Knee Replacement Explained: What Patients Should Know
Overview:
You might need reconstructive surgery if you tear the
anterior cruciate ligament (ACL) in your knee. At the knee joint, the ACL is a
tough band of tissue that connects the thigh bone to the shin bone. It provides
stability to the knee joint by running diagonally through the inside of the
knee. Additionally, it aids in controlling the lower leg's back-and-forth
movement.
Knee injuries caused by sports like skiing, tennis, squash,
football, and rugby can result in ACL injuries. A very common knee injury is an
ACL tear.
If your lower leg extends too far forward, you could tear
your ACL. If your knee and lower leg are twisted, they can also tear.
Common causes of ACL injuries:
Incorrectly landing from a jump, abruptly stopping, changing
direction, or colliding, such as during a football tackle, If the ACL is torn,
your knee may become extremely unstable and lose its full range of motion.
Certain actions, like turning on the spot, may be
challenging as a result. You might not be able to play some sports.
Deciding whether or not to undergo surgery The extent of
your ACL damage, whether or not there is additional damage to your knee, and
whether or not your quality of life is affected will all influence your
decision to undergo knee surgery.
You may choose not to have ACL surgery if you live an active
lifestyle and your knee feels stable.
However, if your knee gives way or becomes unstable,
delaying surgery could cause additional damage.
After the swelling subsides, your doctor will discuss your
options with you and determine if surgery is necessary, as well as whether rest
and physical therapy have helped alleviate your symptoms.
Find out more about making the surgical decision:
Before having surgery, you may need to wait until your knee
regains its full range of motion and any swelling has subsided before having
ACL surgery.
Additionally, you may need to wait until the hamstrings and
quadriceps muscles at the front and back of your thighs are as strong as they
can be. Recovery will be more difficult if your knee does not have its full
range of motion before surgery. The full range of motion is unlikely to return
for at least three weeks after the injury.
Physiotherapy may be recommended to you before surgery to
help you regain your knee's full range of motion. You might be shown some
stretches that you can do at home to keep your leg flexible by your
physiotherapist. They might also suggest low-impact workouts like cycling or
swimming for fitness. For guidance, go to the charity Cycling UK's website.
Without putting too much stress on your knee, these kinds of
activities will help you strengthen your muscles. You should not participate in
any sports or activities that require you to twist, turn, or jump.
Find out more about getting ready for ACL surgery:
Surgery to reconstruct the ACL A torn ACL cannot be repaired
by stitching it back together, but it can be reconstructed by grafting new
tissue onto it. By replacing the torn ligament with a tendon from another part
of the leg, like the hamstring or patellar tendon, the ACL can be
reconstructed.
The patella (bottom of the kneecap) and the tibia (top of
the shinbone) are connected by the patellar tendon. Find out more about the
procedure for ACL reconstructive surgery here. Risks of ACL surgery in more
than 80% of cases, ACL surgery completely restores knee function.
However, your knee might not be as good as it was before the
injury, and you might still be experiencing some pain and swelling. This could
be because of other knee injuries, like tears or damage to the cartilage, that
happened before or after the ACL injury.
Knee surgery carries a small risk of infection, a blood
clot, knee pain, and weakness and stiffness in the knee, as with all surgical
procedures.
Learn more about ACL surgery's risks:
After surgery, recovery Some people may still experience
knee pain or instability after reconstructive ACL surgery. Recovery from
surgery typically takes six months, but it could take up to a year before you
can resume full sports training.
The knee is made up of three bones that meet:
four ligaments connect the thigh bone (femur),
the shin bone (tibia), and the kneecap (patella). There are two collateral
ligaments on each side of the knee and two cruciate ligaments inside the knee. Ligaments
are tough connective tissue bands. The ligaments in the knee help keep the knee
stable and hold the bones together.
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