Left Anterior Cruciate Ligament Tear
Nursing Management 1
Running Head: Left Anterior Cruciate Ligament Tear
Nursing Management of a Patient with Left Anterior Cruciate Ligament Tear
Bula, Monesa Bianca
Carillo, Kathlyn O.
Our Lady of Fatima University
Nursing Management 2
Nursing Management of a Patient with Left Anterior Cruciate Ligament Tear
M.G., a 23 year old male soldier was involved in a vehicular accident a year ago, and was diagnosed with left symphysis pubis diastasis with sacroiliac joint disruption and underwent Open Reduction Internal Fixation on the plate of symphysis pubis and screw fixation of his left sacroiliac joint in April of 2011. During patient’s stay at the hospital, he was also assessed to have knee instability, a diagnostic arthroscopy was scheduled but the patient requested to be discharged first so he can process his reenlistment papers. After a month, the patient went back to the hospital for readmission and was identified to have Left Anterior Cruciate Ligament Tear and underwent Left Anterior Cruciate Ligament Reconstruction in June 2011. Bonifacio(2010) states that the patient’s who suffers from anterior ligament tear exhibits pain during ambulation. So our main argument for this patient is pain.
Pathophysiology
Brunner (2010) has explained that the anterior cruciate ligament and the posterior cruciate ligament of the knee stabilize anterior and posterior motion of the tibia articulating with the femur. These ligaments cross each other in the
Nursing Management 3
center of the knee. Injury occurs when the foot is firmly planted and the leg sustains direct force, forward or backward. If the force is forward, the anterior cruciate ligament suffers the impact from the force. The injured person may report feeling and hearing a “pop” in the knee with this injury. If the patient exhibits significant swelling of the joint within two hours after the injury, the anterior or posterior cruciate ligament may be torn. A torn cruciate ligament
Running Head: Left Anterior Cruciate Ligament Tear
Nursing Management of a Patient with Left Anterior Cruciate Ligament Tear
Bula, Monesa Bianca
Carillo, Kathlyn O.
Our Lady of Fatima University
Nursing Management 2
Nursing Management of a Patient with Left Anterior Cruciate Ligament Tear
M.G., a 23 year old male soldier was involved in a vehicular accident a year ago, and was diagnosed with left symphysis pubis diastasis with sacroiliac joint disruption and underwent Open Reduction Internal Fixation on the plate of symphysis pubis and screw fixation of his left sacroiliac joint in April of 2011. During patient’s stay at the hospital, he was also assessed to have knee instability, a diagnostic arthroscopy was scheduled but the patient requested to be discharged first so he can process his reenlistment papers. After a month, the patient went back to the hospital for readmission and was identified to have Left Anterior Cruciate Ligament Tear and underwent Left Anterior Cruciate Ligament Reconstruction in June 2011. Bonifacio(2010) states that the patient’s who suffers from anterior ligament tear exhibits pain during ambulation. So our main argument for this patient is pain.
Pathophysiology
Brunner (2010) has explained that the anterior cruciate ligament and the posterior cruciate ligament of the knee stabilize anterior and posterior motion of the tibia articulating with the femur. These ligaments cross each other in the
Nursing Management 3
center of the knee. Injury occurs when the foot is firmly planted and the leg sustains direct force, forward or backward. If the force is forward, the anterior cruciate ligament suffers the impact from the force. The injured person may report feeling and hearing a “pop” in the knee with this injury. If the patient exhibits significant swelling of the joint within two hours after the injury, the anterior or posterior cruciate ligament may be torn. A torn cruciate ligament
References: Bonifacio, V. (2010). My Ortho Book: Guide in Orthopedic Nursing (Vol. 1st edition). Quezon City: C&E. p.44-45 Doenges, M., Moorhouse, M. F., & Murr, A. (2008). Nurse 's Pocket Guide (Vol. 11 edition). Pennsylvania: F.A. DAVIS COMPANY. p.498-503 Smeltzer, S., Bare, B., Hinkle, J., & Cheever, K. (2010). Brunner and Suddarth 's textbook of medical and surgical nursing (Vol. 12). Philadelphia: Lippincott Williams & Wilkins. p.2083 (n.d.). Retrieved from http://orthoinfo.aaos.org/topic.cfm?topic=a00109 (n.d.). Retrieved from http://medical-dictionary.thefreedictionary.com/cruthches (n.d.). Retrieved from http://www.nursingcare101.com/paracetamol (n.d.). Retrieved from http://www.nuringcare101.com/tramadol (n.d.). Retrieved from http://drmillett.com/acl-knee-injuries-anterior-cruciate-ligamet (n.d.). Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/003188.htm (n.d.). Retrieved from http://www.scribd.com/doc/58986871/Knee-Acl-Reconstruction