**6. Conclusions**

Knee dislocation is quite a rare injury and therefore the choice of the treatment method raises many doubts. The choice of the method has an effect on the therapeutic treatment. The questions concerning the effectiveness of PCL reconstruction have been often raised among the authors of other studies due to frequent complications following the intervention. In our case, due to the age and athletic lifestyle of the patients, the necessity of restoring a complete stabilization apparatus seemed to be indisputable. A two-stage reconstruction allowed for different therapies following PCL and ACL reconstructions. Much attention was devoted to protecting of the PCL graft. The significant role in preventing complications was played by wearing an orthosis. The orthosis that pushed the lower limb forward (Jack PCL) following the injury and anterior cruciate ligament reconstruction seems to be necessary during therapeutic procedure: in certain private clinics, patients are refused to undergo the intervention until the orthosis is prepared. After completion of rehabilitation, the doctor evaluated the joint as stable in anterior-posterior direction (negative Lachman test, drawer test) with the first degree lateral instability. The patient was further recommended to gradually increase the load during training, care for maintaining muscle balance, perform exercises correctly, and continuously work to improve proprioception. The histological examinations demonstrated that the period of graft remodeling is 3 years and proprioception should be constantly stimulated in this period [16]. The power tests were expected to additionally evaluate the rehabilitation and point to the potential changes in the procedure (greater emphasis on strengthening of the limb following the periods of immobilization).

**47**

**Author details**

Katowice, Poland

Education, Katowice, Poland

, Robert Trybulski<sup>2</sup>

of Physical Education, Katowice, Poland

provided the original work is properly cited.

, Artur Gołaś3

1 Department of Physiological and Medical Sciences, The Jerzy Kukuczka Academy

2 Department of Medical Sciences, The Wojciech Korfanty School of Economics,

© 2019 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

3 Department of Sport Training, The Jerzy Kukuczka Academy of Physical

\*Address all correspondence to: a.zebrowska@awf.katowice.pl

and Aleksandra Żebrowska1

\*

Olga Łakomy1

*Knee Dislocation: Comprehensive Rehabilitation Program after Two-Stage Ligament…*

At the moment of the examinations, the subjective evaluation of the patient concerning joint functioning was positive, with the patient returning to full activity from the period before the accident. However, in order to fully confirm the positive final outcome of the used therapy, the examination with the evaluation of stability should be repeated after 5 and then after 10 years after rehabilitation is completed. It can be only stated that nowadays, the results of the tests with no pain symptoms and the lack of such symptoms during performance of the activities of daily living

*DOI: http://dx.doi.org/10.5772/intechopen.89649*

represent a good prognosis for a fast recovery.

*Knee Dislocation: Comprehensive Rehabilitation Program after Two-Stage Ligament… DOI: http://dx.doi.org/10.5772/intechopen.89649*

At the moment of the examinations, the subjective evaluation of the patient concerning joint functioning was positive, with the patient returning to full activity from the period before the accident. However, in order to fully confirm the positive final outcome of the used therapy, the examination with the evaluation of stability should be repeated after 5 and then after 10 years after rehabilitation is completed. It can be only stated that nowadays, the results of the tests with no pain symptoms and the lack of such symptoms during performance of the activities of daily living represent a good prognosis for a fast recovery.
