How is the conservative treatment of anterior cruciate ligament injury of the knee?
It is possible to try conservative treatment by constantly strengthening the knee, but this is often insufficient to bring stability to the knee for physical activities, mainly to change the direction of motion.
New episodes of false steps of the knee can injure other structures of the knee (eg. other ligaments, meniscus and cartilage), reinforcing the indication of ligament reconstruction in active individuals.
How is the surgical treatment of anterior cruciate ligament injury of the knee?
In order to arthroscopically reconstruct the ligament, part of the patellar ligament or the flexor tendons of the semitendinosus or gracilis muscles are often used as a graft.
Return to work usually occurs on the first or second week, while the return to competitive sport between the 6th and 9th month.
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Scientific article authored by Dr. Gilberto Nakama an Knee Group-UNIFESP: Arthroscopic anterior cruciate ligament double-bundle reconstruction using hamstring tendon grafts-fixation with two interference screws: technical note;
Scientific article authored by Dr. Gilberto Nakama and Knee Group-UNIFESP: Reconstruction of the anterior cruciate ligament double bundle using the tendons of the semitendinosus and gracilis: fixation with two interference screws;
Scientific article authored by Dr. Gilberto Nakama and Knee Group-UNIFESP: Morphological and immunohistochemical tendons of semitendinosus and gracilis: a comparative study between the sexes;
Double Bundle Anterior Cruciate Ligament Reconstruction - UNIFESP -Dr. Mario Carneiro Filho Technique.