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The full healing process takes some time and varies with each patient. If you look at the collagen with an electron microscope after three years, it slowly becomes a ligament.” The tendons grafts, over three years they turn back into ligaments (because the ACL is actually a ligament and the collagen is different). “The ACL does try and heal but does so poorly, so we often augment what you have in there with a graft,” Heard adds. And the fourth graft option is to use donated human tissue or “allograft.” Deciding which to use depends on the patient’s age, and if they’ve had the surgery before.
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The second is using a patellar tendon or your quadriceps tendon. The first is using a piece of your hamstring from the same knee, or the other knee. Heard and his team perform a quarter of Alberta’s ACL surgeries, which is around 700, nearly 250 of which he performs. Consider a specialized center rather than a place that only does a few ACLs a year. How Injury Rehab Made Miami Heat Forward Justise Winslow Even Stronger Read article Of course, some crashes are just going to happen and there is nothing you can do. There are some companies working on the compromise. Since the advent of shaped skis, ACL injuries have skyrocketed. Equipment advances are often a less obvious factor: some gear modifications that improve performance can lead to more injury. With dehydration, your reactions slow down considerably. When you start to drop your knees inside they are winding up the ACL, and it just needs a little force to tear.”Īnother simple precaution is to stay hydrated. “Keeping your legs aligned and not dropping your knees inside of your big toe is crucial. “Strength, balance, agility, proprioception and biomechanics are all good things to work on,” notes Clemes, also noting the benefit for your neuromuscular connections. You will likely never make a save like Bode (no matter how many ab workouts), but the video is a great example of how movement can up your chances of avoiding injury. “If you watch Bode Miller’s famous save, you can see him keeping the core so stable he could bring his ski back onto the snow.” “It is not just your leg muscles, quads and hamstrings that you need to work, but it’s your core strengthening that makes a huge difference,” says physiotherapist Barb Clemes. But there’s a catch: Although the stats favor men in sports like soccer, both men and women have an equal statistical chance for tearing ACLs while skiing, making preseason training important for everyone. Studies with female soccer players (who are at a higher risk of ACL tears than men in field sports) show that preseason training helped prevent injury, up to a 30-50 percent improvement. Torn Anterior Cruciate Ligament Shutterstock PREVENTION