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A Step Ahead In The Surgery Of Ligaments And Tendons
A. Ginés
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Ligament and tendon injuries are classified into three grades:
• Grade 1: there is a minimal collagen fiber injury, and it does not entail functional changes.
• Grade 2: the breakage of collagen fibers is more extensive and there is a functional deficit.
• Grade 3: there is a partial (severe damage of the collagen fibers) or complete (or avulsion of the bone ligament) rupture.
Theoretically, lesions of grade 3 and some of grade 2 (depending on the functional deficit present) require surgical treatment.
As a general rule, within the first hours after the injury it is advisable to apply cold, and bandages when the injury requires it. When carrying out surgical repair, it is essential:
- Re-attach the ends when there is a complete rupture. If there is a space between the ends, the tendon or ligament will probably not heal or they will heal by fibrosis (which will result in weak healing). ...
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Affiliation of the authors at the time of publication
EE. UU.
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