Anterior cruciate ligament

During the initial consultation, an orthopedic traumatologist conducts a clinical examination of the patient and special tests, evaluates the volume of movements. Complex examinations are prescribed, which include instrumental diagnostics (radiography, MRI). Depending on the degree of rupture (partial/ complete rupture) of the ligament, the possible presence of rupture of the meniscus, the doctor will select the tactics of treatment. Indications for surgery on the knee joint are determined only by a doctor after an objective diagnosis with visualization of structures of the anatomical region. If necessary, surgical intervention begins to prepare for a planned operation. The patient is directed to a comprehensive preoperative examination, laboratory diagnostics. A few days before the planned date of the operation based on the results of the examination, the patient meets an anesthesiologist for the individual selection of anesthesia.

Hospitalization takes place in the morning on the day of the operation. The last intake of water, solid food should be at least 6 hours before planned surgery. As a rule, laryrgeal mask anesthesia is used to perform the operation on the meniscus.Arthroscopy regarding the rupture of the anterior cruciate ligament in Olympus clinics is carried out in a modern operating room, which is equipped according to world standards with a laminar air flow. The work uses high -tech equipment, which allows you to carry out minimally invasive interventions on various joints without using large incisions of soft tissues. The visual control is provided by an arthroscope, which displays the image of the operated zone in a 40-60-fold increase to ensure maximum accuracy of the work.The operation lasts an average of 60 to 90 minutes. A camera with instruments is introduced through the micro -ropens in the joint, with which the condition of the internal structures of the joint is evaluated, plastic of the anterior cruciate ligament is performed. Plastic is carried out by replacing the damaged ligament with an autotransplant (from the patient’s own tendons), formed in several bundles.After surgery, the patient is transferred to the wake -up ward, where medical personnel are watching his condition. Arthroscopic techniques significantly reduce the time of inpatient stay. The patient is discharged on the second day after the operation.

After the operation, the patient receives his appointments and recommendations of the attending physician, a rehabilitologist. The seams are removed after 2 weeks, until that moment it is necessary to be careful during hygiene procedures and not to wet the knee joint. Recovery after planned arthroscopic plasticity of the anterior cruciate ligament is gradually due to the installation of an autotransplant. The first 3 weeks, the knee joint is fixed in a special orthosis. Then, therapeutic gymnastics, physiotherapeutic procedures (magnetotherapy, UVT, kinesiotherapy, massage) with a gradual increase in the volume of movements and the strengthening of muscles under the control of a rehabilitologist are carried out. Return to sports loads after the operation is possible 6-7 months after the operation.