What happens when the surface cartilage is damaged at the same time?
Many patients will also slightly damage the surface cartilage inside their knee when they tear their ACL. This type of damage can be superficial and it can also be quite deep. The depth and the amount of damage to the surface cartilage determine how the surgeon can repair the cartilage. Very shallow areas of damage can be smoothed out with a special tool called a “shaver”, however, very deep areas of damage that go down to the bone underneath the surface cartilage are more difficult to treat. Areas of deep damage can be repaired in a number of different ways. One way is to drill several small holes into the bone in order stimulate the bone to produce a new layer of surface cartilage. Another way to fix the damage is to take a piece of healthy cartilage from somewhere else in your knee and use it as a graft to fill the defect. When the ACL is ruptured the medial or lateral collateral ligaments can also be injured. The medial and lateral collateral ligaments stabilize your knee from side
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