Penatalaksanaan Fisioterapi Kasus Post ACL Reconstruction dan Meniscus Repair Fase II pada Atlet Basket di Ibest Physio Solobaru
(Studi Kasus)
DOI:
https://doi.org/10.57213/medlab.v5i2.599Abstract
Anterior Cruciate Ligament (ACL) injuries accompanied by meniscal tears often require Anterior Cruciate Ligament Reconstruction (ACLR) and meniscus repair. Postoperative conditions commonly involve pain, edema, limited range of motion (ROM), decreased patellar mobility, muscle weakness, and gait disturbances, requiring appropriate physiotherapy management. This study aimed to determine the outcomes of physiotherapy intervention in a patient following ACL reconstruction with meniscus repair. A descriptive case study was conducted on one patient receiving physiotherapy interventions, including Neuromuscular Electrical Muscle Stimulation (NMES), soft tissue release, cryotherapy, patellar mobilization, strengthening exercises, closed kinetic chain exercises, balance training, and proprioceptive exercises. Evaluation was performed at three stages (T0–T2) using the Numeric Rating Scale (NRS), edema assessment, goniometric ROM measurement, patellar mobility assessment, Manual Muscle Testing (MMT), and gait observation. The results showed a reduction in tenderness pain from 2 to 1 and movement pain from 4 to 3, decreased edema, improved active ROM from 0–0–110° to 0–0–118° and passive ROM from 0–0–115° to 0–0–123°, enhanced patellar mobility, increased hamstring strength from 4/5 to 4+/5, and improved gait stability with more symmetrical weight distribution. In conclusion, the physiotherapy program effectively reduced symptoms and improved knee function after ACL reconstruction with meniscus repair. Continued rehabilitation is recommended to achieve optimal recovery and safe return to activity.
References
Blanchard, E. R., Hadley, C. J., Wicks, E. D., Emper, W., & Cohen, S. B. (2020). Return to Play After Isolated Meniscal Repairs in Athletes: A Systematic Review. Orthopaedic Journal of Sports Medicine, 8(11), 1–11. https://doi.org/10.1177/2325967120962093
Brinlee, Dickenson, Giordano, H., & Mackler, S. (2022). ACL reconstruction rehabilitation: clinical data, biologic healing, and criterion based milestones to inform a return to sport guidline. Sport Health, 14(5).
Calanna, Duthon, & Menetrey. (2022). rehabilitation and return to sports after isolated meniscal repairs: a new evidance based protocol. Journal of Experimental Orthopedics, 9(1), 80.
Carty. (2022). A Structured Accelerated versus Control Rehabilitation Pathway After Anterior Cruciate Ligament Reconstruction Using Autologous Hamstrings Demonstrates Earlier Improvement in Physical Outcomes Without Increasing Graft Laxity: A Randomized Controlled Trial. Physical Therapy in Sport.
Culvenor. (2022). rehabilitation after anterior cruciate ligament and meniscal injuries: a best evidance synthesis of systematic reviews for the OPTIKNEE:consensus. British Journal of Sports Medicine.
D’ambrosi, R., Dahmen, J., Carrozzo, A., Sconfienza, L. M., Kittl, C., Herbst, E., & Fink, C. (2026). Return to sport after ACL reconstruction, meniscus and cartilage surgeries in professional soccer players: a systematic review and meta-analysis. Knee Surgery and Related Research, 38(1), 1–16. https://doi.org/10.1186/S43019-026-00304-W
Daszkiewicz, Lettner, & Lewandowski. (2026). effectiveness of cryotherapy in reducing swelling, pain, and blood loss, and improving range of motion during the early phase of rehabilitation after anterior cruciate logament reconstruction: a systematic review. Advances in Clinical and Experience.
F, H., M, L.-L., & M, L.-G. (2022). A systematic review and meta-analysis of strength recovery measured by isokinetic dynamometer technology after ACL reconstruction. International Journal of Environmental Research and Public Health.
Fan, J, Y., & Zhou. (2022). Delayed versus Accelerated Weight-bearing Rehabilitation Protocol Following Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis. Journal of Rehabilitation Medicine.
Fuadi D, HY, A., AW, S., & MY, L. (2023). Penatalaksanaan fisioterapi pada post-op rekonstruksi ACL dextra dengan patellar mobilization dan terapi latihan di Persija Jakarta. Indonesian Journal of Health Science.
Gerritsen, TJN, van der L., & P, van S. (2022). Higher healing rate after meniscal repair with concomitant ACL reconstruction for tears located in vascular zone 1 compared to zone 2: a systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy.
Glatte, Tummala, & Chhabra. (2022). anterior cruciate ligament reconstruction recovery and rehabilitation: a systematic review. Journal of Bone and Joint Surgery.
Irianto, I., Wahab, B., Fidia, A. S. I., Sari, T., Natsir, W. S., & Izzah, N. (2024). Pengaruh Intervensi Fisioterapi pada Kondisi Post Operasi Rekonstruksi Ligamen Anterior Cruciatum dan Meniscus : Laporan Kasus. Jurnal Fisioterapi Dan Rehabilitasi, 8(2), 180–185. https://doi.org/10.33660/jfrwhs.v8i2.391
JR, W., K, N., & A, A. (2022). Patellofemoral Contact Forces after ACL Reconstruction: A Longitudinal Study. Journal of Biomechanics.
Koc. (2022). Effect of Low-Load Blood Flow Restriction Training After Anterior Cruciate Ligament Reconstruction: A Systematic Review. International Journal of Sports Physical Therapy.
List, van der. (2022). A systematic review of anterior cruciate ligament primary repair rehabilitation. Journal of Clinical Orthopaedics and Trauma.
Monson, Tollefson, & LaPrade. (2025). current rehabilitation principles following meniscus repair. Current Reviews in Musculoskeletal Medicine.
Morato, A. G. D., Paramartha, I. M. E. A., & Wahyuni, N. W. S. (2023). Physiotherapy rehabilitation management on phase III of post-operative anterior cruciate ligament reconstruction with partial lateral meniscectomy: a case report. Kinesiology and Physiotherapy Comprehensive, 2(1), 9–19. https://doi.org/10.62004/kpc.v2i1.15
Stasi, D. (2023). Gait biomechanics after anterior cruciate ligament reconstruction: Current evidence and clinical implications. Sports Medicine, 53(6), 739–754.
Sugiyono. (2022). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: Alfabeta.
Syed Eirfan Atthar. (2026). International Conference on Emerging Markets (ICEM) 2026 AI-Enabled Digital Twins for Low-Carbon Logistics in Emerging Markets: A Human-Centric Framework for Cold-Chain Energy Efficiency and CBAM-Ready Supply Chains in India “A Human-Centric Framework for Energy-Efficient and Sustainable Cold-Chain Supply Chains.” International Journal of Research and Innovation in Social Science (IJRISS), 10(19), 41–57. https://doi.org/10.47772/IJRISS
Tsai, CM, J., & KA, H. (2022). Time, graft, sex, geographic location, and isokinetic speed influence the degree of quadriceps weakness after anterior cruciate ligament reconstruction: A systematic review and meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy.
Zavitri, L. K. (2022). Rehabilitasi Pasca Operasi Cedera Anterior Cruciate Ligament (ACL). Unram Medical Journal, 11(3), 1085–1093. https://doi.org/10.29303/jku.v11i3.767
Zhang, Beshay, Murphy, Sheean, & Sha, D. (2022). Quadriceps Tendon Anterior Cruciate Ligament reconstruction: A Systematic Review of Postoperative Rehabilitation and Complication Profiles. Arthroscopy, 38(6), 2062–2072.
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