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 Na Hong Wei
Orthopedics
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What should I do if the patellar ligament is injured?

Once a patellar ligament injury occurs, the first step is to immobilize the area; stop all activities to prevent further damage and secondary injuries. Secondly, apply ice. The initial ice application should last from half an hour to an hour, applied directly to the injured patellar ligament. Thirdly, bandage to immobilize the area, primarily using an elastic bandage and cotton padding to compress the knee joint. This can help stop bleeding and limit swelling. Fourth, elevate the injured limb to at least 30 degrees above the level of the heart. After these measures, it's necessary to go to the hospital for further examination including physical assessments by a doctor, X-rays, or an MRI to fully understand the extent of the ligament damage. If there is a partial tear of the ligament without complete discontinuity, conservative treatment such as casting or bracing can be effective, typically for three to four weeks. However, if the ligament is completely torn and surgery is clearly indicated, surgical treatment should be followed by the use of a brace for six weeks. Thus, proper early management of a patellar ligament injury is crucial, followed by hospital evaluation. Additionally, since patellar ligament injuries often coincide with fractures or damage to other structures such as the meniscus or cruciate ligaments, these factors cannot be overlooked.

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Written by Wang Jing
Pediatric Orthopedics
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Can a ligament injury cause the knee to make noise?

Whether the knee will make noise after ligament damage depends on the condition of the ligament damage. If it is an anterior cruciate ligament injury, generally the knee will not make noise. However, if the anterior cruciate ligament injury is combined with damage to the meniscus or cartilage, forming loose bodies, popping noises in the knee joint can occur. If there is damage to the medial or lateral collateral ligaments of the knee joint, which causes instability in the knee joint, this can also lead to popping sounds. If instability of the patella is caused by damage to the patellar ligament of the knee joint, changes in the alignment of the patellar joint during movement can also cause popping noises in the knee joint.

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Written by Li Jin
Orthopedics
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Can I walk if the ligament injury has been a month old?

If you can walk with a ligament rupture, it generally takes about four to six weeks. Ligament rupture usually requires surgical treatment because it can cause dysfunction of joint mobility, so it is mainly treated through surgical repair. Post-surgery, it generally requires immobilization and rest for about four to six weeks. During this time, under the guidance of a physician or physiotherapist, appropriate functional exercises should be performed. Normally, it takes more than four to six weeks to resume regular activities. Beginning functional rehabilitation exercises as soon as possible can help prevent complications such as joint stiffness and tendon adhesion, and promote recovery of function.

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Written by Wang Fei
Orthopedics
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How long will it take for a ligament sprain and soft tissue injury to fully heal?

Ligament strains or soft tissue injuries are common in everyday life, and they also typically require grading. Some minor ligament strains or soft tissue injuries generally heal after about three weeks of rest and immobilization. If a ligament strain or soft tissue injury is very severe, such as when the ligament has reached the level of tearing, or if there is significant bleeding, edema, and swelling at the time of the injury, this indicates a very serious soft tissue injury. In such cases, the duration of immobilization might be much longer, possibly around six weeks. The recovery time for such soft tissue injuries or ligament strains can also be very lengthy, sometimes extending up to three months or even six months.

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Written by Wang Jing
Pediatric Orthopedics
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How to operate on ligament damage

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.