We performed physical therapy on a patient who had undergone simultaneous reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) for compound knee ligament injury. The physical therapy program was designed based on Tooyama's concept published in 1996 and our own regimens for postoperative therapy for separate ACL and PCL reconstructions.The results of our physical therapy were as follows: In four months after the surgery, the range of knee motion had been fully recovered. In 16 months postoperatively, the knee ligament had become stable. Knee extention strength had been restored 87% and its flexion strength 103%. The functional ability test found that knee performance was good.Worthy of note were the following three main features of this physical therapy: (1) To minimize stress on ligament until the minimum recovery level of recovery is expected after reconstruction, muscular workout to make quadriceps and hamstrings contracted simultaneiusly was performed so as not to induce contractions of only hamstrings; (2) We kept the chief physician posted on the recovery status of the knee motion range since mobilized arthroscopy might have been required because of knee contracture; (3) Knee coodination training was performed to enhance knee functional ability.
Knee ; Physical Therapy (Specialty) ; Ligaments ; Injury inflicted to the body by an external force ; Adenohypophyseal Diseases

We report a rare case of left axillary artery injury associated with anterior dislocation of the left shoulder in a 25 yrs old male as a result of a road traffic accident. The shoulder dislocation was reduced. A left upper limb angiogram showed an obstructed left axillary artery. The obstructed segment was surgically reconstructed with a Dacron graft. Six months post operation in follow up, he was found to have good left shoulder function and no neurovascular deficit. This is an injury that could have been easily missed without a simple clinical examination.
Shoulder ; Arteries ; Adenohypophyseal Diseases ; Injury inflicted to the body by an external force ; Nerve injury, NOS