{"id":2475,"date":"2024-09-03T09:57:05","date_gmt":"2024-09-03T06:57:05","guid":{"rendered":"https:\/\/orthopedikos-papagiannopoulos.gr\/?p=2475"},"modified":"2024-09-03T09:59:18","modified_gmt":"2024-09-03T06:59:18","slug":"kakwseis-xiastwn-xeirourgiki-apokatastasi","status":"publish","type":"post","link":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/2024\/09\/03\/kakwseis-xiastwn-xeirourgiki-apokatastasi\/","title":{"rendered":"Cruciate ligament injuries: Surgical repair options"},"content":{"rendered":"<p>Cruciate ligament injuries are among the most common injuries of the knee and occur most frequently\nin athletes (professional and non-professional). The anterior and posterior cruciate ligaments (ACL and\nPCL, respectively) have an important role in stabilizing the knee during dynamic movements. Any injury\nto these ligaments compromises the stability of the knee but also affects general mobility and of course\nperformance (and even participation) in a sporting activity. The usual treatment for cruciate ligament\ntears is surgery, for which there are various options available for the best possible results in each case.<\/p>\n\n\n\n<p>The anterior and posterior cruciate ligaments cross within the knee joint, connecting the femur to the\ntibia. The anterior cruciate ligament prevents the tibia from sliding too far forward relative to the femur\nand controls excessive rotational movements. In contrast, the posterior cruciate ligament prevents the\ntibia from sliding backwards. Together, they maintain rotational stability of the knee and are extremely\nimportant in sports (or other activities) that involve <a href=\"https:\/\/runnermagazine.gr\/neoi-dromeis\/81825\/8-pragmata-pou-den-sou-echoun-pei-gia-to-treximo\/\" target=\"_blank\" rel=\"noopener\">running<\/a>, jumping or sudden changes in direction.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Mechanisms and causes of cruciate ligament tears<\/strong><\/h2>\n\n\n\n<p>Cruciate ligament injuries are often caused by:<\/p>\n\n\n\n<ul>\n<li>Direct impact, such as a blow to the knee in contact sports or accidents.<\/li>\n\n\n\n<li>A sudden change in direction or speed, which is common in sports such as football, basketball and\nskiing.<\/li>\n\n\n\n<li>Sudden deceleration, which may often be accompanied by a rotational movement.<\/li>\n<\/ul>\n\n\n\n<p>The anterior cruciate ligament is particularly vulnerable to non-contact injuries due to the biomechanical\nforces exerted in various sports activities. In contrast, injuries to the posterior cruciate ligament more\noften result from direct impacts, such as a fall on a bent knee or an injury in a car accident.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Cruciate ligament injuries: symptoms and diagnosis<\/strong><\/h2>\n\n\n\n<p>The characteristic symptom in cruciate ligament injury is a \"popping\" sound at the time of injury,\nfollowed by pain and swelling. Instability, or the sensation that the knee is \"giving way\", is another\nimportant symptom, especially in anterior cruciate ligament injuries. Diagnosis usually involves a\nphysical examination with various manipulations, such as the Lachman test to assess the condition of\nthe anterior cruciate ligament and the anterior and posterior drawer test for the anterior and posterior\ncruciate ligament respectively. MRIs are necessary to confirm the diagnosis and also to evaluate the\nextent of the injury, such as possible damage to the menisci or cartilage.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"1024\" src=\"https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts-2-1024x1024.png\" alt=\"\u03ba\u03b1\u03ba\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03c9\u03bd \u03c7\u03b9\u03b1\u03c3\u03c4\u03ce\u03bd \u03c3\u03c5\u03bd\u03b4\u03ad\u03c3\u03bc\u03c9\u03bd woman athlete in knee pain\" class=\"wp-image-2479\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Surgical rehabilitation options<\/strong><\/h2>\n\n\n\n<p>To regain full functionality and prevent secondary complications, surgery is usually the appropriate\ntreatment option. The type of surgery chosen usually depends on the joint involved, the extent of the\ninjury and the patient's activity level.<\/p>\n\n\n\n<ul>\n<li>Autograft<\/li>\n<\/ul>\n\n\n\n<p>One option for surgical repair of the ACL is the use of autologous tissue, such as the patellar tendon, the\nhamstrings or the quadriceps tendon. The choice each time depends on a number of factors, such as the\npatient's age, activity level and the specific sport they play. Autografts are preferred for their lower\nrejection rates and better integration into the host tissue. Personalized protocols that are implemented,\noffer superior results.<\/p>\n\n\n\n<ul>\n<li>Allografts<\/li>\n<\/ul>\n\n\n\n<p>Allografts, donor-derived tissues, are usually reserved for elderly patients or for those undergoing\ncorrective revison surgery or for patients with multiple syndesmotic injuries. Although they reduce the\ntime of surgery and eliminate the morbidity of the donor site, they carry some risks of disease\ntransmission and may take longer to integrate, affecting recovery and return to sporting activities.<\/p>\n\n\n\n<ul>\n<li>Synthetic grafts<\/li>\n<\/ul>\n\n\n\n<p>Synthetic grafts were a popular option in previous years, however, due to their reduced success rates\nand more complications, they are now preferred occasionally and in specific scenarios where biological\ngrafts are not appropriate.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Postoperative care and rehabilitation<\/strong><\/h2>\n\n\n\n<p>Rehabilitation after cruciate ligament surgery takes time and emphasis should be placed on restoring\nfunctionality, strength and stability of the knee. Initial postoperative care focuses on reducing swelling,\nmanaging pain and regaining range of motion. Subsequent phases include strength training,\nproprioception exercises and gradual return to activity protocols, which are adjusted according to the\nindividual's progress and specific sporting requirements.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Cruciate ligament injuries: prevention tips <\/strong><strong>Tips \u03c0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7\u03c2<\/strong><\/h2>\n\n\n\n<p>Prevention is particularly important, especially for athletes who are prone to these injuries. Training to\nimprove technique, enhance muscle strength and flexibility, as well as proper warm-up and the use of\nappropriate equipment for each sport, has been shown to significantly reduce the incidence of cruciate\nligament injuries.\nSpecifically the training protocol of FIFA (FIFA 11+), offers a well established and proven prevention\nmeasure for anterior cruciate ligament injuries<\/p>\n\n\n\n<p>Surgical options for cruciate ligament injuries are aimed at restoring knee function, returning athletes to\ntheir pre-injury performance levels, and preventing injuries in the long term.<\/p>\n\n\n\n<p>To learn more about the surgical options to treat cruciate ligament injuries, contact us at 6943903343\n(secretariat) or 6949196061 (doctor) and <a href=\"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/\">at orthopedikos-papagiannopoulos.gr<\/a> and make an appointment.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u039f\u03b9 \u03ba\u03b1\u03ba\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03c9\u03bd \u03c7\u03b9\u03b1\u03c3\u03c4\u03ce\u03bd \u03c3\u03c5\u03bd\u03b4\u03ad\u03c3\u03bc\u03c9\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2 \u03ba\u03b1\u03ba\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03b3\u03cc\u03bd\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03ba\u03cd\u03c0\u03c4\u03bf\u03c5\u03bd \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c3\u03b5 \u03b1\u03b8\u03bb\u03b7\u03c4\u03ad\u03c2 (\u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03af\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b7). \u039f \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bf \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03bf\u03c2 \u03c7\u03b9\u03b1\u03c3\u03c4\u03cc\u03c2 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03bc\u03bf\u03c2 (ACL \u03ba\u03b1\u03b9 PCL, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1) \u03ad\u03c7\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03c1\u03cc\u03bb\u03bf \u03c3\u03c4\u03b7 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b3\u03cc\u03bd\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03b4\u03c5\u03bd\u03b1\u03bc\u03b9\u03ba\u03ce\u03bd \u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03c9\u03bd. \u0395\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03b7 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7 \u03c3\u03c4\u03bf\u03c5\u03c2 \u03c3\u03c5\u03bd\u03b4\u03ad\u03c3\u03bc\u03bf\u03c5\u03c2 \u03b1\u03c5\u03c4\u03bf\u03cd\u03c2 \u03b8\u03ad\u03c4\u03b5\u03b9 \u03c3\u03b5 \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03c4\u03b7 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c4\u03bf\u03c5 \u03b3\u03cc\u03bd\u03b1\u03c4\u03bf\u03c2 \u03b1\u03bb\u03bb\u03ac \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03b6\u03b5\u03b9 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\u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7, \u03b3\u03b9\u03b1 \u03c4\u03b7\u03bd \u03bf\u03c0\u03bf\u03af\u03b1 \u03c5\u03c0\u03ac\u03c1\u03c7\u03bf\u03c5\u03bd \u03b4\u03b9\u03ac\u03c6\u03bf\u03c1\u03b5\u03c2 \u03b4\u03b9\u03b1\u03b8\u03ad\u03c3\u03b9\u03bc\u03b5\u03c2 \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ad\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b1 \u03b2\u03ad\u03bb\u03c4\u03b9\u03c3\u03c4\u03b1 \u03b4\u03c5\u03bd\u03b1\u03c4\u03ac \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03c3\u03b5\u2026<\/p>","protected":false},"author":3,"featured_media":2476,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[23],"tags":[27,25],"blocksy_meta":"","rttpg_featured_image_url":{"full":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts.png",1080,1080,false],"landscape":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts.png",1080,1080,false],"portraits":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts.png",1080,1080,false],"thumbnail":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts-150x150.png",150,150,true],"medium":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts-300x300.png",300,300,true],"large":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts-1024x1024.png",1024,1024,true],"1536x1536":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts.png",1080,1080,false],"2048x2048":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts.png",1080,1080,false],"trp-custom-language-flag":["https:\/\/orthopedikos-papagiannopoulos.gr\/wp-content\/uploads\/2024\/09\/P.-Papagiannopoulos-posts-12x12.png",12,12,true]},"rttpg_author":{"display_name":"Charis 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(\u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03af\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b7). \u039f \u03c0\u03c1\u03cc\u03c3\u03b8\u03b9\u03bf\u03c2 \u03ba\u03b1\u03b9 \u03bf \u03bf\u03c0\u03af\u03c3\u03b8\u03b9\u03bf\u03c2 \u03c7\u03b9\u03b1\u03c3\u03c4\u03cc\u03c2 \u03c3\u03cd\u03bd\u03b4\u03b5\u03c3\u03bc\u03bf\u03c2 (ACL \u03ba\u03b1\u03b9 PCL, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1) \u03ad\u03c7\u03bf\u03c5\u03bd \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc \u03c1\u03cc\u03bb\u03bf \u03c3\u03c4\u03b7 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b3\u03cc\u03bd\u03b1\u03c4\u03bf\u03c2 \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03b4\u03c5\u03bd\u03b1\u03bc\u03b9\u03ba\u03ce\u03bd \u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03c9\u03bd. \u0395\u03bd\u03b4\u03b5\u03c7\u03cc\u03bc\u03b5\u03bd\u03b7 \u03ba\u03ac\u03ba\u03c9\u03c3\u03b7 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\u03c4\u03bf\u03c5&hellip;","_links":{"self":[{"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/posts\/2475"}],"collection":[{"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/comments?post=2475"}],"version-history":[{"count":2,"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/posts\/2475\/revisions"}],"predecessor-version":[{"id":2480,"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/posts\/2475\/revisions\/2480"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/media\/2476"}],"wp:attachment":[{"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/media?parent=2475"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/categories?post=2475"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/orthopedikos-papagiannopoulos.gr\/en\/wp-json\/wp\/v2\/tags?post=2475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}