Physiotherapy Management in Postoperative Anterior Cruciate Ligament

  • Irianto Irianto Universitas Hasanuddin
  • Bustaman Wahab Rumah Sakit Wahidin Sudirohusodo
  • Nur Ainun Universitas Hasanuddin
  • Anastasya Fanny Sirenden Universitas Hasanuddin
  • Gita Safirah Nuskin Universitas Hasanuddin
Keywords: anterior cruciate ligament, oedema, physical therapy modalities


Stabilization of the tibia when moving forward and rotational movements of the knee joint will be assisted by one of the ligaments in the knee joint, namely the Anterior Cruciate Ligament (ACL). This study aims to present physiotherapy management strategies to help reduce pain, prevent stiffness, increase muscle strength, decrease muscle spasms, increase the joint scope of motion, and overcome edema. The method used in this study is a case report. Primary data are obtained through auto anamnesis and physical examination. Holistic diagnosis assessment is carried out quantitatively from the study's beginning, process, and end. The result is that a 33-year-old male patient with a postoperative diagnosis of ACL underwent surgery on November 14, 2022, and has done therapy 7 times; the patient has experienced significant changes. It can be concluded that postoperative ACL rehabilitation can reduce edema and pain, increase muscle strength, and increase ROM. Finding interventions that can be applied to learning and modification of interventions is also recommended to assist in post-ACL reconstruction recovery to return to daily activities. The diagnosis and treatment of physiotherapy in patients are by the latest theories and research. In the evaluation, clinical improvement of patients and increased knowledge were obtained


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J. Abulhasan and M. Grey, “Anatomy and Physiology of Knee Stability,” J. Funct. Morphol. Kinesiol., vol. 2, no. 4, p. 34, Sep. 2017, doi: 10.3390/jfmk2040034.

M. H. Gerami and S. R. M., Farshid Haghi, Ferdos Pelarak, “Universal health coverage ‑ There is more to it than meets the eye,” Anterior cruciate ligament Inj. A Rev. newest Reconstr. Tech., vol. 6, no. 2, pp. 169–170, 2021, doi: 10.4103/jfmpc.jfmpc.

S. Yao, P. Shu, H. Yung, P. Po, and Y. Lui, “Tackling the Challenges of Graft Healing After Anterior Cruciate Ligament Reconstruction — Thinking From the Endpoint,” vol. 9, no. December, pp. 1–18, 2021, doi: 10.3389/fbioe.2021.756930.

S. Hasani, J. A. Feller, and K. E. Webster, “Familial Predisposition to Anterior Cruciate Ligament Injury: A Systematic Review with Meta-analysis,” Sport. Med., vol. 52, no. 11, pp. 2657–2668, Nov. 2022, doi: 10.1007/s40279-022-01711-1.

A. M. Montalvo et al., “Anterior Cruciate Ligament Injury Risk in Sport: A Systematic Review and Meta-Analysis of Injury Incidence by Sex and Sports Classification,” J. Athl. Train., vol. 54, no. 5, pp. 472–482, May 2019, doi 10.4085/1062-6050-407-16.

N. Singh, “International Epidemiology of Anterior Cruciate Ligament Injuries,” Orthop. Res. Online J., vol. 1, no. 5, pp. 1–4, 2018, doi: 10.31031/oproj.2018.01.000525.

F. X. H. Dhuhairi, Mukhammad Sefriansyah, Wiek Israwan, Amin Zakaria, “Pengaruh Pemberian Cryotherapy terhadap Penurunan Nyeri pada Pasien Post-op ACL di Rumah Sakit Al-Irsyad Surabaya,” vol. 11, no. November, pp. 219–222, 2021, [Online]. Available:

P. D. Fabricant and M. S. Kocher, “Management of ACL Injuries in Children and Adolescents,” J. Bone Jt. Surg., vol. 99, no. 7, pp. 600–612, Apr. 2017, doi: 10.2106/JBJS.16.00953.

C. Domnick, M. J. Raschke, and M. Herbort, “Biomechanics of the anterior cruciate ligament: Physiology, rupture and reconstruction techniques,” World J. Orthop., vol. 7, no. 2, p. 82, 2016, doi: 10.5312/wjo.v7.i2.82.

A. C. Thomas, E. M. Wojtys, C. Brandon, and R. M. Palmieri-Smith, “Muscle atrophy contributes to quadriceps weakness after anterior cruciate ligament reconstruction,” J. Sci. Med. Sport, vol. 19, no. 1, pp. 7–11, Jan. 2016, doi: 10.1016/j.jsams.2014.12.009.

E. Hamrin Senorski et al., “Factors that affect patient-reported outcome after anterior cruciate ligament reconstruction-a systematic review of the Scandinavian knee ligament registers,” Br. J. Sports Med., vol. 53, no. 7, pp. 410–417, 2019, doi: 10.1136/bjsports-2017-098191.

A. Indriastuti & Pristianto, “Physiotherapy Program in Post-Anterior Cruciate Ligament Reconstruction ( ACL ) Fase I : A Case Report,” Physio J., vol. 1, no. 2, pp. 1–9, 2021.

B. H. Priono, G. A. Utoyo, and Y. D. Ismiarto, “Relationship of Acl Injury with Posterior Tibial Slope, Intercondylar Notch Width Ratio, Age, And Sex,” J. Orthop. Traumatol. Surabaya, vol. 7, no. 2, p. 106, Dec. 2019, doi: 10.20473/joints.v7i2.2018.106-113.

D. N. A. S. W. Kusumastuti, “Proses Sistem Rujukan dalam Pelayanan Kegawatdaruratan Obstetri dan Neonatal di Puskesmas Sayung 2 Kabupaten Demak,” MEDIA Kesehat. Masy. Indones., no. Vol 18, No 4 (2019): MKMI, pp. 159–163, 2019, [Online]. Available:

A. D. Maralisa and S. I. Lesmana, “Penatalaksanaan Fisioterapi pada Rekonstruksi ACL Knee Dextra Hamstring Graft,” Indones. J. Physiother. Res. Educ., vol. 1, no. 1, 2020, [Online]. Available:

J. Faxon, A. Sanni, and K. McCully, “Hamstrings and Quadriceps Muscles Function in Subjects with Prior ACL Reconstruction Surgery,” J. Funct. Morphol. Kinesiol., vol. 3, no. 4, p. 56, Nov. 2018, doi: 10.3390/jfmk3040056.

T. F. M. A. Ali, A. Kuniawan, A. Setiowati, D. F. W. P. I. L. Zahroh, and Y. R. Khamdani, “Evaluasi Jumlah Sesi Program Rehabilitasi (Modality, Manual Therapy, Strength Training) Terhadap Knee Range of Motion (°) Pasien Post Operatif Rekonstruksi Cedera Anterior Cruciate Ligament (Acl) Di Klinik Olahraga Sppoi Eminence Jakarta,” pp. 9–25, 2019.

J. T. Cavanaugh and M. Powers, “ACL Rehabilitation Progression: Where Are We Now?,” Curr. Rev. Musculoskelet. Med., vol. 10, no. 3, pp. 289–296, Sep. 2017, doi: 10.1007/s12178-017-9426-3.

R. P. Kusuma and T. Fatmarizka, “Pengaruh Cryotherapy, Ultrasound dan Strengthening Exercise pada Post Rekonstruksi Anterior Cruciate Ligament Fase I: A Case Report,” J. Penelit. dan Pengabdi. Masy. Comserva, vol. 2, no. 3, pp. 217–225, 2022, doi: 10.36418/comserva.v2i2.243

How to Cite
Irianto, I., Wahab, B., Ainun, N., Sirenden, A., & Nuskin, G. (2023). Physiotherapy Management in Postoperative Anterior Cruciate Ligament. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 247-254.

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