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Surgery is almost always recommended to repair a torn ACL, which involves replacing the ligament with a new one called a graft made of tissue from a patient’s kneecap tendons or hamstrings, or ...
A Brostrom repair should be considered a last resort after a patient has tried a series of non-surgical options, such as wearing a boot cast after the injury, going to physical therapy for an extended period of time, etc. Most ankle sprains can significantly improve without surgery.
Although most sprains can be managed without surgery, severe injuries may require tendon grafting or ligament repair based on the individual's circumstances. [22] The amount of rehabilitation and time needed for recovery will depend on the severity of the sprain. [23] A foot sprain is an injury to the ligaments that connect bones within the foot.
If the tendon rupture is a partial tear (without the two parts of the tendon being separated), then non-surgical methods of treatment may suffice. The future of non-surgical care for partial patella tendon ruptures is likely bioengineering. Ligament reconstruction is possible using mesenchymal stem cells and a silk scaffold. [5]
Injuries to the ACL are common, 250,000 ACL injuries occur on an annual basis. This corresponds to a 1 in 3,000 chance of an individual sustaining an ACL injury. Ligaments in the ACL or meniscus are usually torn with an external force being applied to the knee joint. The ACL can be torn without an external force being applied [11]
Treatment could involve anything from rest and physical therapy to surgery to replace the torn ligament, followed by physical therapy. Training programs exist to help reduce the risk of an ACL injury.
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The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction through an arthroscopic procedure. ACL repair is also a surgical option. This involves repairing the ACL by re-attaching it, instead of performing a reconstruction.