How to operate on ligament damage

Written by Wang Jing
Pediatric Orthopedics
Updated on September 15, 2024
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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 Jing
Pediatric Orthopedics
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Do ligament injuries fear the cold?

Ligament injuries should not naturally be sensitive to cold; however, due to impaired blood circulation in the damaged area or poor blood supply due to scar repair, the circulation in the injured tendons becomes worse compared to other areas. In cold conditions, this can lead to even poorer blood flow. When circulation is poor, it's hard for metabolic byproducts to be removed from the area, leading to their accumulation, which can stimulate the injured site and cause pain. Therefore, areas with ligament injuries often become sensitive to cold, as the cold causes blood vessels to constrict, leading to the accumulation of metabolic by-products and resulting in pain at the affected site.

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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 Cheng Bin
Orthopedics
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Symptoms of femoral head ligament injury

The clinical symptoms of a femoral head ligament injury mainly manifest as significant local pain. Severe cases may affect the patient's joint mobility and normal ability to move about, which are the clinical manifestations of a femoral head ligament injury. Usually, within a recent period, it is necessary to strictly rest in bed to protect the area, reducing local stimulation, which is the best condition for patient recovery. If the patient is not allergic to plasters, topical plasters that invigorate blood and dissolve stasis can be used, along with oral non-steroidal anti-inflammatory and pain-relieving drugs, and drugs that invigorate blood and dissolve stasis for treatment. After 48 hours post-injury, local heat application should be actively performed. Most patients will gradually recover through these active treatment methods. (The use of medications should be under the guidance of a professional doctor.)

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Written by Wang Jing
Pediatric Orthopedics
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Is it necessary to get an MRI for a ligament injury?

After ligament injuries, the common imaging examinations usually include standard X-rays, CT scans, and MRI. X-rays are mainly used to observe the overall shape of the bones and the alignment, CT scans are primarily for examining the condition of the bones at the injury site, especially the form of the bones, while MRI mainly uses the hydrogen atom content, or water content, to determine if there is an injury. When a ligament is injured, there won't be bleeding, which leads to an increase in water content; thus, an MRI can easily reveal the increased water content and help diagnose the injury. Therefore, the best method to diagnose ligament injuries is through MRI. Of course, X-rays are used for general overview and alignment, which are the most basic and common examinations, followed by CT scans. Generally, CT scans are not necessary unless there is a special circumstance.

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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.