Anterior Cruciate Ligament Injuries (ACL), Meniscus Injuries and Antichlor Articular Injuries mostly occur to young people which caused by sports. Meanwhile, they are possibly caused by an accident during a day such as a middle age housewife tripping over, and has a knee fracture etc.
Symptoms shown in the first stage of Anterior Circulate Ligament injury
A patient may suddenly feel extremely pain from knee muscle twist and knee joint has swollen due to internal bleeding. These may cause a patient being struggling in walking for a period, in general it takes around 1-2 weeks. After that it will start recovering. However, it might be a problem due to subluxation which causes a difficulty in movement, especially during an activity that use a twisting movement as turning or switching leg’s movement such as soccer, basketball, in the other hand playing some sports may not cause any difficulty during a time such as walking or running.
In a case of patients who suffer from Meniscus and Antichlor Articular injury, they mostly have an extremely level of pain more than the others having an Anterior Circulate Ligament Injury only. Also, they might have an uncomfortable knee joint moving, for instance; unable to completely flex a knee which means an injured need to have a proper treatment from doctor in order to select the best way of treatment such as providing a surgery and avoid having any inaccurate procedure.
Diagnosis
Physical examination by specialist, an orthopedic surgeon or doctors who perform in the field of sports medicine are considered to give the best diagnosis. X-ray procedure often results as normal due to there is no fracture of the bone. Magnetic Resonance Imaging (MRI) is considered to be accurate at 90-95% on account of price is quite high around 8,000-10,000 baht. Thus. using when it is in need, especially in a case of patients who suffer from Meniscus and Antichlor Articular injury.
Anterior Circulate Ligament Injury Treatment
There are many questions to be asked whether “surgery” is the only way for treatment.According to a doctor who has experienced over 10 years, finds this idea is inaccurate. Mostly usually observes from symptoms as the anterior circulate ligament injury, for not having an anterior ligament may cause patients an uncomfortable feeling during their activities, if they change some habits and avoid doing something which causes pain. Then surgery is not needed. While having an injury in meniscus as knee joint is lacerated or unable to move together with anterior circulate ligament injury, a surgery is needed.
According to Meniscus has considered as a cushion between the two knee bones. When an injury occurs may have no repair capacity or might be little. A recovery of Meniscus injury needs some operation such as myorrhaphy which will not harm any antichlor articular. When combined with surgery to create new ligaments, that will stabilize and return patients to normal life.
The fact you need to know about the injury of ACL
1. When Antichlor Articular Ligament injury it will not recreate and combine as the other ligaments, therefore for a surgery, doctors use some ligaments from another area of knee to create a new Antichlor Articular Ligament.
2. Meniscus is a part where is no blood vessels or nerve to circulate, when an injury occurs as strain may need an operation such as myorrhaphy. Most meniscus loss occurs when patients being ignore for too long, it will not regenerate. The current solution is the use of Meniscus replacement from a transplant donation. The results are not satisfactory.
Orthotropic Surgery
Torn antichlor articular ligament is unable to connect back by itself, the usage of antibiotics is only to reduce the pain of joints inflammation and reduce swelling. Treatment, depending on the needs of each patient, such as young athletes who need mobility in the knee, most require surgery for getting back to full play. In addition, the surgery will also help preventing injuries to other parts of the knee, especially meniscus.
Which moving the ligaments to the position of the injured. Replaceable ligaments can come from many sources. In general, ligaments which often use in a procedure are
1. Kneecap tendon which locates in between kneecap and Shinbone.
2. Hamstrings tendon, which locates in anterior of knee.
In addition, the technique of Meniscal Transplant Surgery can be done by both one axle and two axes. It aims to strengthen the integrity of the knee perfectly. For the details of two-axis surgery, which is the latest technology, can greatly increase the ability and prevent knee rotation even better. But the procedure is more complicated which doctors need more experiences in treatment.
Today, knee replacement meniscal transplant surgery is considered as a standard treatment. It is also well known as minimally invasive surgery which results a good healing, include helping postoperative care and physiotherapy done quicker. However, a treatment has made scabs smaller and beautiful.
พ.ต.ต.นพ.วิชาญ กาญจนถวัลย์
Orthopedic surgeon
Phyathai 3 Hospital
Hotline: 081-900-8203
