Professor Shlomo VaintraubOrthopedic surgeon, specialist in pediatric orthopedics
The orthopedic surgeons at the Top Ichilov clinic have extensive experience in correcting conditions such as anterior cruciate ligament (ACL) tears. A significant advantage of treating this condition at this medical center is the use of the arthroscopy technique. This minimally invasive procedure significantly reduces the recovery period, avoids large tissue incisions, and minimizes the risks of complications.
Top Ichilov Orthopedic Surgeons Performing Knee Ligament Reconstruction at the Highest Level
The Top Ichilov clinic employs a cohesive team of specialists with extensive experience in performing knee ligament reconstruction surgeries. A comprehensive, collegial approach allows specialists from different fields to quickly find the most effective rehabilitation path for the patient, restoring their joy of full, independent movement.
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Arthroscopy: Knee Ligament Reconstruction at Top Ichilov - Fast and Painless
At the Top Ichilov clinic, ACL tears are corrected as part of a reconstructive surgery and through a comprehensive rehabilitation program. The reconstructive surgery is performed using the arthroscopic method, which allows for diagnosing the ligament tear, assessing the degree of damage to the knee joint, excluding the possibility of the ligament being torn along with a bone fragment, and performing the reconstruction itself during a single arthroscopy.
Suturing the ligament is not possible. For this purpose, reconstruction is performed, during which the ligament is replaced with a graft. Typically, the patient's own tendons are used for the graft (patellar tendon or one of the fibers of the semitendinosus muscle tendon). Alternatively, donor ligaments or synthetic analogs may be used.
Arthroscopy for ACL Tear - Stages:
- The surgery is performed under spinal (regional) anesthesia;
- Incisions are made on the knee in two to three places. Their sizes are small;
- Through one of these incisions, an arthroscope is inserted into the joint cavity. This is a special optical instrument equipped with a video camera.
- Before inserting the arthroscope, the joint cavity is filled with saline to remove blood clots and artificially enlarge the internal space of the joint;
- The operation is broadcast from the camera onto a large monitor in the operating room, allowing surgeons to more accurately track their manipulations and fully assess the condition of the joint cavity;
- The laparoscope can introduce microsurgical instruments into the joint cavity, which are used to create holes (tunnels) in the femur and tibia where the graft is secured;
- In cases where the patellar tendon is used as the reconstruction material, an additional incision is required for its extraction. Due to lower trauma, the surgeons at the Top Ichilov clinic more frequently use the hamstring transplantation technique. In this method, the tendons of the semitendinosus muscle located in the popliteal area are used as the transplant material.
- After the graft is secured with staples or screws, the arthroscope is removed from the joint, stitches are applied to the wounds, and the joint is mobilized with a brace or elastic bandage.
A torn anterior cruciate ligament causes joint instability and requires mandatory surgical treatment. The surgeons at the Top Ichilov clinic are always ready to apply their extensive experience and skills to relieve their numerous patients from this unpleasant condition.
After the knee ligament reconstruction surgery, patients are recommended to undergo a long rehabilitation course. According to statistics, if such a course is conducted in clinics in Israel, using the latest methods of physiotherapy, kinesiology, and vertebrology, the vast majority of patients manage to fully restore the stability of the knee joint and maintain its full range of motion, without limiting their level of physical activity.
Accurate and Fast Diagnosis of Knee Ligament Reconstruction at Top Ichilov
The anterior cruciate ligament is part of the knee joint structure. The main role of this anatomical formation is to stabilize the joint and assist in maintaining body balance. Typically, an ACL tear occurs due to excessive load on the joint, accompanied by displacement, twisting, or deviation of the shin relative to the knee. Statistically, an anterior cruciate ligament tear is the most common knee joint injury.
Diagnosing a cruciate ligament tear is straightforward. The diagnostic program for such an injury may include, in addition to a consultation with a surgeon, vertebrologist, or orthopedist:
- Knee joint imaging methods (MRI, CT, X-ray)
- ECG;
- Fluorography;
- Standard urine and blood tests;
- Consultation with an anesthesiologist.
The program may be expanded depending on the specific case. In any circumstances, the diagnosis and preparatory process for surgery regarding a cruciate ligament tear at the Top Ichilov clinic will be conducted optimally quickly and with good results.
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