Which is better, open surgery for posterior cruciate ligament rupture or arthroscopic surgery?

Of course, arthroscopy is better, the surgical wound is small, the recovery is fast, the bleeding is less, and the chance of infection is low.

The ruptured ligament generally does not heal on its own, and ligament reconstruction is required, that is, the original ligament is replaced with another ligament, and the substitute can make autologous ligament, allogeneic ligament, artificial ligament, and autologous ligament are generally used at present, because of the low cost and no rejection.

Arthroscopic ligament reconstruction is a surgical method for complete anterior cruciate ligament loss or single bundle injury. The biggest advantage of this method is that the incision is relatively small, aesthetic and less painful. What should we pay attention to when performing arthroscopic ligament reconstruction?

First of all, although the risk of surgery is very small, patients should still go to a regular hospital to find a professional doctor for surgery to ensure the success rate of surgery and minimize the postoperative ***. After ligament reconstruction, early immobilization, functional exercises, and strength training are required. Contraindications mainly include:

First, do not remove the stent too early after surgery, so as not to affect the stability of the joint. Secondly, do not go down too early to avoid ligament rupture or rupture after reconstruction. Thirdly, do not participate in physical activities too early, so as not to affect the stability of the ligaments.

Fourth, prevent falls or sprains that can cause ligament damage again.

Secondly, there is post-operative care. The recovery period after surgery is also very important. Poor postoperative care may lead to deterioration or other conditions, and appropriate immobilization is still required for three to four weeks in the early postoperative period.

Depending on the surgical repair, the removal of the external fixator is directed, followed by progressive functional exercises, such as active and passive joint mobilization and stress, to facilitate**. Therefore, it is important for patients to pay attention to postoperative care. Here are some things to keep in mind after surgery:

First, prevent wound infection. The surgical wound is small, usually only one centimeter, but the patient will not be able to remove the stitches until a week or two later. In general, after the sutures are removed, the patient should try not to soak the wound in water for a long time to prevent infection and not to pick up the scab of the wound until the wound has fallen off naturally.

Second, don't exercise too much after surgery. Prevent the wound from tearing again, but massage the wound and its surrounding tissues to promote the growth of muscles around the wound and the healing of the wound. Third, patients should be followed up in a timely manner.

Observe the recovery of the wound to prevent it from becoming inflamed or worsening. The doctor can also make the right recommendation based on the patient's condition.

Recovery from multiple ligament injuries in the knee is very critical because this surgery is a relatively large and complex operation, and the precautions after surgery include:

1. Prevent infection, because the time required for multiple ligament injury reconstruction surgery is relatively long, more than 2 hours, and the infection rate of surgery will increase significantly, so patients should be closely observed after multiple ligament injury reconstruction to actively prevent infection;

2. Actively prevent the formation of deep vein thrombosis, there is a period of immobilization after multiple ligament injury reconstruction, and the knee joint is prone to thrombosis during the immobilization process, and it is necessary to frequently check whether the patient's limbs are edema and swelling.

If there is limb swelling, color ultrasound should be rechecked in time to rule out the formation of deep vein thrombosis; If there is deep vein thrombosis, symptomatic treatment should be given in a timely manner**;

3. To prevent postoperative adhesions, there are multiple incisions in the knee joint in multiple ligament injury reconstruction surgery, and there are multiple ligaments passing through different bone tracts, and it is easy to have knee adhesions after surgery, so we should strictly follow the best plan to do knee joint functional training to prevent knee adhesions.

Judging by the returns of magnetic resonance:

1. Your posterior cruciate ligament avulsion fracture has been fixed by plaster, as long as the fracture is not displaced, it has been 3 months, and surgery should not be needed; As for the return of the posterior cruciate ligament tear, you need to find a sports medicine specialist to help you determine whether it is really a rupture, generally the posterior cruciate ligament insertion avulsion fracture is usually not accompanied by a ligament rupture (the magnetic resonance return at this time may not be accurate);

2. Anterior cruciate ligament tear and meniscus injury, which requires arthroscopic ligament reconstruction and meniscus surgery;

3. According to what you said, the early missed diagnosis of this case is definitely there; However, the measures taken did not delay your further ** (because ligament reconstruction and meniscus injuries do not require surgery in the acute phase, and there is nothing wrong with casting an avulsion fracture), it can only be said that this doctor does not have an in-depth understanding of the sports medicine profession, so it is useless for you to complain about him, and the chances of getting compensation are almost none.