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Saturday, September 19, 2009

Methods for Treating ACL Injury

By Dr. Richard Edelson

The anterior cruciate ligament (ACL) is located around your knee. It prevents the shin bone from moving forward over the thigh bone. If it tears, it can be instantly painful and can lead to structural damage.

If your ACL (anterior cruciate ligament) is torn, your knee might give out when you are physically active. This is a danger in itself. If it happens too often, your cartilage will be damaged, and you will experience early arthritis.

Fortunately, damaged ligaments can be replaced. ACL reconstructive surgery replaces your old anterior cruciate ligament with a new one. This new ligament could come from you (autograft) or from a cadaver (allograft).

If you decide to use an autograft, the tissue will probably come from your hamstring or the front of your knee (your patellar tendon).

Both types of grafts are good. There are different pluses and minuses to each. Be sure to discuss these with your doctor.

Click here for more on ACL injury .

ACL Reconstruction is usually done under general anesthesia using arthroscopy.

Arthroscopy allows your surgeon to see the interior of your knee via a tiny camera inserted through a poke-hole. This allows your surgeon to see, not only the torn ACL , but also any other problems you may be having with your knee. These problems can be addressed during your ACL reconstruction.

If you are using an autograft, there will be one large incision (also called an open incision) made to remove this tissue. Additionally, your surgeon will access the areas to be worked on via several small incisions around the knee. These will be used to place your new ligament. Your old ligament will be removed, then the surgeon will make bone tunnels to place the new ligament in the same position as the old one. The new ligament will be secured with surgical fasteners such as screws.

When your surgery is done and your incisions have been closed, your knee will be bandaged, and you will be given time to recover from your anesthesia. At this time, you may be able to see the video of your surgery and confer with your surgeon on his or her findings and any concerns or questions you may have in mind. - 17273

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