Injuries of the ligamentous apparatus of the knee occur especially in athletes very often. Depending on which ligamentous structure is affected, healing of the injury can be uncomplicated or tedious, requiring surgical treatment.
A tear of the inner band (inner collateral ligament) is usually attributable to the unproblematic injuries. To treat this injury is usually resorted to the installation of a rail and prescribed in parallel physiotherapy. Nevertheless, complications and delays in healing can occur. Above all, patience and discipline during the healing phase are important. Finally, as a last resort, surgery may allow the knee to be fully loaded.
How well or quickly an inner ligament ruptured individually is difficult to predict and depends on many different factors. It is important in every case to comply with the therapeutic measures. These include on the one hand simple measures such as the cooling (especially the inside) of the knee and the protection, or an appropriate partial load of the joint. In the meantime, pain should not be tolerated, but should be adequately treated with drugs from the NSAID group, such as ibuprofen, diclofenac, and aspirin (ASA).
In addition, a regular implementation of physiotherapy accompanying treatment is healing. Apart from the outpatient therapy with the trained physiotherapist, the exercises should also be carried out independently at home. As a result, on the one hand faster healing success can be achieved, and the later load capacity can be increased. As helpful as independent exercises can be, however, an overload should be avoided. In any case, the exercises should be discussed with the attending physician and / or physiotherapist.
As a rule, a partial or complete rupture of the inner ligament of the knee is assumed to result in a healing period of about 2 to 10 weeks. After this time, a full resilience of the joint is usually given again. With partial tears, it is often even possible to pick up a light sports program after only 2 to 3 weeks, whereas for heavier tears it is necessary to rest through a brace ( orthosis ) for up to 6 weeks. However, this also means a significantly slower increase in the load, so that a full load of the knee, such as in sports, only after 2 - 3 months is possible again. If the wearing of an orthosis does not bring sufficient healing success, eventually an operative intervention may be necessary. Due to the lengthy treatment process and healing process, severe internal burns may in rare cases take up to 9 months to completely heal.
It may take up to a year for the knee joint to return to full fitness after a broken inner ligament tear comparable to its pre-injury condition. Individually, the healing time can vary greatly. Among other things, it depends on the severity of the injury, a sufficient protection at the beginning and a reasonable physiotherapeutic stress increase.
Application of a rail
If the diagnosis of an inner ligament tear has been made on the knee (inner collateral ligament), the treatment is usually performed with a brace ( orthosis ). Since the ligaments of the knee passively contribute to the stability of the knee by stretching in certain joint positions, the knee is splinted so that these joint positions can not be taken. Initially, the freedom of movement of the knee is thereby very limited, usually only a diffraction of about 60 ° is allowed. Depending on the state of healing, the splint can then be readjusted so that a higher mobility of the joint is gradually made possible.
Such a splint is usually worn for about 6 weeks. During this time, however, the knee should not be completely spared; instead, physiotherapy exercises are also carried out with splints. However, after the track has been removed, there should be no exercise for a few weeks.
In most cases, the healing of an internal ligament tear of the knee is uncomplicated, so that after just a few weeks, a daily load on the joint is possible. In a few cases, however, it can also lead to more complicated courses, so that the wearing of a splint does not bring sufficient healing success and instead an operation is necessary. This is especially indicated if there is still a strong instability of the knee after completing the conservative therapy (splint). After the surgery has been completed, the next treatment step is the beginning of a physiotherapeutic therapy, which often starts as early as possible, unfortunately often quite protracted.