{"id":8067,"date":"2021-05-04T16:18:23","date_gmt":"2021-05-04T16:18:23","guid":{"rendered":"https:\/\/toty.fr\/wordpress\/?page_id=8067"},"modified":"2021-05-04T16:26:50","modified_gmt":"2021-05-04T16:26:50","slug":"anterior-cruciate-ligament-surgery-acl","status":"publish","type":"page","link":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/","title":{"rendered":"Anterior Cruciate Ligament surgery (ACL)"},"content":{"rendered":"

[vc_row][vc_column][vc_row_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_single_image image=”7536″ img_size=”100×100″ alignment=”center” css=”.vc_custom_1618842757951{margin-top: 0px !important;margin-right: 20px !important;margin-bottom: 0px !important;margin-left: 20px !important;}”][\/vc_column_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][\/vc_row_inner][vc_column_text css=”.vc_custom_1620145157511{margin-bottom: 10px !important;}”]<\/p>\n

Anterior Cruciate Ligament surgery (ACL)<\/h2>\n

[\/vc_column_text][vc_separator color=”custom” style=”dotted” accent_color=”#2f3762″ css=”.vc_custom_1618682358889{margin-top: 0px !important;}”][vc_column_text]<\/p>\n

1\/ Anatomy
\n<\/strong><\/h3>\n

A ligament<\/strong> is a short strip of fibrous connective tissue made out of long collagen molecules. It is an extremely strong structure that ties the bones together within the joints. Ligaments control joints\u2019 movements. They protect the joint in case of forced movements during a sprain. There are four main ligaments involved in the knee area: two lateral ligaments (internal lateral ligament and external lateral ligament) on each side of the knee, and two central ligaments called \u201ccruciate,\u201d as they cross in the middle of the knee: the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL).<\/p>\n

[\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_single_image image=”7200″ img_size=”full” add_caption=”yes” alignment=”center” onclick=”link_image”][\/vc_column_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n

2\/ Diagnostis<\/strong><\/h3>\n

The ACL is usually damaged following torsion or hyperextension. Patients may feel a snap, followed by swelling and unsteadiness of the knee. ACL lesion diagnosis is made based on knee examination and laxity measurements. These measurements are conducted using a device (arthrometer or GeNouRoB) or dynamic X-rays. Devices like the arthrometer (manual measurements) or the GeNouRoB (computerized measurements) measure the anterior displacement according to strength, compared to a healthy knee.
\nWhen the anterior cruciate ligament is damaged, this displacement is increased, reflecting an ACL injury. MRI helps visualizing the ACL rupture, but \u201cfalse negatives\u201d and \u201cfalse positives\u201d do exist. The MRI is mainly useful to assess the meniscal lesions.<\/p>\n

[\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_single_image image=”7203″ img_size=”full” add_caption=”yes” alignment=”center” onclick=”link_image”][\/vc_column_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n

3\/ Suitability for surgery
\n<\/strong><\/h3>\n

In order to avoid accidents due to unsteadiness while playing sports, the surgeon and his patient will take the decision to operate on ACL, depending on different factors such as age, the intensity of physical activity, and associated professional duties. Episodes of unsteadiness can lead to a secondary tear of the meniscus, which, combined with the cruciate ligament rupture, is conducive of osteoarthritis. Early ACL reconstruction helps avoiding these secondary meniscal lesions, which is crucial in young patients.<\/p>\n

[\/vc_column_text][vc_column_text]<\/p>\n

We can distinguish three groups of patients:
\n<\/strong>– Young and active patients, for whom immediate ACL reconstruction is the best option, given the high risk of unsteadiness and meniscal lesion;
\n– Older and moderately active patients, who should have physiotherapy first, and only undergo surgery in the event of later unsteadiness;
\n– An \u201cintermediate\u201d group of patients will have their treatment decided according to their activity needs as well as their professional and personal duties. Some will be administered physiotherapy and only undergo surgery in case of later unsteadiness, while others will undergo surgery right away.
\nA short period of rehabilitation (a few weeks) is usually helpful prior to surgery, in order to prepare the knee in case of severe pain, stiffness, and swelling. On the other hand, when severe injuries to the lateral ligaments accompany the cruciate ruptures, operating immediately facilitates improved healing.<\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_row_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][vc_column_inner width=”1\/2″][vc_single_image image=”7536″ img_size=”100×100″ alignment=”center” css=”.vc_custom_1618842757951{margin-top: 0px !important;margin-right: 20px !important;margin-bottom: 0px !important;margin-left: 20px !important;}”][\/vc_column_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][\/vc_row_inner][vc_column_text css=”.vc_custom_1620145157511{margin-bottom: 10px !important;}”] Anterior Cruciate Ligament surgery (ACL) [\/vc_column_text][vc_separator color=”custom” style=”dotted” accent_color=”#2f3762″ css=”.vc_custom_1618682358889{margin-top: 0px !important;}”][vc_column_text] 1\/ Anatomy A ligament is a short strip of fibrous connective tissue made out of long collagen molecules. It is an extremely strong structure that ties the bones together within the joints. Ligaments control joints\u2019 movements. They protect the joint in case of forced movements during a sprain. There are four main ligaments involved in the knee area: two lateral ligaments (internal lateral ligament and external lateral ligament) on each side of the knee, and two central ligaments called \u201ccruciate,\u201d as they cross in the middle of the knee: the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). [\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_single_image image=”7200″ img_size=”full” add_caption=”yes” alignment=”center” onclick=”link_image”][\/vc_column_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][\/vc_row_inner][vc_column_text] 2\/ Diagnostis The ACL is usually damaged following torsion or […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8045,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-8067","page","type-page","status-publish","hentry"],"yoast_head":"\nAnterior cruciate ligament surgery - Orthopedic Knee Surgery<\/title>\n<meta name=\"description\" content=\"Anterior cruciate ligament arthroscopic surgery (ACL) rupture of the anterior cruciate ligament is the most common serious ligament injury\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anterior cruciate ligament surgery - Orthopedic Knee Surgery\" \/>\n<meta property=\"og:description\" content=\"Anterior cruciate ligament arthroscopic surgery (ACL) rupture of the anterior cruciate ligament is the most common serious ligament injury\" \/>\n<meta property=\"og:url\" content=\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/\" \/>\n<meta property=\"og:site_name\" content=\"Chirurgie Orthopedique, sp\u00e9cialiste du Genou, Hanche, Epaule \u00e0 Nice\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Dr.Mandrino\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-04T16:26:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/chirurgie-orthopedique.info\/wp-content\/uploads\/2017\/07\/Chirurgie-du-genou-nice.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1921\" \/>\n\t<meta property=\"og:image:height\" content=\"1100\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/\",\"url\":\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/\",\"name\":\"Anterior cruciate ligament surgery - Orthopedic Knee Surgery\",\"isPartOf\":{\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/#website\"},\"datePublished\":\"2021-05-04T16:18:23+00:00\",\"dateModified\":\"2021-05-04T16:26:50+00:00\",\"description\":\"Anterior cruciate ligament arthroscopic surgery (ACL) rupture of the anterior cruciate ligament is the most common serious ligament injury\",\"breadcrumb\":{\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/chirurgie-orthopedique.info\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Knee anatomy and pathophysiology\",\"item\":\"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Anterior Cruciate Ligament surgery (ACL)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/#website\",\"url\":\"https:\/\/chirurgie-orthopedique.info\/en\/\",\"name\":\"Chirurgie Orthopedique, sp\u00e9cialiste du Genou, Hanche, Epaule \u00e0 Nice\",\"description\":\"Docteur Mandrino sp\u00e9cialis\u00e9 en chirurgie du genou, de la hanche et de l' \u00e9paule \u00e0 Nice\",\"publisher\":{\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/chirurgie-orthopedique.info\/en\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/#organization\",\"name\":\"Dr Alain Mandrino chirurgie orthop\u00e9dique \u00e0 Nice\",\"url\":\"https:\/\/chirurgie-orthopedique.info\/en\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/chirurgie-orthopedique.info\/wp-content\/uploads\/2017\/07\/dr-alain-mandrino-chirurgie-orthopedique-nice.png\",\"contentUrl\":\"https:\/\/chirurgie-orthopedique.info\/wp-content\/uploads\/2017\/07\/dr-alain-mandrino-chirurgie-orthopedique-nice.png\",\"width\":443,\"height\":230,\"caption\":\"Dr Alain Mandrino chirurgie orthop\u00e9dique \u00e0 Nice\"},\"image\":{\"@id\":\"https:\/\/chirurgie-orthopedique.info\/en\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/Dr.Mandrino\",\"https:\/\/www.instagram.com\/dralainmandrino\/\",\"https:\/\/www.youtube.com\/user\/amandrino\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Anterior cruciate ligament surgery - Orthopedic Knee Surgery","description":"Anterior cruciate ligament arthroscopic surgery (ACL) rupture of the anterior cruciate ligament is the most common serious ligament injury","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/","og_locale":"en_US","og_type":"article","og_title":"Anterior cruciate ligament surgery - Orthopedic Knee Surgery","og_description":"Anterior cruciate ligament arthroscopic surgery (ACL) rupture of the anterior cruciate ligament is the most common serious ligament injury","og_url":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/","og_site_name":"Chirurgie Orthopedique, sp\u00e9cialiste du Genou, Hanche, Epaule \u00e0 Nice","article_publisher":"https:\/\/www.facebook.com\/Dr.Mandrino","article_modified_time":"2021-05-04T16:26:50+00:00","og_image":[{"width":1921,"height":1100,"url":"https:\/\/chirurgie-orthopedique.info\/wp-content\/uploads\/2017\/07\/Chirurgie-du-genou-nice.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/","url":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/","name":"Anterior cruciate ligament surgery - Orthopedic Knee Surgery","isPartOf":{"@id":"https:\/\/chirurgie-orthopedique.info\/en\/#website"},"datePublished":"2021-05-04T16:18:23+00:00","dateModified":"2021-05-04T16:26:50+00:00","description":"Anterior cruciate ligament arthroscopic surgery (ACL) rupture of the anterior cruciate ligament is the most common serious ligament injury","breadcrumb":{"@id":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/chirurgie-orthopedique.info\/en\/"},{"@type":"ListItem","position":2,"name":"Knee anatomy and pathophysiology","item":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/"},{"@type":"ListItem","position":3,"name":"Anterior Cruciate Ligament surgery (ACL)"}]},{"@type":"WebSite","@id":"https:\/\/chirurgie-orthopedique.info\/en\/#website","url":"https:\/\/chirurgie-orthopedique.info\/en\/","name":"Chirurgie Orthopedique, sp\u00e9cialiste du Genou, Hanche, Epaule \u00e0 Nice","description":"Docteur Mandrino sp\u00e9cialis\u00e9 en chirurgie du genou, de la hanche et de l' \u00e9paule \u00e0 Nice","publisher":{"@id":"https:\/\/chirurgie-orthopedique.info\/en\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/chirurgie-orthopedique.info\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/chirurgie-orthopedique.info\/en\/#organization","name":"Dr Alain Mandrino chirurgie orthop\u00e9dique \u00e0 Nice","url":"https:\/\/chirurgie-orthopedique.info\/en\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/chirurgie-orthopedique.info\/en\/#\/schema\/logo\/image\/","url":"https:\/\/chirurgie-orthopedique.info\/wp-content\/uploads\/2017\/07\/dr-alain-mandrino-chirurgie-orthopedique-nice.png","contentUrl":"https:\/\/chirurgie-orthopedique.info\/wp-content\/uploads\/2017\/07\/dr-alain-mandrino-chirurgie-orthopedique-nice.png","width":443,"height":230,"caption":"Dr Alain Mandrino chirurgie orthop\u00e9dique \u00e0 Nice"},"image":{"@id":"https:\/\/chirurgie-orthopedique.info\/en\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Dr.Mandrino","https:\/\/www.instagram.com\/dralainmandrino\/","https:\/\/www.youtube.com\/user\/amandrino"]}]}},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/pages\/8067","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/comments?post=8067"}],"version-history":[{"count":0,"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/pages\/8067\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/pages\/8045"}],"wp:attachment":[{"href":"https:\/\/chirurgie-orthopedique.info\/en\/wp-json\/wp\/v2\/media?parent=8067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}