Internal amplification operation

In acute and sub-acute cases, i.e. when the accident itself was not too long ago, one treatment option is to internally reinforce the “old” anterior cruciate ligament with a new structure and thus restore conditions that are extremely close to the original conditions. This technique, which is rarely offered, has the following advantages: Unfortunately, this special technique is not suitable for chronic instabilities, some of which occurred years ago, since in these cases the “old” anterior cruciate ligament is usually no longer present. Unfortunately, there are no long-term results, so that at this point in time it is not possible to recommend this surgical technique without reservation.

The “own” anterior cruciate ligament can be largely preserved with its so-called proprioceptors, i.e. nerve receptors that are very important for the fine tuning of movement and muscle input, which would of course not be possible with an anterior cruciate ligament operation using the so-called patellar tendon.
The transplanted tendon material (quadruple semitendinosus tendon) is encased from the beginning, which creates ideal ingrowth conditions for the transplanted material.

Is cruciate ligament surgery possible on an outpatient basis?

Cruciate ligament surgery is a minimally invasive procedure that is now very routinely performed in everyday medical practice. Approximately 30,000 operations of this kind are performed in Germany every year, many of which are outpatient procedures. Nevertheless, in most cases inpatient treatment is recommended.

There are several reasons for this: However, since cruciate ligament rupture surgery has developed into a very sophisticated procedure in recent years, many patients still opt for outpatient treatment under certain conditions. Outpatient treatment would therefore be advisable if the patient is young and the operation is expected to be free of complications, as well as if the patient can be reintegrated into everyday life as quickly as possible.

In addition, the operation usually requires a series of preliminary examinations, from X-rays to MRI, which can be performed more easily in everyday clinical practice. In addition, there are other factors, such as complications occurring before the operation and the good postoperative physiotherapeutic treatment at the hospital.
Effective treatment of pain and possible complications after the operation are also better provided in the clinic.