Cruciate ligament rupture -
Causes and treatment options
The knee joint is stabilised and moved into position by ligaments and tendons. In this respect, the cruciate ligaments, which cross over and pull through the middle of the knee joint, have a central role. They ensure the mechanical stability of the knee joint for the back and forth motion as well as stability when turning. These ligaments are particularly susceptible to strains including complete cruciate ligament ruptures in sports accidents.
A cruciate ligament rupture involves the dangerous destabilisation of the knee joint: Cruciate ligament ruptures stand out due to the unnatural mobility of the lower leg to the front or back, the so-called „anterior drawer“ and „posterior drawer“. The rotation of the knee joint is also altered: If one of the cruciate ligaments is missing, the rotation axis is no longer in the middle of the knee, which causes sliding movements with increased pressure and damage to the cartilage and meniscus.
In addition to the examination of these symptoms of a cruciate ligament rupture, it is also checked in the context of the diagnosis whether nerves and/or blood vessels were also damaged during the accident. X-ray and MRI provide a further insight. The therapy depends primarily on whether a vascular injury necessitates immediate operative treatment.
If this is not necessary, then the cruciate ligament revision can take place approx. 7-14 days after the accident. This has the advantage that a minimally invasive arthroscopic cruciate ligament operation is possible after the reduction of swelling. In the process, depending on the type and severity of the injury, a method is selected to reconstruct the torn cruciate ligament. Such treatment can be carried out as an outpatient procedure or during a short hospital stay.
In such cases, rehabilitation is much faster than for traditional open knee surgery. You should only return to intensive physical training under the supervision of your surgeon. It is quite realistic that one can participate in light sporting activities again with certain restrictions after 6-8 weeks.
Treatment without OP through immobilisation and targeted muscle development is primarily used for older patients.
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