What is anterior cruciate ligament?
Anterior cruciate ligament connects the upper part of the leg to the lower part of the leg and maintains knee stability. “Anterior cruciate ligament is on the middle of our knee and is located deep under the skin and tissue which cannot be felt from outside.” Rupture of anterior cruciate ligament can be felt with extensive pain and a sound from the knee.
Anterior cruciate ligament connects thigh and tibia. The task of this tissue is to maintain firmness on the knee. If there is a rupture on anterior cruciate ligament, the bone will move more independently and will have a higher turning degree than normal.
The person experiencing a rupture can feel slipping on the knee, a gap on the knee. The person will have an unstable knee and can feel like slipping all the time. Depending on cochlear pathology and other circumstances, the person can experience extensive pain. The person experiencing a rupture can feel pain when opening and closing the knee.
What Are the Symptoms of Anterior Cruciate Ligament Rupture?
When there is anterior cruciate ligament rupture, there will be abnormal movement between two bones. This abnormal movement can cause friction and degeneration on joint cartilage. Therefore, it is considered as an important injury and the treatment is surgical. The person experiencing anterior cruciate ligament rupture can hear the rupture and feel pain in that region.
Anterior cruciate ligament rupture can be experiences in many sport activities when the player makes an unusual movement.
After the rupture, a gap is felt on the knee and the knee becomes uncontrollable.
How long does the anterior cruciate ligament surgery take and how long does it take to go back to sports?
“There are some initiatives to decrease the recovery time. However, I recommend at least six months of rest. Because the person can feel good at certain moments but this is a biological process. For example, when you cut your hand and have a suture, there is some time for the suture to hold. You cannot decrease the recovery time significantly. If you decrease the time, you will take risks. In the hand example, when you remove the sutures early, you may open the wound again.
For anterior cruciate ligament, I would recommend going back to sports at least six months after the surgery. However, the professional sportsmen have a pressure from the club managers, and coaches and therefore, the player want to get back as soon as possible. These types of demand can lead to early recovery however there is a great risk.” After anterior cruciate ligament surgery, physical therapy should be made in a regular basis.
What are the risks, can the career of a football player end?
“If the rupture on anterior cruciate ligament repeats and a second surgery is necessary,
The chances of success decreases. Under these circumstances, come problems are inevitable and the chance of the patient decreases.”
Exercises and Things to Be Considered After Anterior Cruciate Ligament Surgery
For patients who had anterior cruciate ligament surgery, first 2 weeks is extremely important:
Dressing and Wound Care
Before leaving the hospital, the knee will be bandaged with an elastic bandage and a immobilizer will be placed on your knee.
You can have a shower but you need to protect the dressing from water.
Before showering, you need remove elastic bandage and immobilizer that can effect from water.
The dressing of the wound should be controlled in every 2-3 days.
Your sutures should be removed on the 14th of the surgery.
There can be bruising on the back of your knee as well as on the lower knee for 3-5 days. This occurs as the bleeding due to surgery are becoming visible on the skin layer. Since the blood moves to the back and bottom side of the knee, the colour change is observed other than the wound. The bruising will change colour o green and yellow and will disappear in 1-2 weeks.
Pain Control After the Surgery
After checking out of the hospital antibiotics (should be taken in 1-2 hour interval), pain killers (should be taken in 1-2 hour interval), and blood thinners (should be taken one a day in full stomach) are recommended.
Antibiotics and pain killers should be taken for 3-4 days regularly. If you notice any kind of abdominal or stomach pain, you should stop taking the pain killers and contact your doctor.
After checking out of the hospital, blood thinner tablets are recommended for one a day. If you pain still continues at night, you can continue your pain killers.
After 3-4 days, pain killers can be used if you need any.
Dressing after anterior cruciate ligament surgery You should apply cold pressing on your knee for 20 minutes in each 2 hour. The ices should be packed in way that the water will not leak outside the package.
Standing Up, Walking and Walking Sticks
When you are standing up, you need to stand on your leg with the surgery by keeping your knee on a locked position and lean backwards.
Walking sticks should be used if you are having a problem with walking. You should try to avoid walking sticks and try to walk normally. Walking with walking sticks
Walking should be done by distributing your load on both sticks.
You should wear a sports shoe and have the bandage on your knee.
You should step on you heel (and keep your knee aligned) as you are taught and should distribute your weight over the two walking sticks to simultaneously move your leg with surgery.
When you are climbing ladders, you should first step with your strong leg and place your leg with surgery afterwards. When you are getting down the stairs, you should first step your leg with surgery and step your strong leg next to it.
You should try to walk as straight as possible without limping. If you are limping, you should continue to use your walking sticks.
A rolled towel should be placed under the knee and should be pressed.
(3*60) 5 seconds each.
- Foot wrestling (3*60) 5 seconds each
- A towel and pillow should be placed between two knees and should be pressed. (3*60) 5 seconds each.
Roll pressing exercise
- In the alphabet exercise, try to draw the letters from A to Z while holding your leg high. You should repeat this for 5-6 times a day.
Work with exercise (Thereband) band in 4 ways (3*60 for each way) for 5 seconds.
Press on the foot ankle pump slowly on the downwards and upwards directions. You should repeat this exercise for 5-10 minutes for a couple of times. You can start this exercise after the surgery and continue until you fully heal.
* While you are resting, you should keep your feet high, and should place a pillow or a similar material under your knee not under your feet.
Knee Bending and Movements
The movements should be done with the help of someone while lying down. When the pain starts, you should wait for 15-20 seconds, then when the pain is relieved you should continue the exercise. The leg should be pulled back for 20-30 seconds, and you should wait in this position for 1 minute. Then, you should release your leg. (3*20) repeats should be done after the surgery.
In addition to knee bending, extension of the knee for the first two weeks is important. In the first couple of weeks, loses in this extension is a common problem. To prevent this condition, you should place a pillow or a similar material under your knee rather than under your feet. If your knee is still not bend, you should place a sandbag of 1-1.5 kg on your knee and focus on something else (For example: You can read a book, newspapers or watch television). With gravitational force and the sandbag on your knee, your knee will extend.
You should revisit your doctor on the 14th day. If you have any problem regarding your knee, you should contact your doctor. If there is any redness, irritation on your wound or if you experience high-temperature, extensive pain or any fluid comes from your wound, or the radius of your leg increases, you should go to the hospital or contact your doctor.