About knee repair
A cruciate ligament tear is a complete or partial tear of the cruciate ligament in the knee joint due to external forces. The cruciate ligament may also be stretched. The anterior cruciate ligament is affected much more frequently than the posterior cruciate ligament. This knee injury often occurs in sports such as football or skiing.
The symptoms depend partly on which cruciate ligament is affected. But a cruciate ligament tear is generally very noticeable and a cracking noise can be heard. Initial symptoms include swelling as well as knee pain. In some cases, bloody effusion quickly accumulates in the joint. Additional symptoms which also develop frequently are pronounced gait insecurity and sudden buckling of the knee. Often extension and flexion may be obstructed or pseudo-locking of the knee may occur.
A major factor in treating a cruciate ligament injury is fitting the patient with a orthosis. Supports and orthoses are used for preventative, rehabilitation, and early functional purposes.
Preventative: Protecting the knee joint against severe injury without restricting its function.
Rehabilitation: Controlled movements are allowed during the early mobilisation phase in order to protect the ligament or the graft against harmful mechanical forces.
Functional: The knee joint is stabilised after tears or insufficiency and protected after an operation.
Continuous passive motion (CPM) devices are used after a surgical procedure such as a knee replacement or, in some cases, an ACL repair. The CPM is designed to control pain, educe inflammation, and protect the healing repair or tissue. The device is attached to your leg while you are in bed, and provides passive motion in a specific plane of movement to strengthen your repaired joint. The CPM constantly moves your joint in a controlled range of motion. usually increasing the range of motion over time.
Some studies show that use of a CPM can also decrease the number of physical therapy visits needed after a procedure, since the repaired joint is being strengthened using the device.
A new approach
Post-operative braces are used in traumatic situations (accidents) as well as post-operatively in order to immobilize and stabilize your knee, either at a set position or allowing limited knee joint motion. Using a post-operative brace allows gradual buildup of movement when your therapist sets flexion and extension limits at various degrees.
Cold decreases pain by reducing the ability of the nerve endings to conduct impulses and limits your muscles’ ability to contract, thus reducing muscle spasms that can occur as your knee heals. Devices that use cold therapy (or “cryotherapy”) were developed to reduce pain and soft tissue swelling for people recovering from surgery or trauma to a particular joint, such as the knee. Today’s cryotherapy devices have sophisticated temperature controls, so there is little risk of nerve damage or frostbite from uncontrolled cold.
These knee braces are designed to help you after sustaining damage to your ACL (anterior cruciate ligament), meniscus, and other types of ligaments. The brace provides pain relief, reduces edema (swelling) and improves knee joint function. Sometimes they are prescribed after surgery as a means of rehabilitation; sometimes they can be an alternative to surgery. They can be used to stabilize your ligament/s, either during sports activities or simply when walking.