How to treat patellar ligament injury?

Written by Na Hong Wei
Orthopedics
Updated on September 11, 2024
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First, it is necessary to qualitatively assess the injury of the patellar ligament, determining whether it is a partial or complete rupture, whether it is a simple rupture, or a compound rupture, the latter involving other injuries such as fractures or joint dislocations. The treatment of patellar ligament injuries, like other tendon injuries, follows the principle of "three earlies": early diagnosis, early treatment, and early rehabilitation. Early diagnosis has been mentioned before. Early treatment means that if surgery is needed, it should be conducted as soon as possible, as earlier surgeries often result in better postoperative recoveries. If surgery is not required, an immediate fixation with a cast or brace should be applied to keep the knee joint in an extended position, and this fixation should be maintained for three to four weeks. The third step is early rehabilitation. As the knee joint is immobilized during the fixation period, and pain and swelling starts to decrease, early functional exercises should be initiated, focusing on distal joint movement and muscular isotonic exercises, but avoiding flexion and extension movements of the knee joint. Early rehabilitation primarily aims to prevent muscle atrophy, prevent joint adhesion, and promote recovery from the condition.

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Written by Lv Yao
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How to recover from collateral ligament injury of the knee joint

The knee joint has important ligaments on both the inner and outer sides, known as the medial collateral ligament and the lateral collateral ligament. In sports injuries, collateral ligament damage of the knee is very common. If there is an injury, the first step is to conduct a series of examinations to determine the stability of the knee joint. The damage to these ligaments can range from tears to complete ruptures. If there is only a contusion or a tear, the knee can recover its function through the use of supportive braces and the natural healing of the ligament. However, if the collateral ligament is completely ruptured, surgery is necessary for repair. The specific extent of the damage needs to be determined by MRI and physical examinations to decide the best treatment approach for the patient's recovery.

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Written by Wang Jing
Pediatric Orthopedics
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How to operate on ligament damage

Ligament injuries that affect joint stability require surgery, and different locations necessitate different surgical methods. Generally, for ligaments within a joint, such as the anterior cruciate ligament or the posterior cruciate ligament of the knee, reconstruction is performed using either autografts, allografts, or synthetic tendons to replace the original damaged ligaments. For ligaments outside of a joint, such as the medial collateral ligament, lateral collateral ligament of the knee, or the anterior talofibular ligament of the ankle, if the joint stability is compromised, suturing is generally performed during the acute phase. For chronic, long-standing injuries that affect joint stability, reconstruction is usually necessary, also using autografts, allografts, or synthetic tendons to substitute their function.

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Written by Wang Fei
Orthopedics
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How long will it take for a ligament sprain and soft tissue injury to fully heal?

Ligament strains or soft tissue injuries are common in everyday life, and they also typically require grading. Some minor ligament strains or soft tissue injuries generally heal after about three weeks of rest and immobilization. If a ligament strain or soft tissue injury is very severe, such as when the ligament has reached the level of tearing, or if there is significant bleeding, edema, and swelling at the time of the injury, this indicates a very serious soft tissue injury. In such cases, the duration of immobilization might be much longer, possibly around six weeks. The recovery time for such soft tissue injuries or ligament strains can also be very lengthy, sometimes extending up to three months or even six months.

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Written by Wang Jing
Pediatric Orthopedics
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What foods to eat for ligament damage

After a ligament injury, there often is bleeding at the site of the injury, which can lead to swelling, pain, and other issues. From a Western medicine perspective, there are no special dietary requirements; generally, one can follow their usual diet prior to the injury. However, if you had a preference for very salty or spicy foods before the injury, it is recommended to avoid overly spicy and salty foods afterwards. It may be beneficial to eat foods rich in vitamin C and high-quality proteins to potentially aid in wound healing.

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Written by Wang Jing
Pediatric Orthopedics
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Can ligament injuries heal by themselves?

Whether ligament injury can be healed depends on the severity of the injury. Generally, there are four types of ligament injuries. The mildest is a sprain, which is when some fibers of the ligament are torn. The second type is a partial tear of the ligament, the third type is a complete tear of the ligament, and the fourth type is a combined injury, which includes damage to other structures in addition to the ligament injury. If the ligament injury is just a sprain, it can generally heal within two to three weeks with immobilization. However, partial ligament tears that are more severe may require surgical intervention. If the partial ligament injury is not severe and does not affect stability, it can also heal with about three to six weeks of immobilization. However, complete ligament tears or combined injuries often require surgery for suturing or reconstruction in order to heal.