- 1541
- 75
- 4
- 5
- 0
- Help Ukraine
About the solution
An ACL (anterior cruciate ligament – the main ligament through the centre of the knee which keeps the joint stable) injury used to be viewed as the dreaded curse for footballers, as a return to the game was not always guaranteed. Advancements in technology mean it is not the career death knell it once was, but there is still a 10 per cent re-injury rate and some players still don’t get back to the level they were at before.
Mackay’s method is a less traumatic alternative to traditional reconstruction: repairing the ligament as soon as possible and augmenting it with an internal brace (IB). “A ligament repair tries to retain all the natural tissue, so the injured ligament can heal again. The IB idea is that it protects the ligament so it is fully healed. Whereas a reconstruction is taking a part of the ligament from the hamstring to replace the damaged ligament.
“Why can’t we protect things and mobilise them while we heal?’. We do it with external braces. Why don’t we do it internally by matching the natural ligament? Don’t replace it, let it heal and just protect it.
“We’ve found that we can use a hybrid, which is a slightly reduced graft in size. We keep the stump of the damaged ligament so you’ve still got nerve supply and blood supply, and back it up with this internal brace. like a ribbon, but it significantly improves the strength of the reconstruction. We’ve also found recently that, with the addition of a second internal brace on the outside of the knee, you can reduce the risk of re-injury by a further third.
Recovery time was around a minimum of nine months to get back to playing, but former Aberdeen and Dundee United defender Mark Reynolds’ return was reduced to just four-and-a-half months courtesy of Mackay’s IB repair in 2018, while now-Rangers winger Scott Wright was fully recovered in the same timeframe after an ACL tear playing for Aberdeen the following year. Re-injury rate is a 1.1 per cent in five years, which was reduced considerably.
The IB was first devised as a concept by Mackay in 2011 and, in conjunction with leading US-based sports-surgery company Arthrex – which has applied the technique to 17 different areas of the body and taken it to 30 different countries – the number of surgeries to have been performed using his patented method has passed one million. Last year alone, 50 per cent of soft-tissue knee surgeons started to introduce the IB for reconstruction, and there are now 214 academic papers on its role in recovery and accelerated healing. The IB has been adopted by the US special forces, which has returned troops to free-fall parachute jumps just two-and-a-half weeks after ankle-ligament damage.
Adapted from: https://www.mackayclinic.co.uk/, https://theathletic.com/4076512/2023/01/11/gordon-mackay-internal-brace/...
https://youtu.be/W1yk10wJcn0
This solution shall not include mention to the use of drugs, chemicals or biologicals (including food); invasive devices; offensive, commercial or inherently dangerous content. This solution was not medically validated. Proceed with caution! If you have any doubts, please consult with a health professional.
DISCLAIMER: This story was written by someone who is not the author of the solution, therefore please be advised that, although it was written with the utmost respect for the innovation and the innovator, there can be some incorrect statements. If you find any errors please contact the patient Innovation team via info@patient-innovation.com
-
-
427
-
0
-
8888
Body Spanner
Carpal tunnel syndrome
Back injury
Neck pain
Chest pain
Muscle disorders
Muscle injuries
Muscle weakness conditions
Muscle, tendon and ligament injuries
Abdominal muscles
Arm
Forearm
Leg
Hand
Head and Neck
Gymnastics
Use of hand and arm
Stress
Muscle tone abnormal
Muscle tone disorder
Muscle twitching
Muscle pains
Muscle contracture
Physical fitness training
Physiotherapy
-
-
-
73
-
0
-
2831
The rig, an Off-Road Wheelchair created by a husband to his wife
Muscle injuries
Muscle weakness conditions
Muscle, tendon and ligament injuries
Musculocutaneous nerve injury
Musculoskeletal and connective tissue disorders
Joint disorders
Muscle disorders
Musculoskeletal deformity
Paralysis and paresis (excl cranial nerve)
Paralysis
Lower Limb
Ankle
Foot
Hip
Knee
Leg
Patela
Thigh
Toe
Wheelchair
Mobilization
Movin around in different locations
Moving around using equipment
Running
Walking
walking impairment
Muscle building therapy
-
-
-
39
-
0
-
1384
The ALTA Platform™, a collaborative canadian robotic device for automated patient transfers
Arthritis
Arthritis allergic
Arthritis climacteric
Arthritis enteropathic
Arthritis gonococcal
Arthritis infective
Arthritis reactive
Arthritis rubella
Arthritis salmonella
Arthritis viral
Cardiac disorders NEC
Cardiovascular disorder
Cardiovascular insufficiency
Dementia
Dementia Alzheimer's type
Dementia NEC
Pseudodementia
Dementia of the Alzheimer's type, uncomplicated
Dementia of the Alzheimer's type, with delirium
Dementia of the Alzheimer's type, with delusions
Dementia of the Alzheimer's type, with depressed mood
Dementia with Lewy bodies
Embolic cerebral infarction
Embolic stroke
Extremity deformities
Fracture
Fracture complications
Fracture malunion
Fractures and dislocations NEC
Multiple sclerosis acute and progressive
Multiple sclerosis
Muscle abscess
Muscle and soft tissue infections
Muscle contusion
Muscle haemorrhage
Muscle infections and inflammations
Muscle injuries
Muscle tone abnormalities
Muscle spasticity
Muscle weakness conditions
Muscle, tendon and ligament injuries
Muscle hernia
Muscle injury
Muscle oedema
Neurological disorders NEC
Parkinson's disease and parkinsonism
Spinal cord infection
Spinal cord injuries NEC
Stroke
Whole body
Robot
Changing basic body position
Changing posture
Impaired movement
Mobilization
Bone related signs and symptoms
Breathing problems
Cardiac signs and symptoms NEC
Confusion and disorientation
Impaired movement
Lack of strength
Loss of fine motor skills
Neuromuscular pain
Muscle related signs and symptoms NEC
Musculoskeletal and connective tissue pain and discomfort
Musculoskeletal and connective tissue signs and symptoms NEC
Pain
Pain management
Poor posture
Postural instability
Sensory deficits
shaking
Intensive care
Radiotherapy
Rehabilitation therapy
Relaxation therapy
Removal of foreign body
Sedative therapy
Supportive care
Surgery
Surgery
Therapeutic procedure
Transplant
Wound closure
Wound treatment
-