- What is anterior cruciate ligament?
It is one of the four major knee ligaments. It is in the center of the knee joint, connecting the thigh bone (femur) to the shinbone (tibia). The anterior cruciate ligament (ACL) next to the posterior cruciate ligament (PCL) helps to keep the knee stable, preventing the femur from slipping or rotating over the tibia.
- How can it suffer a lesion?
Torsion (sprain) of the knee is the main mechanism of injury. It is usually related to physical activities such as soccer, basketball, volleyball and American football.
- Is it necessary to have surgery whenever it is injured?
Most of the time, yes. Surgery is the main treatment for this injury.
- How is the surgery performed?
Surgery is performed through arthroscopy. Small incisions are made at the knee to allow the entry of camera and surgical instruments for operation.
Removal of the graft is also necessary to make the new ligament. Generally, this graft is obtained through an incision of approximately 3cm in the anterior region of the leg.
- Is the surgery too painful?
No. In the first few days after surgery, patients are given prophylactic analgesic medications, that is, they should be taken before any nuisance can be felt.
- What kind of anesthesia is used?
Spinal anesthesia. Anesthesia performed in the back region. It is the same used in cesarean sections.
- Will I need to be hospitalized?
Yes. Usually, it is necessary to spend 1 night in the hospital.
- When can I walk normally?
During the first 15 days after surgery, the patient may walk, but with partial load (not fully supporting the operated leg). You can walk with a full load after 15 days.