{"id":1759,"date":"2019-05-03T10:30:08","date_gmt":"2019-05-03T08:30:08","guid":{"rendered":"https:\/\/www.cematec.org\/traumatology\/arthroscopy\/knee-arthroscopy\/"},"modified":"2022-06-16T21:58:46","modified_gmt":"2022-06-16T19:58:46","slug":"knee-arthroscopy","status":"publish","type":"page","link":"https:\/\/www.cematec.org\/en\/traumatology\/arthroscopy\/knee-arthroscopy\/","title":{"rendered":"knee arthroscopy"},"content":{"rendered":"

With knee<\/span> arthroscopy<\/span><\/strong> we can<\/span> see<\/span> and repair<\/span> structures<\/span> such as<\/span> the menisci<\/span><\/strong> or perform<\/span> cruciate ligament<\/span> plasties<\/span> .<\/span><\/strong><\/p>\n

\"\"<\/p>\n

I know consider<\/span> ligament<\/span> plasty<\/span> any<\/span> repair<\/span> of an<\/span> anatomical<\/span> structure<\/span> , broken or deteriorated<\/span> and that<\/span> needs<\/span> to be<\/span> replaced<\/span> by<\/span> another<\/span> of the same<\/span> person or a bank<\/span> of tissues<\/span> .<\/p>\n

In the knee<\/span> are usually<\/span> replaced<\/span> anterior<\/span> cruciate<\/span> ligament or posterior Cruciate<\/span> Ligament<\/span> , after<\/span> a sports<\/span> trauma<\/span> , labor<\/span> or traffic<\/span> , recent<\/span> or old<\/span> and that<\/span> brings<\/span> pain, bugs<\/span> and knee<\/span> instability<\/span><\/strong>; Always<\/span> after<\/span> making<\/span> a period<\/span> of rehabilitation<\/span> .<\/p>\n

The chronic<\/span> rupture<\/span> of the cruciate ligaments<\/span> progressively<\/span> deteriorates<\/span> the<\/span> cartilage<\/span> , menisci<\/span> , leading<\/span> to<\/span> osteoarthritis<\/span> or premature<\/span> wear<\/span> of the joint<\/span> .<\/p>\n

\"\"<\/p>\n

The plasty<\/span> can<\/span> be obtained<\/span> from a<\/span> part<\/span> of patellar<\/span> ligament<\/span> , bone-tendon-bone<\/span> (HTH) or good<\/span> of tendons<\/span> of the inner<\/span> face<\/span> of the knee<\/span> , tendon<\/span> of semitendinosus<\/span> or bank<\/span> of tissues<\/span> . Once<\/span> prepared<\/span> , they<\/span> are transplanted<\/span> into the suitable<\/span> place<\/span> and set<\/span> with some<\/span> screws<\/span> of titanium<\/span> or well<\/span> resorbable<\/span> until<\/span> _<\/span> bony<\/span> ends<\/span> are they reincorporate<\/span> bone<\/span> .<\/p>\n

HOW<\/span> IS THE PLASTY<\/span> PERFORMED<\/span> ?<\/strong><\/p>\n

The cruciate<\/span> ligament<\/span> plasty<\/span> is performed<\/span> under regional anesthesia<\/span> of the lower<\/span> extremities<\/span> and the entire<\/span> intervention<\/span> is prepared<\/span> by<\/span> arthroscopy<\/span> . With some<\/span> small<\/span> holes<\/span> the<\/span> cannulae<\/span> and the instruments<\/span> are introduced<\/span> to<\/span> be able<\/span> to work<\/span> with the help<\/span> of a television<\/span> monitor.<\/p>\n

Once<\/span> the<\/span> interior<\/span> of the knee<\/span> , A<\/span> small<\/span> incision<\/span> must be<\/span> made<\/span> in the front face<\/span> of the knee<\/span> to<\/span> be able<\/span> to extract<\/span> the HTA<\/span> plasty<\/span> of own<\/span> patient<\/span> , what will we<\/span> prepare<\/span> with exact<\/span> measurements<\/span> and will reintroduce<\/span> within<\/span> tunnels<\/span> made<\/span> _<\/span> block<\/span> with corresponding<\/span> screws<\/span> and to the exact tension<\/span> . This<\/span> is<\/span> valid<\/span> for<\/span> the anterior<\/span> cruciate<\/span> ligament<\/strong> Y also<\/span> for<\/span> him posterior cruciate<\/span> ligament<\/span><\/strong> although<\/span> there is<\/span> greater technical<\/span> complexity<\/span> .<\/p>\n

\"\"<\/p>\n

WHEN<\/span> DOES THE REHABILITATION<\/span> PERFORM<\/span> ?<\/strong><\/p>\n

Between<\/span> 12-24<\/span> hours<\/span> and in same<\/span> clinic<\/span> withdraw<\/span> the tubes<\/span> of drainage<\/span> and place<\/span> the knee<\/span> on<\/span> a<\/span> motorized<\/span> splint<\/span> that<\/span> mobilizes<\/span> the knee<\/span> shape passive<\/span> , without any<\/span> effort<\/span> and get<\/span> about<\/span> 90\u00ba of mobility<\/span> within<\/span> the first<\/span> week<\/span> . also<\/span> know perform<\/span> active<\/span> exercises<\/span> to<\/span> prevent<\/span> atrophy<\/span> of the muscles<\/span> of the knee<\/span> and start<\/span> the march<\/span> with help<\/span> of some<\/span> sticks<\/span> to day<\/span> after<\/span> the intervention<\/span> .<\/p>\n

The high<\/span> of the clinic<\/span> usually<\/span> occurs<\/span> within<\/span> the first<\/span> week<\/span> and continue<\/span> the exercises<\/span> at home or good<\/span> in a center<\/span> of rehabilitation<\/span> to<\/span> achieve<\/span> full<\/span> mobility<\/span> .<\/p>\n

WHAT<\/span> CAN I<\/span> DO<\/span> AFTER<\/span> THE INTERVENTION<\/span><\/strong><\/div>\n

You can<\/span> walk<\/span> to 24<\/span> hours<\/span> of the intervention<\/span> , with help<\/span> of canes<\/span> , mobilize<\/span> the knee<\/span> between<\/span> 12-24<\/span> hours<\/span> , fold<\/span> the knee<\/span> up<\/span> right angle<\/span> to the week<\/span> and get<\/span> the complete<\/span> mobility<\/span> between<\/span> 2nd and 4th week<\/span> .<\/p>\n

You will<\/span> be<\/span> able to lead a<\/span> relatively<\/span> normal<\/span> life<\/span> between<\/span> 6-8 weeks<\/span> if<\/span> you<\/span> . No make<\/span> a hard<\/span> physical<\/span> work<\/span> but<\/span> the sport<\/span> of contact<\/span> not should<\/span> start<\/span> before 6 months<\/span> . All<\/span> this<\/span> is<\/span> conditioned<\/span> by<\/span> the need<\/span> for that<\/span> the transplanted<\/span> bone<\/span> is<\/span> remodeled<\/span> enough<\/span> to<\/span> support<\/span> any<\/span> load<\/span> .<\/p>\n<\/div>

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