Read the form carefully and ask questions if something is not clear. In addition to a complete medical history, your healthcare provider may perform a complete physical exam to ensure you are in good health before undergoing the procedure.
You may undergo blood tests or other diagnostic tests. Tell your healthcare provider if you are sensitive to or are allergic to any medicines, latex, tape, and anesthetic agents local and general.
Tell your healthcare provider of all medicines prescribed and over-the-counter and herbal supplements that you are taking. Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any anticoagulant blood-thinning medicines, aspirin, or other medicines that affect blood clotting. It may be necessary for you to stop these medicines before the procedure.
If you are pregnant or suspect that you are pregnant, you should notify your healthcare provider. You may receive a sedative prior to the procedure to help you relax. Because the sedative may make you drowsy, you will need to arrange for some to drive you home. Arrange for someone to help around the house for a week or two after you are discharged from the hospital. Based on your medical condition, your healthcare provider may request other specific preparation. One to two times per month, Virtual Advisors receive a link to short, interactive surveys.
All responses are confidential. Knee ligament repair may be performed on an outpatient basis or rarely as part of your stay in a hospital. Knee ligament repair may be performed while you are asleep under general anesthesia, or while you are awake under spinal anesthesia. If spinal anesthesia is used, you will have no feeling from your waist down.
Your healthcare provider will discuss this with you in advance. The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. The healthcare provider will perform the surgery using an arthroscope a small tube-shaped instrument that is inserted into a joint. The healthcare provider may reattach the torn ligament or reconstruct the torn ligament by using a portion graft of the patellar tendon that connects the kneecap to the tibia , the hamstring tendon from the back of the thigh , or other autografts.
The healthcare provider will drill small holes in the tibia and femur where the torn ligament was attached. The healthcare provider will thread the graft through the holes and attach it with surgical staples, screws, or other means. Bone eventually grows around the graft. An individual approach to repairing ACL damage works best for Dr. After the surgery you will be taken to the recovery room for observation. Your recovery process will vary depending on the type of anesthesia that is given.
Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room or discharged to your home. The four main ligaments in the knee connect the femur thighbone to the tibia shin bone , and include the following: Anterior cruciate ligament ACL. How are cruciate ligaments injured? What are the symptoms of a cruciate ligament injury? How are collateral ligaments injured?
What are the symptoms of a collateral ligament injury? Follow these five tips from sports medicine expert Dr. Andrew Cosgarea to avoid getting hurt. Read More. How is a knee ligament injury diagnosed? In addition to a complete medical history and physical examination, diagnostic procedures for a knee ligament injury may include the following: X-ray. Read more. Treatment for knee ligament injuries Specific treatment for a knee ligament injury will be determined by your doctor based on: Your age Your overall health and medical history How bad your injury is How well you can tolerate specific medications, procedures, and therapies How long it may take for your injury to heal Your opinion or preference Treatment may include: Medication such as ibuprofen Muscle-strengthening exercises Protective knee brace for use during exercise Ice pack application to reduce swelling Surgery.
The two cruciate ligaments in your knee—your ACL and PCL—work to control the backward and forward movement of your knee joint. The lateral collateral ligament is located on the outside of the knee joint, and it connects your femur to your fibula a lower-leg bone that is smaller than the tibia.
LCL injuries often occur as a result of a blow or hit to the inside of the knee, which pushes the knee outward. Symptoms may include pain located on the outside of the knee, along with swelling and knee instability feeling like the knee is "giving out".
The medial collateral ligament is located on the inside of the knee joint, and it connects the femur to your tibia. Injury to the MCL often occurs when the knee suffers a blow or hit to the outside, pushing it inward.
Symptoms are similar to LCL injuries, but the pain and swelling are located on the inside of the knee, not the outside. The anterior cruciate ligament runs diagonally down the middle of the knee and connects the femur to the tibia.
This ligament prevents your shinbone from sliding too far forward during running, hopping, and activities that involve changing direction quickly cutting.
ACL stretches and tears either partial or complete are one of the most common injuries to the knee. While most ACL injuries are non-contact injuries that occur from landing on the leg funny or an abnormal twist, sustaining a direct hit to the knee may also result in an ACL injury.
After injuring their ACL, a person may hear a sudden "pop" and feel their knee buckling or giving way. Interestingly, females are more likely to suffer from an ACL injury than males. Research suggests this may be due to a number of factors—differences in strength and stiffness of the knee muscles, neuromuscular control, and collagen concentration due to estrogen , to name a few.
The posterior cruciate ligament is the strongest and largest ligament in the knee. It runs diagonally down the back of your knee, connecting your femur to your tibia. PCL injuries are produced by some sort of external trauma, such as a "dashboard injury" in which a person hits their flexed knee against the dashboard during a motor vehicle accident.
A direct blow to the front of the shinbone or a fall onto your knee with your foot pointing down can also cause a PCL injury.
The sports most commonly associated with PCL injuries are football, soccer, rugby, and skiing. The treatment of your knee ligament injury depends on the degree of the injury and what specific ligament is injured. For example, torn MCLs often do not require surgery. Many ACL tears do not require surgery either. Everyday activities like walking and jogging do not require an intact ACL. ACL repair is recommended if an individual has the sensation that their knee is unstable, or if they are looking to return to athletic activity that involves side-to-side motion.
The ligament of Wrisberg runs between the posterior horn of the lateral meniscus see the section on menisci later in this chapter and the posterior aspect of the medial condyle of the femur. On the anterior side of the knee, running between the apex of the patella and the tibial tuberosity, is the patellar ligament figures Because the patella is embedded in the patellar tendon, some anatomists consider this structure to be an extension of the quadriceps femoris tendon of insertion.
Others, however, label this structure the patellar ligament because it ties bone to bone patella to tibia. In this text, the structure is known as the patellar ligament. Even though some anatomists hold that the quadriceps tendon inserts on the tibial tuberosity, the simple approach is that the quadriceps muscles attach to the patella and the patella attaches to the tibial tuberosity via the patellar ligament.
Two additional ligaments of the knee joint are unique in that they do not tie bone to bone, the normal function of ligaments. The coronary ligament , actually a portion of the capsular ligament, is responsible for connecting the outer edges of the menisci see the next section to the proximal end of the tibia see figure The transverse ligament runs between the anterior horns of the medial and lateral menisci figure This ligament prevents the anterior horn of each meniscus from moving forward when the knee joint moves into extension and the condylar surfaces of both the femur and the tibia exert pressure on the menisci.
Home Excerpts Many ligaments make up knee's structure. Hands On As you sit in a chair, place the ankle of one leg on top of the other leg's knee joint.
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