Anterior cruciate ligament

Patients undergoing arthroscopic ρήξη χιαστού reconstruction have a certain risk of rupture of the reconstructed ligament. Let's be clear

The reconstruction of the anterior cruciate ligament and above all the possibility of a rupture of the reconstructed ACL are topics on which it is good to clarify.

However, let's take a step back and start by saying that when a patient injures the anterior cruciate ligament (ACL), the therapeutic possibilities to be undertaken to solve the problem are essentially two: conservative and surgical.

If you opt for the second choice, the surgery is performed arthroscopically and involves two precise operating times:

In the first part, the transplant is taken which will constitute the new knee ligament. The transplant can be made up of either the tendons of the semitendinosus and gracilis muscles or the patellar tendon. The choice of the type of transplant basically depends on the type of sporting activity practiced by the patient.

In the second part, on the other hand, special tunnels are excavated in the tibia and femur, inside which the new ligament is passed and fixed.

Anterior cruciate ligament reconstruction, is a new break possible?

If a new distortion trauma occurs in the patient with a reconstructed cruciate, the probability of breaking the new ACL is, with the same trauma, higher than that of rupture of the "original" ligament.

This may depend on various factors, first of all the good integration and synovialization of the transplant (ie the ability of the knee to “make it” this new ligament). As well as the fact that the new crusader almost never has the same robustness as the native one.

In reality, the new breakup represents a not so frequent event. This is also because often the sportsman who returns to activity after surgery, especially if practiced at an amateur level, tends to pay more attention to contacts and is more cautious in contrasts, mindful of what happened previously.

Scientific articles quantify this risk of ACL re-rupture as equal to 5-10% of cases depending on the case studies examined.

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