Identification and management of venous thromboembolism in a patient following anterior cruciate ligament reconstruction: a case report
Todd E. Davenport: 0000-0001-5772-7727
Orthopaedic Physical Therapy Practice
Background: Venous thromboembolism may be an under-appreciated complication of arthroscopic orthopaedic procedures in the rehabilitation setting. The purpose of this case report is to describe the physical therapist’s role in identifying and managing venous thromboembolism (VTE) alongside rehabilitation following anterior cruciate ligament reconstruction (ACLR). Case Description: The patient was a 40-yearold male who presented to physical therapy following right knee arthroscopic ACLR and medial/lateral meniscectomy. Approximately 2 weeks post operatively, he developed bilateral lower extremity deep vein thromboses (DVTs). The patient received manual therapy, exercise, and education regarding DVT. Outcome: The patient was discharged after 43 visits over 7 months. The patient’s Focus On Therapeutic Outcomes (FOTO) score improved from 30 to 85 out of 100. The patient had no recurrent DVT or development of further complications over the final seven months of treatment. Discussion: This case report highlights important considerations for the identification and management of DVT during rehabilitation following ACLR. Clinical Relevance: Physical therapists should use validated tools to screen for DVT in patients following ACLR and integrate DVT management alongside ACLR rehabilitation as indicated.
Davenport, T. E.
Identification and management of venous thromboembolism in a patient following anterior cruciate ligament reconstruction: a case report.
Orthopaedic Physical Therapy Practice, 35(1), 8–12.