Surgery for the ligament infront of the knee through Arthroscopy
Ligament tears are an extremely common and extremely persistent injury. They can take a long time to heal, often require physiotherapy and a temporary change in lifestyle, and can recur years later if you’re not careful. As ligaments are a key element in your musculoskeletal system, their health directly affects your quality of life and ease of movement, and any medical problems with them must be dealt with carefully and thoroughly. If non-invasive treatment does not prove effective, torn ligaments can be surgically repaired.
Ligaments are thick bands of connective tissue that surround and support a joint, defining its stability and range of movement. This article focuses on ligaments in the knee and ankle, the various complications that can arise, and how they can be surgically corrected.
Ligaments in the knee
There are four major ligaments present in the knee, connecting your thighbone (femur) to your shinbones (tibia and fibula).
The anterior cruciate ligament (ACL) is a ligament within the joint that helps stabilize the knee and controls backward and forward movement of your lower leg.
The posterior cruciate ligament (PCL) is also within the knee joint, running in the opposite direction to the ACL and helping control backward and forward movement of your lower leg.
The medial collateral ligament (MCL) runs down the outside of the joint, providing stability to the inner knee and limiting mobility of the joint from side to side.
The lateral collateral ligament (LCL) also runs down the outside of the joint, providing stability to the outer knee and limiting side-to-side motion.
If you are involved with or read about sports, you may have heard of ACL injuries and surgeries, as this is a common ligament injury in that sphere - accounting for 40% of all sports injuries.
When there is a problem with ligaments in the knee, the joint can become unstable and/or weak and impact your ability to stand and walk. A sprain occurs when a ligament is injured by being stretched too far. However, sometimes a tear or a rupture occurs, which can either be complete (torn through entirely) or partial (some of the fibers of the ligament torn while others are intact. This can happen through impact (a direct blow to the joint) or when the joint is forced out of its normal range of motion (during a fall or by sudden overexertion during sport). Most knee injuries are sprains which heal quickly.
The anterior cruciate ligament (ACL) is the most commonly injured of the four major ligaments, and happens due to a sudden twisting motion when the feet are facing one way, but the knees turn the opposite way. Awkward landings after a jump, a sudden stop or change in direction while running or a violent collision are some examples of how this could happen. Basketball, football, rugby, skiing and tennis all have higher risks of situations that could cause ACL injuries.
The posterior cruciate ligament (PCL) is less commonly injured than the ACL, as it is stronger and sturdier. PCL injuries are caused by sudden, violent impact, such as in car accidents, when a front seat passenger’s knees are slammed against the dashboard. Falling while your knee is bent, or facing a blow to the front of the knee while your legs are stretched out, are other ways you could hurt your PCL.
The medial collateral ligament (MCL) which runs down the inner side of the knee is injured more often than the lateral collateral ligament (LCL), its outer-knee counterpart. These collateral ligaments are usually injured by blows to the outer side of the knee, which can occur during sports or accidents.
Arthroscopic knee surgery is a procedure that is conducted to treat problems in knee joints. Arthroscopy helps the surgeon diagnose and treat several knee problems such as kneecap and torn meniscus. Even the ligaments of the joints can be treated through Arthroscopy. For joint problems, knee arthroscopy is a proven and effective surgical procedure.
Knee arthroscopy is performed via an advanced laparoscopic procedure where the surgeon makes a small incision or cut to insert a tube with video camera. The video camera monitors the damage done to the knee. Even the wafer-thin damages and those as light as they can be, are effectively repaired through the advanced arthroscopic knee surgery
In medical terms, a meniscal tear that causes pain in the knee and other knee problems. Meniscus is a rubber like material or cartilage cushioning the area between thigh bone and skin bone. This tear can happen while in action, especially sports, and can cause the following symptoms:
Pain and swelling in the knee
Knee locking and stiffness
This meniscal tear and associated knee problems can be treated through arthroscopic knee surgery.
Arthroscopic knee surgery is performed for one to two hours by orthopedic surgeons.
In sports medicine and sports health management, arthroscopic knee surgery is favored for treating baseball players in America, football players in Europe to cricketers in the Subcontinent
Did you know?
Professor Kenji Takagi of Japan conducted the first arthroscopy in Tokyo way back in 1919
Shoaib Akthar, the Rawalpindi Express of Pakistan and pace machine, underwent arthroscopic surgery in 2006
Our own Bollywood Badshah Shahrukh Khan underwent the surgery and still doing great.
The intensity of knee pain and stiffness may call for surgery despite having explored other options. The arthroscopic knee surgery is the most effective procedure if the following medical complications are either seen or are aggravating:
Damage to cartilage
Inflammation in join linings
Scars in joints
Fractures in knee bones
Besides knees, the joint conditions can need surgery in the following body parts:
Misaligned patella or the knee cap is also corrected through arthroscopic knee surgery