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We are a growing population, not just in number but also in size! In 2011 almost 25% of the English population was obese and these numbers continue to rise. Most of us understand that being significantly overweight can cause all sorts of problems with health such as high blood pressure, heart disease and diabetes, but…
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Basic Science and Articular Cartilage Healing Articular cartilage has no blood supply and no nerve supply. Chondrocytes (articular cartilage cells) obtain their nutrition from the synovial fluid while the underlying bone provides nutrition to the deeper layers. Chondrocytes function to produce the extracellular matrix and work hard to produce proteoglycans. Collagen fibres turn over less…
The ‘keyhole surgery’ operation to reconstruct the ACL involves replacing it with other strong tendons from areas around the knee. Two main grafts are in common use: the Hamstring Tendon graft and the Patella Tendon graft. Both are considered to be equally good and the choice usually depends on the surgeon’s preference. Currently the Hamstring…
Types of tears: functional or non-functional Several different words are used to describe a torn ACL including ruptured, snapped, injured, torn and popped for example. Once injured, it can partially heal in some people and this may give sufficient restraint to return to non pivoting sports. In most however, the ligament will not heal tight…