Orthopedic Surgery in Tunisia
Ligamentoplasty of the Knee
Cruciate Ligament

The knee joint consists of three ligaments. Share is on the other are the medial collateral ligament and lateral collateral ligament and the middle are the cruciate ligaments (anterior and posterior). The role of these ligaments is to stabilize the knee during movement in pivot (change direction) or during running on uneven terrain or when receiving finally jumps. Following a severe sprain of the knee ligaments may be affected. If this is the lateral ligaments, immobilization for several weeks is sufficient.

However if it is cruciate ligament surgical repair is necessary in an elderly patient usually under 40 years old, sporty or whose job requires a good knee stability, healing can not take her itself. However, in a patient over 40 years, sedentary, we opt for conservative treatment (physical therapy).


Surgical technique

There are two surgical techniques:

  • It takes a hamstring graft on the lower extremity muscles (law and semitendinosus) tendon or fascia lata of the thigh which are then attached in place of the anterior cruciate ligament.
  • KENNETH JONES-It takes a bone graft-tendon-bone of the patella, the patellar tendon and tibial tuberosity which are then attached in place of the anterior cruciate ligament.
If there will be associated meniscal tear sutured during the same operation.

Pre-operative examinations

You and your surgeon agree to an operation date. It will therefore carry out reviews:

  • Blood test
  • Consultation with a cardiologist
  • Consultation with the anesthetist provided with all your test results and the order of your ongoing treatment. This one you indicated the type of anesthesia best suited (general anesthesia or spinal anesthesia). It will organize to stop certain treatments that interact with coagulation.

Stay at the clinic

  • Entry into the clinic before (hospitalization) of the intervention provided the results of all preoperative assessments and radiological (X-rays, MRI scan.), Your card and your certificate of vital mutual.
  • Also plan your business and toilets to put on simple clothes in case of hospitalization.
  • A whole team of nurses will welcome you and show you your room.
  • You will receive a visit from your surgeon and anesthesiologist.
  • Then you will be taken to the operating room.


  • The recovery of walking is usually the day after the intervention using two crutches, his leg in a splint immobilization.
  • The physiotherapist will teach you to walk properly (move the operated leg first and then move the other leg).
  • When you leave you will perform many therapy sessions.
  • Antithrombotic prevention is necessary to eliminate any risk of phlebitis.
  • A consultation is required postoperative rained two weeks later, when the ablation is done son.
  • Then regularly .
  • There must be a minimum of two months off work.

Representative diagram of the intervention

Orthopedic surgery in Tunisia - cruciate ligament surgery
Repair of the cruciate ligament using the technique hamstring


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