Complete ACL
tears do not heal on their own. Surgery is advisable in most cases,
though in non-active lifestyles it is not absolutely necessary. In
these cases the
swelling will decrease in a few months, and the joint will be usable to
certain extents - especially if the muscles around the joint are bulked
up to compensate for some of the loss of stability.
To "fix" the ligament requires arthroscopic surgery
and up to nine months of physical therapy to bring your joint back to
pre-injury health and strength (www.medicinenet.com), though actual
time
in physical therapy will vary from patient to patient.
With the Arthroscopic surgery a new ligament is
grafted in place of the old one. The graft can be a graft from the
patient
(an autograft, usually from the hamstring or patella tendon) or the
graft can come from a cadaver (an allograft). Synthetic grafts have
also been tried, though not with as much success (www.sportsci.org).
For the tissue grafts, the tissue of the graft goes through some
biological changes to become more ligamentous. This transition stage
is when the graft is the weakest, and occurs between 6 - 12 weeks post
operation; physical therapy programs have to take this into account
(www.sportsci.org)
Rehab and physical therapy can be sumed up through 4
stages (www.sportsci.org):
1) Regaining
flexibility and reducing swelling after surgery.
2) Regaining
balance and stability in the muscles surrounding the knee.
3) Increasing
strength and aerobic conditioning of the muscles surrounding the knee.
4) Slowly
returning to former activities.
For a more detailed version of this see
(www.wikipedia.org/wiki/anterior_cruciate_ligament_injury). It is
similar to what I went through with mine.
Gaining muscle around the joint is essential for not
re-injuring the ligament, and for returning back to former activities.