An ACL tear is a very common knee injury. It can occur in athletes who play sports such as soccer, basketball and volleyball, and in people who work in physical jobs.
As for the treatment, there are surgical and non-surgical treatments for the injury.
Most people recover from an ACL rupture within six to nine months.
The anterior cruciate ligament is one of the main ligaments that stabilize the knee.
It is a strong cord-like structure in the center of the knee that extends from the femur to the tibia.
When this ligament is torn, it unfortunately does not heal and often leads to a feeling of instability in the knee.
ACL reconstruction is a commonly performed surgical procedure and with recent advances in laparoscopic surgery in Turkey minimal incisions and low complication rates can now be performed.
Advances in arthroscopic surgery have made it easier for surgeons to see and work on knee structures through small incisions.
The torn ligament repair can be done at the same time Arthroscopy Diagnostic with fewer surgical risks.
The surgery can usually be done as an outpatient procedure which means you may be discharged from the hospital to go home on the same day of the procedure.
What is an anterior cruciate ligament tear of the knee? How will you feel about it?
An ACL tear is damage to the anterior cruciate ligament (ACL) located in the middle of the knee.
The tear may be partial (a small ligament is torn) or complete (the ligament is torn in two).
If your ACL is torn, it will hurt. Your knee may "explode" (collapse or contract) and you may hear or feel a pop. Usually, upon injury, your knee will immediately begin to swell.
A ligament is what medical scientists call the tissue that connects bones or holds organs in place.
The word “frontal” means “toward the front of the body.” A cruciate means “the shape of a cross,” and in medical terms it refers to the two ligaments in your knee that make up the shape of a cross: the cruciate ligament in the front and the posterior cruciate ligament (PCL) in the back.
What is the anterior cruciate ligament (ACL)?
Your knees are made up of bones, ligaments, tendons, and cartilage.
The anterior cruciate ligament (ACL), located in the front center of the knee, connects the thigh bone to the shin bone (tibia). It is one of the four primary ligaments in your knee:
Anterior cruciate ligament (ACL).
Medial collateral ligament (MCL).
Lateral collateral ligament (LCL).
Posterior cruciate ligament (PCL).
The main function of the anterior cruciate ligament is to stop the forward movement and wrap the shin bone on the thigh bone.
What are the types of anterior cruciate ligament tears?
When you have a ligament tear, your doctor may grade the injury on a scale of one to three, with three being the most severe:
- First degree: Your ligament has been torn, but it is still working to stabilize the knee joint.
- Second degree: Your ligament is torn and buckled so that it is partially torn. (This breed is rare).
- Row 3: Your ligament is torn - and divided into two pieces. This is a very serious injury.
Anterior cruciate ligament ruptures are often accompanied by injuries to the collateral ligaments, joint capsule or meniscus (cartilage ligament).
How common are anterior cruciate ligament tears? Who are at risk?
An ACL rupture can happen to anyone at any age, but females are four times more likely to have an ACL rupture than males.
Experts still have to agree on why females are more susceptible.
Some believe this is due to different physical adaptation, neuromuscular control, or muscle strength. Others think it's due to a difference in pelvic and lower leg alignment, loose ligaments, or how estrogen affects a woman's ligaments.
Differences in how women jump and land can also be a factor.
Will you be able to walk with a torn ACL?
Some people feel settled enough to walk, as long as they do it slowly and carefully.
Others choose to use crutches if their knee "breaks".
Does an anterior cruciate ligament tear hurt?
Yes it hurts. You will feel pain and may hear or feel a pop when the injury occurs.
What happens if a child tears his anterior cruciate ligament?
As children and teens are still continuing to grow.
Anterior cruciate ligament reconstruction is a risk factor for growth plate injury, and this can lead to problems with bone growth.
Sometimes, the surgeon won't perform surgery on the ACL until the child is older and their bones are mature, and will use special techniques to avoid damage to the growth plate.
Symptoms and causes of anterior cruciate ligament rupture
What causes an anterior cruciate ligament rupture?
Most ACL tears are injuries that are not attached to the external media.
This means that it is not caused, for example, by another player kicking your knee. It can occur in many different ways, including when:
- Suddenly stop running.
- Slow down while running.
- Hurtful landing after jumping.
- Suddenly changing the direction of running, or doing a knee twist.
- Collision with another person, such as during a football overlap.
Sometimes other damage occurs with the rupture of the anterior cruciate ligament.
There may be damage to other parts of the knee such as other ligaments and/or cartilage (jelly-like connective tissue). 70% of people with an ACL rupture will have an injury to one or both of the meniscus (the knee pads that help protect the cartilage).
What are the signs and symptoms of anterior cruciate ligament rupture?
When the ACL is torn, you may feel or hear a pop in your knee, or it may feel like your knee has "drained." Other symptoms include:
- the pain.
- Swelling that begins immediately (but can begin four to six hours after injury) and lasts for two to four weeks.
- Loss of range of motion in your knee.
- Tenderness and fragility in the knee.
- Discomfort when walking.
Diagnostics and tests in Turkey
How is an anterior cruciate ligament injury diagnosed? What tests are performed in Turkey?
Part of the diagnostic process is to rule out other potential causes of knee pain. Your doctor may order an X-ray to make sure there is no broken bone. He or she will take a medical history and ask specific questions about knee pain. Then he will examine the affected knee and compare it to your other knee. This examination is very accurate in detecting a ruptured anterior cruciate ligament.
An MRI will likely be ordered. The MRI shows the ligaments, and the anterior cruciate ligament tear will be visible. However, this may not be necessary, as a comparison of the two knees may reveal a ligament tear.
What questions might a doctor ask to diagnose an ACL tear?
The questions asked by the doctor can be as follows:
- How did you hurt your knee?
- When did the injury occur?
- When did the swelling start?
- Which part of your knee hurts?
- Did you hear a sound when the injury occurred?
- Have you ever torn your anterior cruciate ligament (ACL)?
Management and treatment
What is the treatment of anterior cruciate ligament rupture?
Does RICE Treatment Immediately After Injury:
(Rest) R: Rest.
Ice I): Ice.
(Compression) C: pressure.
(Elevation) E: height.
The type of treatment you will receive is up to you.
Many people with an ACL rupture decide to have surgery so they can return to the activities they were doing before the injury.
If your activity level is not high, you may choose not to have surgery.
But keep in mind that a torn ACL won't heal on its own.
How to treat an anterior cruciate ligament rupture of the knee surgically in Turkey?
First, graft surgery. A torn ACL reconstruction is done by grafting a tendon (the tendons that attach muscles to bone) from your body, such as the hamstrings (from the back of the thigh) or the patellar/patella tendons (from the front of the patellar tendon).
Occasionally, a cadaver tendon (tendon from someone who has died and who has donated their body to science) may be used in older individuals who are still very active.
Cadaver tendons are not commonly used in young athletes due to the high rates of rupture.
Secondly Minimally invasive surgeryThis means that instead of making a large incision with a scalpel, the surgeon uses an arthroscope, a thin, wand-like instrument. The surgeon inserts the arthroscope and working tools through small incisions in your knee.
In the event of a delay in the ligament repair procedure, it may be necessary Knuckle change If the joint surface is severely eroded.
What happens after anterior cruciate ligament knee surgery?
After surgery, you'll need to keep your wound clean and dry.
You'll use ice to reduce swelling and pain. You can use a brace and crutches.
You'll receive physical therapy to strengthen your knee and the muscles around it.
For the first few days after surgery, you'll do light range of motion exercises, simple strengthening exercises and some weight lifting. Within the first week, physical therapy will begin, including advanced strengthening and balancing activities.
After about 12 to 16 weeks, if you're not an athlete, sports-specific activities are added to your rehabilitation program, such as jumping and agility training.
The athlete should be able to return to normal activity about six to nine months after ACL surgery.
When will I feel better after treatment? How long does it take for my body to heal?
Recovery from ACL surgery usually takes six to nine months.
Non-surgical treatment of anterior cruciate ligament rupture?
Non-surgical treatments include physical therapy and strengthening:
- Brace: Placing a brace around your knee helps stabilize it. You will have to use crutches so you don't put weight on that leg.
- Physical therapy: Exercises help work your knee and strengthen and support the leg muscles around it.
Keep in mind that if you choose not to have surgery, you are more likely to injure your knee again.
What are the complications of surgery?
- Infection: Infection is rare, but it can still pose a risk with any type of surgery.
- Knee stiffness is common after surgery, but physical therapy can help reduce this.
- Transmission of viruses: Receiving a graft from a dead body always comes with a risk of contracting diseases such as HIV and hepatitis C.
- Blood clot: A blood clot can be life-threatening, but it is rare.
A clot can break off into the bloodstream and cause a pulmonary embolism in the lungs or a stroke in the brain.
- Knee pain: This complication is common when patellar tendon grafts are used.
- Growth plate injury: Early anterior cruciate ligament reconstruction in a child or adolescent risks injury to the growth plate.
If possible, the surgeon will delay the procedure until skeletal growth is complete or use special techniques to avoid injuring the growth plate.
Can ACL injuries be prevented?
If you're an athlete, it may not be possible to completely eliminate ACL injuries, but different training techniques can reduce the risk of an ACL rupture.
If you play soccer, basketball, and volleyball, you should keep two things in mind in particular: how you take serious, quick steps to speed in another direction, and how you land on your feet from a jump or stride.
The jumping, landing, and spinning involved in these sports stress the anterior cruciate ligament of the knee—especially in female athletes. Starting a cut (or descending after a jump) can damage the ACL's ability to resist rotational forces.
Why are women more likely to have anterior cruciate ligament injuries?
Male and female athletes tend to differ in how they maneuver the jump or cut, which puts women at greater risk of injury.
Women tend to activate the quadriceps first, while men tend to activate the hamstrings first. This difference in activation may change the amount of pressure applied to the anterior cruciate ligament and other ligaments of the knee.
Additionally, after jumping, women tend to land with their knees closer than men. Athletes who land with their knees apart appear to be less likely to have an ACL injury.
Fatigue as a factor in anterior cruciate ligament injuries
Exhaustion is dangerous for athletes. Tired athletes are more likely to use poor mechanics. For example, they may land with their knees closer together. This is especially true when a tired athlete makes a split-second decision to take an unexpected move.
Can proper training help prevent injuries?
Studies show that training programs supervised by sports health professionals improve athletes' leg strength and jump and landing techniques.
Proper training reduces ACL injury rates in basketball, volleyball and soccer. Technologies that improve ACL safety can also improve performance, increase vertical jump height, acceleration, and the ability to change direction.
Nothing can completely prevent an ACL injury. But exploring their potential causes and maximizing prevention strategies can stop the rupture and its frustrating consequences.
Can anterior cruciate ligament rupture be treated?
With time, surgery, and physical therapy, you should be able to fully regain use of your knee within six to nine months after the procedure.
Will an ACL rupture happen again?
You can re-rupture the anterior cruciate ligament, yes. The risk or re-rupture is generally considered to be five to seven percent.
Can I live a normal life with an ACL rupture?
Yes, but it may take some time before you are completely back to how you were before the injury. Whether you choose to have surgery or not, with physical therapy you will eventually be back to normal and you will be able to live your life.
Is ACL rupture the 'career end' for athletes?
After surgery, physical therapy takes six to nine months before an athlete is ready to return.
By then, he will have no swelling or pain. But the full range of motion must be restored and all balance, strength, and stamina must be restored.
Most athletes return to their previous level of performance.
How do I take care of myself?
Follow your health care provider's instructions, including those of your physical therapist. Work hard at your physical therapy. Take medications as prescribed.
When should I see my doctor?
See your doctor right away if your knee is injured. He or she will need to evaluate the injury, reduce swelling, give you pain medication, and determine next steps.
What questions should I ask my doctor in Turkey?
- What are the pros and cons of surgery to repair an ACL tear?
- Do I have a partial anterior cruciate ligament tear, or is it torn in two?
- What medicines should I take?
- Do I need to see a specialist?
- Who is a good orthopedic surgeon?
- Should I consult a sports medicine specialist?
- When can I return to work/school?
- When can I have the surgery?
- How long do you expect recovery to take?
An ACL tear will only temporarily prevent you from working at your job or playing the sport you love.
Remember that your recovery depends on your choices: your choices to use crutches, whether or not to have surgery, to work hard with your physical therapy, and so on. It will be back to "normal" soon. you can communication With us to find out the best treatment methods for your condition.