Knee Surgery

Anterior Cruciate Ligament Injury

Anterior cruciate ligament injuries

What is the anterior cruciate ligament?

The anterior cruciate ligament is a medial collateral ligament that lateral collateral ligament and posterior cruciate ligament provides stability with the index. Collateral ligaments and sideways next to the stabilities of the directory are responsible for the interior and exterior. Anterior and posterior cruciate ligament in the directory with the upper end of the thigh bone of the lower end of the femur bone are emplaced in crosses to each other. The anterior cruciate ligament, prevent the movement of the index over the lower part of the stand, while the lower part of the posterior cruciate ligament directory provides stability as a barrier to return.

How is the anterior cruciate ligament injuries?

Anterior cruciate ligament injuries are common between the ages of 15-44. While a person with a very large sports injury cases, direct impact, as can be seen in a traffic accident caused lesser extent. Rupture of the anterior cruciate ligament, knee rotation force is imposed by the fact that when the foot is fixed in place. Anterior cruciate ligament tears are swelling and severe pain in the knee. Diagnosis is made by physical examination and MRI. Swelling of the knee was bleeding knees syringe is emptied.

How to anterior cruciate ligament injuries treated?

First of all, the sport should be left in a splint or bandage knee and resting bought ice should be fixed. Besides physical examination and diagnosis of rupture of the anterior cruciate ligament with MRI study may be useful. Anterior cruciate ligament injuries are successfully treated with arthroscopic surgery today. The most important element of the anterior cruciate ligament repair in the bond rupture, the torn ligament with a new bond sew is done. Therefore, the process is called arthroscopic anterior cruciate ligament reconstruction process. Anterior cruciate ligament rupture in young, active patients who do sports are treated with arthroscopic surgery. In this way, the feeling of patient discharge will be in the future, as a result of loss of stability, and they develop in the knee meniscus tears in the cartilage of the knee joint and is intended to prevent calcification. For patients over the age of 45 to 50 decreased activity level rather than arthroscopic anterior cruciate ligament repair is preferable to physical therapy practice in this age group.

How arthroscopic anterior cruciate ligament repaired?

In arthroscopic anterior cruciate ligament operation, the first transaction with a torn anterior cruciate ligament residue from arthroscopic surgery is performed. Reconstruction of the anterior cruciate ligament, First – from cadaver bone-tendon-bone allograft composed of connective tissues in the front of the knee with complex or from the patient’s own knee in front of the open surgery with bone-tendon-bone autograft complex bond, Second – the hamstring muscles in the back of the patient’s knee tendons use of autograft. Our method that we use is, using of the patient’s own hamstring tendons. After being used for arthroscopic reconstruction of the anterior cruciate ligament connects the supply tunnels in the directory is opened and the bones of the upper and lower part of the special bond passed through these tunnels screw or bone implants is determined by the desired tension.

Is arthroscopic repair of the anterior cruciate ligament must be hospitalized for several days?

Patients stays in the hospital for 1-2 days after arthroscopic anterior cruciate ligament injury . Patients with post-operative exercises lifted up and start the same day or the next day. Second and third physical therapy days are planned. Patients tolerated with crutches after surgery lifted up as much as they walk by the load. Patients use crutches for a period of 2-3 weeks.

When I’ll be back to work after arthroscopic anterior cruciate ligament reconstruction?

Patients with more than 3 weeks with a knee brace and use it like 10 to 15, can return to work a desk job.

When all the sport activieties could be done after arthroscopic repair of the anterior cruciate ligament ?

To return all active sports and sports is 6-9 months, depending on individual factors.

About the author

Prof.Dr. Seref Aktas