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Diagnosis and treatment

The diagnosis of an ACL injury is usually arrived at by determining the mechanism of injury, examining the knee, determining the presence or absence of blood within the joint, and performing diagnostic studies. These may include x-rays, MRI scans and stress tests of the ligament.

The initial treatment of an acute ACL injury often includes ice, anti-inflammatory medication, and physical therapy which is directed at restoring the range of motion of the injured knee.

Surgical treatment of the torn ACL usually involves an arthroscopic surgical reconstruction of the injured ligament.

The remaining tendon is then repaired. After harvesting the tissue, drill guides are used to place holes into the tibia.and femur (bone above the knee). By placing the drill holes at the attachment sites of the original ligament, when the graft is pulled through the drill hole and into the knee, it will  be placed in the same position as the original ACL.

After pulling the graft through the drill holes and into the joint to replace the torn ACL, the graft is then held in place with bioabsorbable screws or metallic screws.

Fastening the graft in this manner allows new blood vessels to grow into the transferred graft and for healing to occur. Typically, the procedure is performed on an outpatient basis.

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