Anterior cruciate ligament
The rupture of the anterior cruciate ligament is an injury that significantly reduces the quality of life. To preserve the functions of the knee joint, restoration of the integrity of the ligament is important. For this, an arthroscopic operation is performed.
With the help of special tools under the control of optics with a high increase, the orthopedist traumatologist conducts plasticity of the anterior cruciate ligament, performs a resection or stitching of meniscus, restoring the biomechanics of the knee joint.
Arthroscopes with high-quality optics Miniature surgical instruments
Clinical analysis of blood and urine Radiography of the knee joint Magnetic resonance imaging (MRI) Consultation with a therapist and specialized specialists, such as an orthopedic traumatologist and an anesthesiologist
On the day of the operation, the patient is hospitalized in the morning, and laryngeal mask anesthesia is performed. A camera with instruments is inserted into the joint through micro-injections, with the help of which the condition of the internal structures of the joint is assessed, the damaged ligament is treated, and its integrity is restored. Plastic surgery is performed by replacing the damaged part of the ligament with its own collagen tissue taken from the tendon of the long fibular muscle or semi-tendon muscle. The operation lasts an average of 60-90 minutes.
For the first 3 weeks, the knee joint is fixed in the orthosis. Then therapeutic gymnastics and physiotherapy (magnetotherapy, UVT, kinesiotaping, massage) are performed with a gradual increase in the volume of movements and muscle strengthening under the supervision of a rehabilitation specialist. Full recovery to athletic loads takes 6-7 months.
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Doctor of Medical Sciences, Associate Professor at the Department of Traumatology and Orthopedics of the RUDN. Head of the Center for Arthroscopy and minimally invasive surgery of the joints of the upper and lower extremities.
Orthopedic traumatologist for children
Indications and contraindications
Indications
The instability of the knee joint
damage or ruptures of the knee ligament
Full separation of the anterior cruciate ligament
Damage to all fibers of cross -shaped fabric
Young age
traumatic damage with active physical exertion
Inefficiency of conservative treatment
The effect can be short -term and unstable.
High requirements for the musculoskeletal system
certain sports that make high requirements for the functioning of the musculoskeletal system
Unsuccessfully conducted plastic of the front cross -shaped ligament
Previously incorrect reconstruction
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