Es prioritzar\u00e0 el treball de for\u00e7a en moviment com l’assegut, gambada sense fer passos, incrementat en pes corporal amb peses.<\/li>\n
        • Refor\u00e7arem la cadena posterior com s\u00f3n els isquiotibials i bessons, i introduirem a part del treball propioceptiu.<\/li>\n
        • S’introduir\u00e0 ja un treball funcional espec\u00edfic cap a l’activitat del pacient que faci a mitj\u00e0 llarg termini.<\/li>\n<\/ul>\n

          4. La quarta fase ser\u00eda des del 3 a 4 mes:<\/p>\n

            \n
          • en el qual s’incidir\u00e0 en el treball de for\u00e7a, propiocepci\u00f3 i reeducaci\u00f3 funcional per a l’activitat que el pacient hagi de fer final.<\/li>\n<\/ul>\n

            5. La quinta fase i final ser\u00eda a partir del 4 mes:<\/p>\n

              \n
            • S’incidiria en tota la feina espec\u00edfica que necessitar\u00e0 el pacient per tornar a l’activitat f\u00edsica que ell volgu\u00e9s, fent exercicis de transfer\u00e8ncia a aquesta activitat.<\/li>\n<\/ul>\n

               <\/p>\n","protected":false},"excerpt":{"rendered":"

              Qu\u00e8 \u00e9s la lligamentopl\u00e0stia? La ligamentopl\u00e0stia \u00e9s una operaci\u00f3 amb qu\u00e8 s’opera el lligament creuat anterior per substituir-lo per un de sa, donat pel mateix pacient i procedent d’un banc. Aix\u00f2 cal si s’ha produ\u00eft un traumatisme articular que ha provocat el trencament del lligament…<\/p>\n","protected":false},"author":3,"featured_media":4212,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-5230","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-ca"],"yoast_head":"\nRECONSTRUCCI\u00d3 LLIGAMENT CREUAT ANTERIOR - Fisiobalance<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fisiobalance.cat\/ca\/reconstruccio-lligament-creuat-anterior\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"RECONSTRUCCI\u00d3 LLIGAMENT CREUAT ANTERIOR - Fisiobalance\" \/>\n<meta property=\"og:description\" content=\"Qu\u00e8 \u00e9s la lligamentopl\u00e0stia? 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