LIGAMENTOPLASTY arthroscopic
This to stabilize your knee by preventing the tibia from the forward and avoid possible injury or derobements secondary meniscus.
The general principle is to replace the torn ligament with a tendon taken at the knee. This tendon serves as a new ligament. It is set in place of the original ligament.
There are two main methods for changing ligament: • Either you open your knee. • Or there is that small holes. The gesture is performed arthroscopically.
With the arthroscopic technique the patient suffers much less walking right away, folds to 90 ° in 7 days. The ligament is positioned accurately.
arthroscopic surgeon passes through openings of a cm. an optical fiber connected to a camera and small surgical instruments. The operation takes place controlled video while in the standard surgery the joint is wide open
The first procedure involves removing the tendon to replace the torn ligament.
In this first part of the intervention pocket that is the natural knee joint is not open. It's the whole point of the gesture under arthroscopy.
An opening in the skin is however necessary in front of the knee. It's about taking the middle part of the patellar tendon to replace the ligament. This technique is called classical Kenneth Jones or KJ
When collecting the surgeon to prevail on both ends of the "new ligament" a small chip of bone. It is useful for the tendon, once in place, sticks well.
This piece of tendon is used to make a new order to replace the ligament is torn the tendon, which has removed a part, will recover spontaneously after surgery.
The second operation fully respects the joint cavity. It arthroscopy. The surgeon brought into the joint through an aperture of 1 cm, a small optical cable connected to a video camera. This allows him to see the work area. By further opening of 1 cm. it is passing small instruments to place the future ligament.
Then, always under control and video, he dug two tunnels in the bone of the tibia and femur. These tunnels are used to pass the new ligament in the bone and fix it.
It is important so that the ligament in the right place on the tibia and attaches to the right place on the femur. Therefore the orientation of the tunnels is calculated so that the holes in the joint exactly match the attachment points of ligament origin.
Then the new ligament is passed first into the tibial tunnel and inserted into the femoral tunnel in the second, still under video control.
The last part of the intervention is to set the new ligament. The surgeon uses screws that disappear slowly in the body (absorbable screws).
When closing a small drain is in place. He will be kept for 48
The closure itself is performed by a wire slipped into the skin. Small adhesive strips are added to give a fine appearance and aesthetic scar. This wire will be removed about the fifteenth day. The operation usually lasts 65 to 75 minutes. It takes more time to prepare for anesthesia and the period of awakening. The rehabilitation is part of the operation. This begins the day after surgery. It is of primary importance because muscles and ligaments work in synergy. It will be continued after leaving the fifth day.
That's what I like operation tomorrow! I stress a lot anyway and I hope to play again in basketball!
("FIGAROSCOPE" 8 to 14 March 2006) 
Le Figaro, June 7, 2005 
