Anterior cruciate ligament tear can be treated surgically or conservatively, and the knee specialist orthopaedist will decide if surgery is needed or the injury can be treated with physiotherapy and/or other conservative therapies.
Regardless of the extent of the injury, several factors affect whether conservative treatment is sufficient or if anterior cruciate ligament surgery is required. The patient’s age, physique, weight, physical activity and scope of activity are also important, as it does not matter for the subsequent load on the joint whether it is a lightweight individual, doing mostly sedentary job, or someone doing a standing job, or an athlete with strong physique. In the case of activities that significantly use the knee joint, ligament replacement is definitely recommended, but in case of less use, conservative therapy can also be used.
In case of both treatments, the primary goal is to restore knee stability.
Conservative treatment is recommended if the tear is less than 50%, the pivot shift test is negative, and the patient has no sense of instability. With the reinforced thigh muscles during the treatment, and by creating ideal load conditions, later surgery can be avoided, however, there is a risk of wear. The treatments also aim to restore painless movement, full range of motion and prepare for the increased load that can be achieved with special physiotherapy. Chilling can also be used as a supplementary treatment to reduce inflammation and pain.