How to operate on ligament damage

Written by Wang Jing
Pediatric Orthopedics
Updated on September 15, 2024
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Ligament injuries that affect joint stability require surgery, and different locations necessitate different surgical methods. Generally, for ligaments within a joint, such as the anterior cruciate ligament or the posterior cruciate ligament of the knee, reconstruction is performed using either autografts, allografts, or synthetic tendons to replace the original damaged ligaments. For ligaments outside of a joint, such as the medial collateral ligament, lateral collateral ligament of the knee, or the anterior talofibular ligament of the ankle, if the joint stability is compromised, suturing is generally performed during the acute phase. For chronic, long-standing injuries that affect joint stability, reconstruction is usually necessary, also using autografts, allografts, or synthetic tendons to substitute their function.

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Written by Wang Jing
Pediatric Orthopedics
1min 13sec home-news-image

What medicine is good for ligament injury?

Ligament injuries first require assessment of whether the damage is acute or chronic before considering medications. For acute ligament injuries, there are key principles to follow. First, the injured area must rest and the joint should no longer be active. Second, immediately apply cold compresses. The temperature of the ice-water mixture touching the skin should be between 4℃ to 10℃. Apply the cold compress for about 10 to 15 minutes, generally not exceeding 20 minutes. If there is severe swelling, you can continue to apply cold compresses two hours later. Then, elevate the patient's limb and apply compression bandaging to the injured site, which forms the treatment principles for acute ligament injuries. For chronic ligament injuries, different situations require different approaches. For ligament injuries that do not affect joint stability, some topical medications can be used. This can include traditional Chinese medicines or anti-inflammatory and analgesic patches, which mainly improve local blood circulation and reduce local chronic inflammation. (Please use medications under the guidance of a doctor.)

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Written by Wang Cheng Lin
Orthopedics
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Symptoms of fibular ligament injury

The symptoms of fibular ligament damage include, first, pain, especially noticeable tenderness or pain around the fibula when bearing weight, which can further affect weight-bearing walking. Second, swelling can occur, particularly after prolonged weight-bearing walking, leading to localized swelling that gradually subsides with rest. Third, joint instability can also occur as the stability of the entire joint deteriorates after ligament damage, resulting in instability during prolonged weight-bearing activities, and in severe cases, affecting joint mobility and damaging the joint cartilage.

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Written by Wang Jing
Pediatric Orthopedics
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What foods to eat for ligament damage

After a ligament injury, there often is bleeding at the site of the injury, which can lead to swelling, pain, and other issues. From a Western medicine perspective, there are no special dietary requirements; generally, one can follow their usual diet prior to the injury. However, if you had a preference for very salty or spicy foods before the injury, it is recommended to avoid overly spicy and salty foods afterwards. It may be beneficial to eat foods rich in vitamin C and high-quality proteins to potentially aid in wound healing.

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Written by Na Hong Wei
Orthopedics
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How to treat patellar ligament injury?

First, it is necessary to qualitatively assess the injury of the patellar ligament, determining whether it is a partial or complete rupture, whether it is a simple rupture, or a compound rupture, the latter involving other injuries such as fractures or joint dislocations. The treatment of patellar ligament injuries, like other tendon injuries, follows the principle of "three earlies": early diagnosis, early treatment, and early rehabilitation. Early diagnosis has been mentioned before. Early treatment means that if surgery is needed, it should be conducted as soon as possible, as earlier surgeries often result in better postoperative recoveries. If surgery is not required, an immediate fixation with a cast or brace should be applied to keep the knee joint in an extended position, and this fixation should be maintained for three to four weeks. The third step is early rehabilitation. As the knee joint is immobilized during the fixation period, and pain and swelling starts to decrease, early functional exercises should be initiated, focusing on distal joint movement and muscular isotonic exercises, but avoiding flexion and extension movements of the knee joint. Early rehabilitation primarily aims to prevent muscle atrophy, prevent joint adhesion, and promote recovery from the condition.

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Written by Wang Jing
Pediatric Orthopedics
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What are the symptoms of ligament injury?

Ligament injuries may exhibit different symptoms depending on whether they are acute or chronic. Acute ligament injuries generally occur within one to three days after the injury. At this time, the main symptoms are caused by blood drawn from the injured ligament, leading to swelling, bruising, pain, and corresponding joint movement disorders at the injured site. Severe ligament injuries can even cause avulsion fractures. Chronic ligament injuries usually result from acute injuries that have not been properly treated. At this point, the main issues are joint instability and pain in the joint caused by long-term damage to the cartilage.