Cruciate - surgery intro
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Totally torn cruciate ligaments do not successfully repair themselves. Partially torn cruciates may repair themselves successfully, but a great many surgeons would choose even to 'augment' a partial tear with a graft so that the patient does not go on to a total tear and secondary damage to other structures. Early surgical procedures (eg. MacIntosh) relied on strengthening the supports on the outside of the joint (extra-articular repair). A surgical breakthrough was made in the late 1970s with the introduction of synthetic ligament replacements, which led to the development of surgical techniques and instrumentation for internal reconstruction (intra-articular reconstruction). |
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