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Doctor insights on: Medicine For Anterior Cruciate Ligament

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What is an anterior cruciate ligament?

What is an anterior cruciate ligament?

Knee ligament: Acl is a ligament found deep inside the knee that provides stability especially to rotational and front/back directed forces. It's very important for pivoting sports such as soccer, basketball, football etc. ...Read more

Ligament (Definition)

A fibrous band of tissue that connects one bone to another. They hold joints in place. Dr. Fox's trivia test: what one bone is the only one ...Read more


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Please help! I have damaged/torn my anterior cruciate ligament?

Scope: If it has torn completely and you have instability, may need arthroscopic acl reconstruction, especially if you are an active individual. Many orthopaedic surgeons will have the swelling subside, might get the individual into pt to optimize range of motion, then rehab is also important after surgery. For a small # of people who are very inactive, they may opt for conservative treatment. ...Read more

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What sort of problem is an anterior cruciate ligament (a.C.L.) injury?

What sort of problem is an anterior cruciate ligament (a.C.L.) injury?

Ligament sprain/tear: The acl is a ligament inside the knee that helps to keep the knee stable - keeps it from moving too far forward or backward. It works with the posterior cruciate ligament (pcl) to accomplish this. The acl is often injured when running or other fast movements when the lower leg is planted on the ground and the knee is bent and twisted. It can be a strain or sprain or a complete tear. ...Read more

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About how long would it take for an anterior cruciate ligament to heal?

About how long would it take for an anterior cruciate ligament to heal?

Several months: Torn anterior cruciate ligaments (acl) are routinely reconstructed via surgery. The graft used to replace the acl is placed in bony sockets or tunnels and secured with various forms of fixation devices. True healing only occurs when your body incorporates the graft biologically via strong bonds where the ligament touches the bone and the ligament matures and becomes strong--this takes 3-6 months. ...Read more

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What is anterior cruciate ligament) reconstruction surgery?

What is anterior cruciate ligament) reconstruction surgery?

ACL: The acl is the main stabilizing ligament in the knee. When it tears or ruptures, it can not be repaired, but needs to be reconstructed with a graft. There are numerous graft options which can be used to make a "new" acl. ...Read more

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Is there any cure to anterior cruciate ligament tear?

Scope: Complete acl tears will not heal on their own. Arthroscopic acl reconstruction ('scope') uses a graft in place of the torn ligament and typically can help active individuals with knee instability return to their prior level of functioning. ...Read more

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What injuries does the anterior cruciate ligament prevent?

Knee instability: The anterior cruciate ligament (acl) is one of four major ligaments in the knee to help maintain knee stability (the others include the posterior cruciate ligament - pcl, lateral collateral ligament - lcl, and the medial collateral ligament - mcl). The ACL is the most significant of the four and helps prevent the lower leg from sliding forward from the upper leg. ...Read more

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Where is the anterior cruciate ligament is located in the human body?

Where is the anterior cruciate ligament is located in the human body?

The knee: The anterior cruciate ligament is located directly in the center of the knee and is a major stabilizer of the knee joint. ...Read more

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What are some strengthening exercises for an anterior cruciate ligament?

What are some strengthening exercises for an anterior cruciate ligament?

Several!: Bike riding. Resistance exercise to get your biceps femoris 2/3 as strong as your quads. (leg curls!)
these are the two best two prevent recurrence and not to develop degenerative arthritis! there are sporting activities that should be avoided that involve pivoting and contaqct! ...Read more

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I tore my anterior cruciate ligament 4 days ago now. Do I require surgery?

I tore my anterior cruciate ligament 4 days ago now. Do I require surgery?

Discuss w/ Ortho MD: Most torn acls eventually require surgical reconstruction in young active patients who desire to return to any sort of activities that require changing direction or quick starting and stopping. A thorough examination of your knee detailing any other concomitantly injured structures (meniscal tear, cartilage injury, etc.) will also dictate your indication and timing for potential acl surgery. ...Read more

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What should I do after having an operation to repair my anterior cruciate ligament?

What should I do after having an operation to repair my anterior cruciate ligament?

Rehab: Rehabilitation with a physical therapist for an acl protocol specified by your surgeon is very important in your recovery. ...Read more

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Is there an anterior cruciate ligament replacement surgery?

Is there an anterior cruciate ligament replacement surgery?

Yes: We call it acl reconstruction or anterior cruciate ligament reconstruction. We remove the dysfunctional acl and replace it with a tendon of similar size by placing it within tunnels drilled in the original position of the acl. The tendons come from your own knee or can be taken from donor cadaver tendons of the knee, foot, or ankle. Acl reconstruction tend to be very successful surgeries. ...Read more

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Could there be a anterior cruciate ligament replacement surgery?

Yes: Yes, acl replacement with a cadaveric tendon or reconstruction with patients own tendons, is a common way of treating the injured acl. ...Read more

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What is done for an anterior cruciate ligament injury?

What is done for an anterior cruciate ligament injury?

Torn or sprained?: It depends on if it was fully torn or sprained. If fully torn, may need arthroscopic acl reconstruction (surgery via 'scope'). If sprained, can rehab with physical therapy and use a knee brace. ...Read more

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How do you treat an anterior cruciate ligament injury?

How do you treat an anterior cruciate ligament injury?

Reconstruct if torn: Most anterior cruciate ligament injuries that are complete tears end up being reconstructed by bringing in new tissue to rebuild the torn ligament and to hopefully return full function to the knee and injured patient. ...Read more

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How do you treat a ruptured anterior cruciate ligament?

How do you treat a ruptured anterior cruciate ligament?

Surgery: Anterior cruciate ligament disruption is best handled with surgery. In some cases where the knee is stable and the individual is skeletally immature a decision may be made to delay the surgery. Another situation where a non- surgical approach may be considered is again where the knee is stable an the individual is not very active or elderly. Seek expert advice from an orthopedic surgeon. ...Read more

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How long should anterior cruciate ligament injury last?

How long should anterior cruciate ligament injury last?

Depends: If a complete acl tear is not surgically reconstructed, the injury never heals back together. Sometimes without surgery, patients have enough stability to function fairly well.
Surgery is performed when indicated to reconstruct the torn ligament. ...Read more

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What are the tests for anterior cruciate ligament injury?

What are the tests for anterior cruciate ligament injury?

PE and MRI: The first step is checking for an acl injury is talking to the patient about their injury and doing a good physical exam of the knee (pe). At this point, most skilled doctors will have a strong suspicion that the acl is torn. X-rays are usually done to make sure there isn't a bad bone injury. Often a MRI is obtained to confirm the diagnosis and look for other, associated injuries. ...Read more

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Is the anterior cruciate ligament tear surgery is painful?

Is the anterior cruciate ligament tear surgery is painful?

Yes (to an extent): Any surgery will cause post-operative pain. There will also be discomfort with the therapy that is required after the procedure. Different patients have different pain thresholds, but usually, the pain post-operatively isn't so bad (from the feedback I've gotten from my patients who have had the surgery). ...Read more

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How painful is it getting an anterior cruciate ligament tear surgery?

How painful is it getting an anterior cruciate ligament tear surgery?

Not too bad: Acl surgery is for the most part done arthroscopically using minimally invasive techniques. There can be pain because bone tunnels need to created. Pain is usually controlled by using a femoral nerve block and narcotic pain meds. Most patients report manageable pain levels. ...Read more

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My son has anterior cruciate ligament injury. Is that something serious?

My son has anterior cruciate ligament injury. Is that something serious?

Would depend on trea: This would depend on treatment options you choose. The cruciate injury is a major debilitating injury that can be rehabbed to about 80% of pre injury status when properly evaluated and treated. Would suggest that he be seen by a specialist as soon as possible. ...Read more

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How successful is ACL (anterior cruciate ligament) reconstruction surgery?

How successful is ACL (anterior cruciate ligament) reconstruction surgery?

Very successful: Anterior cruciate ligament reconstruction surgery has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting and delayed rehabilitation, to the current early rehabilitation program which in made the result better. ...Read more

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Which is the best exercise to do after an anterior cruciate ligament injury?

Which is the best exercise to do after an anterior cruciate ligament injury?

Follow surgeons prog: Most acl surgeons have their own protocols that u need 2 follow. Any advice u get here may not b the same as ur surgeon recommends. Not a good policy 2 advise u as it could cause a conflict with ur surgeon ; this is not what we're here 4. ...Read more

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What are the best exercises to do after an anterior cruciate ligament injury?

Hamstring exercises: The anterior cruciate ligament (acl) works with the posterior cruciate ligament (pcl) to stabilize the knee. The ACL keeps the shin bone from sliding forward (anteriorly) and the PCL keeps it from sliding backwards. When ACL is torn the shin bone will slide anteriorly. The hamstrings attach to the back of the knee and act as flexors, but will also help keep the shin bone from sliding forward. ...Read more

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How will having anterior cruciate ligament injury affect my long-term health?

How will having anterior cruciate ligament injury affect my long-term health?

Depends on multiple: Anyone with a cruciate injuriy responds differently depending on a lot of factors, like age activity/demand levels; athletic status overall and specifically the status and shape of the quadriceps and hamstring muscles and also concurrent injury to other knee structures. ...Read more

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I think my child may have anterior cruciate ligament injury. What would that mean?

I think my child may have anterior cruciate ligament injury. What would that mean?

Orthopedic consult: The anterior cruciate ligament is a key ligament in the knee for stability both going front and back as well as rotationally. Your child would have complaints of giving way, pain, swelling and lack of confidence in using that knee during activity. I recommend you see your local orthopedic surgeon and if possible one fellowship trained in sports medicine. ...Read more

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What can I do to decrease the odds of developing anterior cruciate ligament injury?

What can I do to decrease the odds of developing anterior cruciate ligament injury?

Optimize mechanics: In young females there is good evidence that therapy programs designed to optimize knee/body mechanics with activities that involve cutting and jumping can reduce the incidence of acl injuries. Developed programs are more likely found around larger cities. Alternatively one could avoid activities associated wtih higher incidence of acl injury (basketball, soccer, football, down-hill skiing, etc). ...Read more

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What are the symptoms of anterior cruciate ligament injury I should be looking for?

What are the symptoms of anterior cruciate ligament injury I should be looking for?

Instability: The hallmark of an acl deficient knee is instability or giving way of the knee with higher level activities involving cutting, jumping, pivoting, etc. Some individuals may experience this with routine day to day activities. The initial injury is often described as feeling a "pop" in the knee and followed by development of considerable swelling and variable pain. ...Read more