{"id":964,"date":"2021-07-14T01:39:15","date_gmt":"2021-07-14T01:39:15","guid":{"rendered":"https:\/\/www.drserracruz.com.br\/?page_id=964"},"modified":"2021-10-06T04:51:35","modified_gmt":"2021-10-06T04:51:35","slug":"lesoes-ligamentares","status":"publish","type":"page","link":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/","title":{"rendered":"Les\u00f5es ligamentares isoladas"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"964\" class=\"elementor elementor-964\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b8ce42f elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"b8ce42f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8d6fa80\" data-id=\"8d6fa80\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-522ff48 elementor-widget elementor-widget-heading\" data-id=\"522ff48\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-xl\">Les\u00f5es ligamentares isoladas<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-db3593f\" data-id=\"db3593f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4e436e1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4e436e1\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-c15b0e0\" data-id=\"c15b0e0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70c5941 elementor-widget elementor-widget-spacer\" data-id=\"70c5941\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b8ec7f elementor-widget elementor-widget-toggle\" data-id=\"5b8ec7f\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9601\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-9601\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Ligamento Cruzado Anterior (LCA)\u200b<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9601\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-9601\"><ul><li><a href=\"#lca\">O que \u00e9 o Ligamento Cruzado Anterior?<\/a><\/li><li><a href=\"#qlca\">Quando o ligamento cruzado anterior rompe, precisa operar?<\/a><\/li><li><a href=\"#reconslca\">Como \u00e9 a cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior?<\/a><\/li><li><a href=\"#enxlca\">Qual o melhor enxerto para a reconstru\u00e7\u00e3o do ligamento cruzado anterior?<\/a><\/li><li><a href=\"#posoplca\">Como \u00e9 o p\u00f3s-operat\u00f3rio da cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior?<\/a><\/li><li><a href=\"#timelca\">Quanto tempo depois de operar o ligamento cruzado anterior, pode-se voltar a praticar esportes?<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9602\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-9602\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Ligamento Anterolateral (LAL)\u200b<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9602\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-9602\"><ul><li><a href=\"#lal\">O que \u00e9 o ligamento anterolateral do joelho?<\/a><\/li><li><a href=\"#lalexiste\">O ligamento anterolateral do joelho existe mesmo?<\/a><\/li><li><a href=\"#comolal\">Como se lesiona o ligamento anterolateral do joelho?<\/a><\/li><li><a href=\"#reconslal\">Precisa reconstruir o ligamento anterolateral?<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9603\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-9603\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Ligamento Cruzado Posterior (LCP)\u200b<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9603\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-9603\"><ul><li><a href=\"#lcp\">Para que serve o Ligamento Cruzado Posterior?<\/a><\/li><li><a href=\"#lesaolcp\">Como acontece a les\u00e3o do LCP?<\/a><\/li><li><a href=\"#desclcp\">Como desconfiar da les\u00e3o do LCP?<\/a><\/li><li><a href=\"#examelcp\">Qual o melhor exame para diagnosticar a les\u00e3o do LCP?<\/a><\/li><li><a href=\"#cirurgialcp\">A les\u00e3o do Ligamento Cruzado Posterior precisa de cirurgia?<\/a><\/li><li><a href=\"#cirurgialcp2\">Como \u00e9 a cirurgia para a reconstru\u00e7\u00e3o do Ligamento Cruzado Posterior?<\/a><\/li><li><a href=\"#poslcp\">E como \u00e9 o p\u00f3s-operat\u00f3rio da reconstru\u00e7\u00e3o do LCP?<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9604\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-9604\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Ligamento Colateral Medial (LCM)\u200b<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9604\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-9604\"><ul><li><a href=\"#lcm\">Qual a fun\u00e7\u00e3o do ligamento colateral medial do joelho?<\/a><\/li><li><a href=\"#lcm2\">Quais os sintomas da les\u00e3o do ligamento colateral medial?<\/a><\/li><li><a href=\"#lcm3\">Como \u00e9 o tratamento da les\u00e3o do ligamento colateral medial do joelho? Tem que operar?<\/a><\/li><li><a href=\"#lcm4\">Em quanto tempo eu volto a praticar esportes ap\u00f3s uma les\u00e3o do ligamento colateral medial sem cirurgia?<\/a><\/li><li><a href=\"#lcm5\">E quanto tempo eu demoro para voltar a praticar esportes se operar o LCM?<\/a><\/li><li><a href=\"#lcm6\">Qual a diferen\u00e7a entre reparo e reconstru\u00e7\u00e3o do ligamento colateral medial?<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9605\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-9605\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Ligamento Colateral Lateral (LCL)\u200b<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9605\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-9605\"><ul><li><a href=\"#lcl\">O que \u00e9 o ligamento colateral lateral do joelho?<\/a><\/li><li><a href=\"#lcl2\">Qual a fun\u00e7\u00e3o do ligamento colateral lateral?<\/a><\/li><li><a href=\"#lcl3\">Les\u00e3o do ligamento colateral lateral do joelho precisa operar?<\/a><\/li><li><a href=\"#lcl4\">Como \u00e9 a recupera\u00e7\u00e3o da cirurgia do ligamento colateral lateral?<\/a><\/li><li><a href=\"#lcl5\">Em quanto tempo volto a praticar esportes depois da cirurgia do ligamento colateral lateral?<\/a><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-57c6ac0\" data-id=\"57c6ac0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-a556d45\" data-id=\"a556d45\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c5b8e5 elementor-widget elementor-widget-spacer\" data-id=\"6c5b8e5\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af804ca elementor-widget elementor-widget-spacer\" data-id=\"af804ca\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-445ab8c elementor-widget elementor-widget-heading\" data-id=\"445ab8c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ligamento Cruzado Anterior (LCA)<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0d77c6 elementor-widget elementor-widget-spacer\" data-id=\"c0d77c6\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83667b7 elementor-widget elementor-widget-menu-anchor\" data-id=\"83667b7\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lca\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c28425 elementor-widget elementor-widget-heading\" data-id=\"7c28425\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">O que \u00e9 o Ligamento Cruzado Anterior?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de082a4 elementor-widget elementor-widget-text-editor\" data-id=\"de082a4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O ligamento cruzado anterior (LCA) do joelho \u00e9 uma estrutura firme, que conecta o osso da coxa (f\u00eamur) ao principal osso da perna (t\u00edbia), restringindo movimentos excessivos tanto de transla\u00e7\u00e3o anterior, como de rota\u00e7\u00e3o. A les\u00e3o deste ligamento pode ocorrer durante a pr\u00e1tica de atividade esportivas, com ou sem contato com outro praticante. Em nosso meio, um dos esportes onde esta les\u00e3o acontece mais comumente \u00e9 o futebol, atrav\u00e9s de um mecanismo de rota\u00e7\u00e3o sobre o eixo do pr\u00f3prio corpo com o p\u00e9 fixo ao ch\u00e3o. Em geral, \u00e9 poss\u00edvel sentir ou mesmo ouvir um estalido e nota-se o surgimento de edema no joelho, que tende a ficar dolorido e evoluir com sensa\u00e7\u00e3o de instabilidade.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a9fa7a elementor-widget elementor-widget-menu-anchor\" data-id=\"1a9fa7a\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"qlca\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d286fb3 elementor-widget elementor-widget-spacer\" data-id=\"d286fb3\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdf772a elementor-widget elementor-widget-heading\" data-id=\"cdf772a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Quando o ligamento cruzado anterior rompe, precisa operar?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b43a7ab elementor-widget elementor-widget-text-editor\" data-id=\"b43a7ab\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O tratamento varia de acordo com diversos par\u00e2metros que precisam ser avaliados. Em alguns casos, existe espa\u00e7o para o tratamento n\u00e3o cir\u00fargico, mas esta situa\u00e7\u00e3o deve ser muito bem individualizada durante a consulta m\u00e9dica. No geral, para pacientes ativos que desejem continuar praticando esportes que incluam movimentos de pivot, deslocamento lateral, aterrisagens, etc, \u00e9 recomendada a reconstru\u00e7\u00e3o cir\u00fargica.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e68204 elementor-widget elementor-widget-menu-anchor\" data-id=\"7e68204\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"reconslca\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdde3fb elementor-widget elementor-widget-spacer\" data-id=\"cdde3fb\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f277ca elementor-widget elementor-widget-heading\" data-id=\"1f277ca\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 a cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0607182 elementor-widget elementor-widget-text-editor\" data-id=\"0607182\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Para realizar a reconstru\u00e7\u00e3o \u00e9 preciso recriar o ligamento. Para isto, \u00e9 necess\u00e1ria a utiliza\u00e7\u00e3o de um enxerto que pode ser autl\u00f3logo (do pr\u00f3prio paciente) ou hom\u00f3logo (de doador de tecidos). Em pacientes de alta demanda, os enxertos aut\u00f3logos apresentam resultados superiores, sendo a principal escolha. Dentre os enxertos aut\u00f3logos, dois tipos s\u00e3o os mais utilizados: tend\u00f5es flexores (gr\u00e1cil e semitend\u00edneo) e o tend\u00e3o patelar.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81ccfea elementor-widget elementor-widget-menu-anchor\" data-id=\"81ccfea\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"enxlca\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e0e3029 elementor-widget elementor-widget-spacer\" data-id=\"e0e3029\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12fbd35 elementor-widget elementor-widget-heading\" data-id=\"12fbd35\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Qual o melhor enxerto para a reconstru\u00e7\u00e3o do ligamento cruzado anterior?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-231e43f elementor-widget elementor-widget-text-editor\" data-id=\"231e43f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">N\u00e3o existe resposta consensual para esta pergunta. Cada t\u00e9cnica possui pr\u00f3s e contras, de modo que n\u00e3o h\u00e1 um enxerto que seja mais adequado para todos os pacientes. Em geral, no m\u00e9dio e longo prazo, os resultados de ambos os tipos de enxerto tendem a ser semelhantes. Como o Dr. Serra Cruz tem experi\u00eancia com ambas as t\u00e9cnicas, a escolha do enxerto \u00e9 discutida na consulta pr\u00e9-operat\u00f3ria, sendo individualizada de acordo com a demanda e as caracter\u00edsticas de cada paciente, sendo a decis\u00e3o tomada em conjunto.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-09dbaa3 elementor-widget elementor-widget-menu-anchor\" data-id=\"09dbaa3\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"posoplca\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a23a83 elementor-widget elementor-widget-spacer\" data-id=\"1a23a83\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-124296e elementor-widget elementor-widget-heading\" data-id=\"124296e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 o p\u00f3s-operat\u00f3rio da cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e31097f elementor-widget elementor-widget-text-editor\" data-id=\"e31097f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Ap\u00f3s a cirurgia, \u00e9 necess\u00e1rio um programa rigoroso de reabilita\u00e7\u00e3o para recupera\u00e7\u00e3o do arco de movimento, controle neuromuscular e for\u00e7a. \u00c9 extremamente importante planejar-se com anteced\u00eancia visando o melhor resultado final. Em geral, com 3 meses de operado, intensifica-se o trabalho de refor\u00e7o muscular.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d407e5 elementor-widget elementor-widget-menu-anchor\" data-id=\"5d407e5\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"timelca\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d4b685 elementor-widget elementor-widget-spacer\" data-id=\"9d4b685\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1069a80 elementor-widget elementor-widget-heading\" data-id=\"1069a80\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Quanto tempo depois de operar o ligamento cruzado anterior, pode-se voltar a praticar esportes?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c2e031 elementor-widget elementor-widget-text-editor\" data-id=\"8c2e031\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Com 4 meses, dependendo da evolu\u00e7\u00e3o, permite-se o in\u00edcio de treino de corrida leve. A recupera\u00e7\u00e3o completa varia de 6-9 meses, sendo que para pacientes que n\u00e3o possuam necessidade de retorno precoce, \u00e9 aconselhado esperar 9-12 meses para atividades de maneira irrestrita.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ea5525 elementor-widget elementor-widget-spacer\" data-id=\"3ea5525\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0c68afd elementor-widget elementor-widget-heading\" data-id=\"0c68afd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ligamento Anterolateral (LAL)<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1808f9a elementor-widget elementor-widget-spacer\" data-id=\"1808f9a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b4b466 elementor-widget elementor-widget-menu-anchor\" data-id=\"9b4b466\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lal\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e33b16 elementor-widget elementor-widget-heading\" data-id=\"6e33b16\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">O que \u00e9 o ligamento anterolateral do joelho?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-82ece22 elementor-widget elementor-widget-text-editor\" data-id=\"82ece22\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Este \u00e9 certamente o mais \u201ccontroverso\u201d dos ligamentos. Descrito em 1879 pelo franc\u00eas Paul Segond (que n\u00e3o o chamou de ligamento na ocasi\u00e3o), esta estrutura atua em conjunto com o LCA no controle rotacional do joelho. As controv\u00e9rsias dizem respeito n\u00e3o somente quanto \u00e0 necessidade ou n\u00e3o de reconstru\u00e7\u00e3o em casos de les\u00e3o, quanto \u00e0 sua pr\u00f3pria exist\u00eancia. Alguns autores o classificam como um espessamento da c\u00e1psula anterolateral do joelho, alegando que n\u00e3o seria um ligamento verdadeiro. No entanto, existem estudos histol\u00f3gicos confirmando que esta estrutura possui sim caracter\u00edsticas de ligamento. Este \u00e9 um dos temas mais estudados pelo Dr. Serra Cruz e foi com um trabalho biomec\u00e2nico sobre este ligamento que, representando o Instituto Brasil de Tecnologias da Sa\u00fade e, em conjunto com a equipe do Steadman-Philippon Research Institute, recebeu o pr\u00eamio \u201cExcellence in Research\u201d da American Orthopaedic Society for Sports Medicine (AOSSM), em 2016.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c75623 elementor-widget elementor-widget-menu-anchor\" data-id=\"6c75623\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lalexiste\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84b4730 elementor-widget elementor-widget-spacer\" data-id=\"84b4730\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75476f8 elementor-widget elementor-widget-heading\" data-id=\"75476f8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">O ligamento anterolateral do joelho existe mesmo?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5e202f elementor-widget elementor-widget-text-editor\" data-id=\"d5e202f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Durante o desenvolvimento deste e de outros estudos relacionados, o dr. Serra Cruz dissecou in\u00fameros joelhos e pode constatar a exist\u00eancia do mesmo. Entretanto, ressalta que, de fato, o ligamento n\u00e3o era uma estrutura t\u00e3o consistente em todo os esp\u00e9cimes dissecados, sendo mais desenvolvido em uns que em outros. As principais conclus\u00f5es a que seus estudos chegaram \u00e9 que a les\u00e3o do mesmo leva a um aumento da instabilidade rotacional do joelho (<\/span><i><span style=\"font-weight: 400;\">An In Vitro Robotic Assessment of the Anterolateral Ligament, Part 1\u00a0 &#8211; Secondary Role of the Anterolateral Ligament in the Setting of an Anterior Cruciate Ligament Injury<\/span><\/i><span style=\"font-weight: 400;\">) e que a reconstru\u00e7\u00e3o deste ligamento concomitante \u00e0 reconstru\u00e7\u00e3o do LCA \u00e9 capaz de levar a um melhor controle rotacional do que a reconstru\u00e7\u00e3o do LCA isolada (<\/span><i><span style=\"font-weight: 400;\">An In Vitro Robotic Assessment of the Anterolateral Ligament, Part 2 &#8211; Anterolateral Ligament Reconstruction Combined With Anterior Cruciate Ligament Reconstruction<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-087eacc elementor-widget elementor-widget-menu-anchor\" data-id=\"087eacc\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"comolal\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1bc4caf elementor-widget elementor-widget-spacer\" data-id=\"1bc4caf\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de472a3 elementor-widget elementor-widget-heading\" data-id=\"de472a3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como se lesiona o ligamento anterolateral do joelho?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-048954c elementor-widget elementor-widget-text-editor\" data-id=\"048954c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">A les\u00e3o deste ligamento ocorre no mesmo momento da les\u00e3o do LCA, estando relacionada a um mecanismo rotacional (o LAL restringe a rota\u00e7\u00e3o interna da t\u00edbia sob o f\u00eamur). N\u00e3o se espera encontrar les\u00e3o isolada deste ligamento, estando sempre associada \u00e0 les\u00e3o do LCA.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88ec7f5 elementor-widget elementor-widget-menu-anchor\" data-id=\"88ec7f5\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"reconslal\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb0986d elementor-widget elementor-widget-spacer\" data-id=\"eb0986d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c341ebd elementor-widget elementor-widget-heading\" data-id=\"c341ebd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Precisa reconstruir o ligamento anterolateral?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd60a65 elementor-widget elementor-widget-text-editor\" data-id=\"dd60a65\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Na maioria dos casos, a resposta \u00e9 n\u00e3o. Entretanto, mais uma vez, as condutas precisam ser individualizadas. Existem circunst\u00e2ncias em que a reconstru\u00e7\u00e3o do LAL \u00e9 aconselh\u00e1vel no mesmo tempo cir\u00fargico da reconstru\u00e7\u00e3o do LCA. Em geral, em situa\u00e7\u00f5es que envolvem pacientes com instabilidade rotacional al\u00e9m do habitual (caracterizada pela manobra do \u201cpivot shift\u201d explosivo), em casos de revis\u00e3o ou de pacientes de alto risco para falha, o Dr. Serra Cruz recomenda a reconstru\u00e7\u00e3o concomitante deste ligamento.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-edf70e2 elementor-widget elementor-widget-spacer\" data-id=\"edf70e2\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4016a3a elementor-widget elementor-widget-heading\" data-id=\"4016a3a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ligamento Cruzado Posterior (LCP)<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e9e13b elementor-widget elementor-widget-spacer\" data-id=\"1e9e13b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d05d1b0 elementor-widget elementor-widget-menu-anchor\" data-id=\"d05d1b0\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcp\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2cc06ba elementor-widget elementor-widget-heading\" data-id=\"2cc06ba\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Para que serve o Ligamento Cruzado Posterior?<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f926274 elementor-widget elementor-widget-text-editor\" data-id=\"f926274\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Juntamente com o LCA, o LCP forma o que \u00e9 conhecido como pivot central do joelho (os dois ligamentos centrais do joelho que conectam o f\u00eamur \u00e0 t\u00edbia e se cruzam em forma de \u201cX\u201d, ou seja, ligamentos cruzados!). Analogamente ao LCA, sua principal fun\u00e7\u00e3o \u00e9 impedir a transla\u00e7\u00e3o posterior da t\u00edbia, mas tamb\u00e9m atua no controle rotacional da articula\u00e7\u00e3o. \u00c9 um ligamento mais robusto, sendo o mais largo e forte ligamento do joelho. De um modo geral, para que ocorra sua les\u00e3o, \u00e9 necess\u00e1ria uma energia de trauma maior do que aquela que acontece na les\u00e3o do LCA.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-452f4f1 elementor-widget elementor-widget-menu-anchor\" data-id=\"452f4f1\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lesaolcp\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-98c9a32 elementor-widget elementor-widget-spacer\" data-id=\"98c9a32\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-afc5eb9 elementor-widget elementor-widget-heading\" data-id=\"afc5eb9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como acontece a les\u00e3o do LCP?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2bfbf91 elementor-widget elementor-widget-text-editor\" data-id=\"2bfbf91\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O mecanismo de trauma mais conhecido \u00e9 um trauma de anterior para posterior no joelho dobrado, como observado em acidentes automobil\u00edsticos em que o joelho em flex\u00e3o se choca contra o painel do carro. Quedas com o joelho em flex\u00e3o tamb\u00e9m podem provocar este tipo de les\u00e3o. \u00c9 muito importante investigar les\u00f5es associadas, uma vez que a energia de trauma necess\u00e1ria para se lesionar o LCP, na maioria das vezes termina por lesionar outros ligamentos tamb\u00e9m.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7340be7 elementor-widget elementor-widget-menu-anchor\" data-id=\"7340be7\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"desclcp\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c64e3b1 elementor-widget elementor-widget-spacer\" data-id=\"c64e3b1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b64750 elementor-widget elementor-widget-heading\" data-id=\"2b64750\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como desconfiar da les\u00e3o do LCP?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a19de41 elementor-widget elementor-widget-text-editor\" data-id=\"a19de41\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u00a0<span style=\"font-weight: 400;\">Em geral, a les\u00e3o do LCP evolui com dor, edema e, em casos mais cr\u00f4nicos, com dor na frente do joelho, devido a uma sobrecarga que termina ocorrendo no mecanismo extensor como consequ\u00eancia da posi\u00e7\u00e3o posteriorizada da t\u00edbia.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15137c2 elementor-widget elementor-widget-menu-anchor\" data-id=\"15137c2\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"examelcp\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0daae5c elementor-widget elementor-widget-spacer\" data-id=\"0daae5c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e771060 elementor-widget elementor-widget-heading\" data-id=\"e771060\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Qual o melhor exame para diagnosticar a les\u00e3o do LCP?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41c3292 elementor-widget elementor-widget-text-editor\" data-id=\"41c3292\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Na fase aguda, a imagem de resson\u00e2ncia magn\u00e9tica (RM) ajuda bastante a identificar a ruptura deste ligamento. \u00c9 importante ressaltar, no entanto, que o LCP tem uma maior capacidade de cicatriza\u00e7\u00e3o que o LCA e o exame de RM em uma fase mais avan\u00e7ada pode mostrar um ligamento aparentemente \u00edntegro, mas nem por isso funcionante, pois ele pode cicatrizar de maneira alongada e permitir uma mobilidade al\u00e9m do fisiol\u00f3gico. Nestes casos, o melhor a se fazer \u00e9 correlacionar a cl\u00ednica do paciente \u00e0 imagem de RM e \u00e0 radiografia com estresse (teste comparativo com o lado s\u00e3o, no qual se mede a transla\u00e7\u00e3o posterior da t\u00edbia) a fim de se definir quais pacientes s\u00e3o candidatos a uma reconstru\u00e7\u00e3o.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6027182 elementor-widget elementor-widget-menu-anchor\" data-id=\"6027182\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"cirurgialcp\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1679ff5 elementor-widget elementor-widget-spacer\" data-id=\"1679ff5\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c885a5 elementor-widget elementor-widget-heading\" data-id=\"6c885a5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">A les\u00e3o do ligamento cruzado posterior precisa de cirurgia?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4666044 elementor-widget elementor-widget-text-editor\" data-id=\"4666044\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Nos casos de les\u00f5es isoladas agudas pode ser tentado o tratamento conservador inicialmente (especialmente nas classificadas como estiramento ou les\u00e3o parcial), pois o LCP possui uma capacidade intr\u00ednseca de cicatriza\u00e7\u00e3o. Neste caso, \u00e9 essencial o uso de uma joelheira articulada conhecida como \u201c<\/span><i><span style=\"font-weight: 400;\">brace<\/span><\/i><span style=\"font-weight: 400;\">\u201d, que possui algumas tiras que previnem a posterioriza\u00e7\u00e3o da t\u00edbia durante o movimento de flexo-extens\u00e3o do joelho.<\/span><\/p><p><span style=\"font-weight: 400;\">Para pacientes com les\u00f5es completas (especialmente quando combinadas com les\u00f5es de outros ligamentos), que evoluem sem a cicatriza\u00e7\u00e3o adequada do LCP, a cirurgia pode ser necess\u00e1ria.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-051785f elementor-widget elementor-widget-menu-anchor\" data-id=\"051785f\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"cirurgialcp2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c41d69e elementor-widget elementor-widget-spacer\" data-id=\"c41d69e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d4f4abc elementor-widget elementor-widget-heading\" data-id=\"d4f4abc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 a cirurgia para a reconstru\u00e7\u00e3o do ligamento cruzado posterior?\n\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8952b84 elementor-widget elementor-widget-text-editor\" data-id=\"8952b84\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Apesar de ser um procedimento an\u00e1logo \u00e0 reconstru\u00e7\u00e3o do LCA, no sentido em que se precisa recriar o trajeto do ligamento entre o f\u00eamur e a t\u00edbia, a cirurgia para o LCP \u00e9 tecnicamente mais dif\u00edcil pois requer uma inser\u00e7\u00e3o na parte posterior do joelho sendo, por isso, recomendado que seja realizada por um cirurgi\u00e3o experiente. As t\u00e9cnicas que o Dr. Serra Cruz utiliza para esta reconstru\u00e7\u00e3o, em geral, s\u00e3o t\u00e9cnicas artrosc\u00f3picas (por v\u00eddeo), sem realizar incis\u00e3o na parte de tr\u00e1s do joelho. Esta cirurgia pode ser feita com enxerto autl\u00f3logo (do pr\u00f3prio paciente), ou com enxerto hom\u00f3logo (de doador de tecidos). No caso de cirurgias com enxerto aut\u00f3logo, al\u00e9m das incis\u00f5es para a confec\u00e7\u00e3o dos portais artrosc\u00f3picos, \u00e9 necess\u00e1ria uma terceira incis\u00e3o para a retirada do enxerto que servir\u00e1 para recriar o ligamento.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-09a502c elementor-widget elementor-widget-menu-anchor\" data-id=\"09a502c\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"poslcp\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3aa3e7 elementor-widget elementor-widget-spacer\" data-id=\"d3aa3e7\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1684dda elementor-widget elementor-widget-heading\" data-id=\"1684dda\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">E como \u00e9 o p\u00f3s-operat\u00f3rio da reconstru\u00e7\u00e3o do LCP?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4ca3bb elementor-widget elementor-widget-text-editor\" data-id=\"b4ca3bb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Neste caso, a reabilita\u00e7\u00e3o requer algumas restri\u00e7\u00f5es a mais que a recupera\u00e7\u00e3o do LCA. Nas primeiras semanas o paciente deve utilizar muletas sem apoiar o peso do corpo, progredindo com a carga de acordo com a evolu\u00e7\u00e3o na fisioterapia. O ganho inicial de arco de movimento deve ser feito em dec\u00fabito ventral (de barriga para baixo) para que o efeito da gravidade n\u00e3o exer\u00e7a uma for\u00e7a de posterioriza\u00e7\u00e3o da t\u00edbia, estressando o enxerto. Tamb\u00e9m \u00e9 interessante neste caso a utiliza\u00e7\u00e3o de um <\/span><i><span style=\"font-weight: 400;\">brace <\/span><\/i><span style=\"font-weight: 400;\">articulado de joelho, que pode se estender por at\u00e9 6 meses. Neste caso, a libera\u00e7\u00e3o para atividades f\u00edsicas \u00e9 bem mais lenta que na reabilita\u00e7\u00e3o do LCA. Corrida s\u00f3 \u00e9 liberada com 8 meses e outras atividades s\u00e3o liberadas de acordo com par\u00e2metros alcan\u00e7ados em testes de reabilita\u00e7\u00e3o, mas com um tempo total de p\u00f3s operat\u00f3rio n\u00e3o menor do que 9 meses, idealmente 1 ano. <\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e88a4f elementor-widget elementor-widget-spacer\" data-id=\"8e88a4f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5b2706 elementor-widget elementor-widget-heading\" data-id=\"a5b2706\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ligamento Colateral Medial (LCM)<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d76bc43 elementor-widget elementor-widget-spacer\" data-id=\"d76bc43\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f2cc4a6 elementor-widget elementor-widget-menu-anchor\" data-id=\"f2cc4a6\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcm\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a53335 elementor-widget elementor-widget-heading\" data-id=\"7a53335\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Qual a fun\u00e7\u00e3o do ligamento colateral medial do joelho?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c7d449 elementor-widget elementor-widget-text-editor\" data-id=\"6c7d449\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O ligamento colateral do joelho \u00e9 o principal restritor do movimento chamado de valgo (quando o joelho tende a \u201cabrir\u201d, com o tornozelo se afastando da linha do centro do corpo), mas tamb\u00e9m atua no controle rotacional da articula\u00e7\u00e3o.<\/span><\/p><p><span style=\"font-weight: 400;\">O LCM \u00e9 o ligamento \u201cmenos grave\u201d dentre os ligamentos do joelho para se lesionar, desde que seja uma les\u00e3o isolada. Neste caso, mesmo rupturas totais s\u00e3o pass\u00edveis de tratamento conservador (sem necessidade de cirurgia). De um modo simplista, estas les\u00f5es s\u00e3o classificadas em 3 graus de acordo com a quantidade de fibras lesionadas e \u00e0 abertura percebida no joelho \u00e0 manobra de estresse em valgo. No grau I, ocorre um estiramento leve, sem queixa de instabilidade e manobra de estresse negativa. No grau II, ocorre les\u00e3o de maior quantidade de fibras (geralmente ainda com preserva\u00e7\u00e3o da por\u00e7\u00e3o profunda), mas em geral, tamb\u00e9m sem queixa de instabilidade. A manobra de estresse pode revelar alguma abertura, mas com um \u201c<\/span><i><span style=\"font-weight: 400;\">endpoint<\/span><\/i><span style=\"font-weight: 400;\">\u201d firme. No grau III ocorre ruptura completa das fibras superficiais e profundas. Neste caso, h\u00e1 queixa de instabilidade e a manobra de estresse do ligamento revela uma frouxid\u00e3o sem \u201c<\/span><i><span style=\"font-weight: 400;\">endpoint<\/span><\/i><span style=\"font-weight: 400;\">\u201d.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac45c79 elementor-widget elementor-widget-menu-anchor\" data-id=\"ac45c79\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcm2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4a3d0f0 elementor-widget elementor-widget-spacer\" data-id=\"4a3d0f0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c58b8ae elementor-widget elementor-widget-heading\" data-id=\"c58b8ae\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Quais s\u00e3o os sintomas da les\u00e3o do ligamento colateral medial?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0fc484 elementor-widget elementor-widget-text-editor\" data-id=\"f0fc484\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">A grande maioria das les\u00f5es do LCM n\u00e3o evolui com instabilidade, mas com queixa de dor, com graus vari\u00e1veis de edema e restri\u00e7\u00e3o inicial do arco de movimento. Portanto, um mecanismo de trauma sugestivo (geralmente uma pancada na parte externa do joelho, com for\u00e7a aplicada de lateral para medial) associado a um quadro de dor na face interna do joelho, pode representar uma les\u00e3o deste ligamento.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ecc11a elementor-widget elementor-widget-menu-anchor\" data-id=\"6ecc11a\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcm3\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cc45108 elementor-widget elementor-widget-spacer\" data-id=\"cc45108\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e4a38da elementor-widget elementor-widget-heading\" data-id=\"e4a38da\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 o tratamento da les\u00e3o do ligamento colateral medial do joelho? Tem que operar?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18daffd elementor-widget elementor-widget-text-editor\" data-id=\"18daffd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Para les\u00f5es isoladas do LCM, na maioria das vezes a resposta \u00e9 n\u00e3o! Obviamente, as situa\u00e7\u00f5es precisam ser individualizadas e existem casos onde o potencial de cicatriza\u00e7\u00e3o deste ligamento \u00e9 menor, sendo indicada cirurgia. No entanto, para a maioria dos casos, se opta inicialmente pelo tratamento conservador. Este tratamento consiste em fisioterapia e em alguns casos pode ser aconselh\u00e1vel o uso de um <\/span><i><span style=\"font-weight: 400;\">brace<\/span><\/i><span style=\"font-weight: 400;\"> (imobilizador articulado) de joelho.\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-380df48 elementor-widget elementor-widget-menu-anchor\" data-id=\"380df48\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcm4\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3a435b elementor-widget elementor-widget-spacer\" data-id=\"c3a435b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f4efd6 elementor-widget elementor-widget-heading\" data-id=\"0f4efd6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Em quanto tempo eu volto a praticar esportes ap\u00f3s uma les\u00e3o do ligamento colateral medial sem cirurgia?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30b90a4 elementor-widget elementor-widget-text-editor\" data-id=\"30b90a4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Esta resposta depende do grau da les\u00e3o e do tratamento proposto. Em geral, os protocolos de reabilita\u00e7\u00e3o n\u00e3o s\u00e3o exclusivamente baseados em tempo, mas na cl\u00ednica do paciente e em est\u00e1gios alcan\u00e7ados na fisioterapia. Mas de um modo em geral, existe uma \u201cregra\u201d de multiplicar o grau da les\u00e3o por 2 (em semanas) nos tratamentos conservadores. Portanto, em uma les\u00e3o grau 1 pode se esperar um retorno em at\u00e9 2 semanas, grau 2 em 4 semanas e grau 3 em 6 semanas. Obviamente, como \u201cmedicina n\u00e3o \u00e9 matem\u00e1tica\u201d, varia\u00e7\u00f5es para mais ou para menos podem ocorrer dependendo da evolu\u00e7\u00e3o cl\u00ednica do paciente.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1dcb5f1 elementor-widget elementor-widget-menu-anchor\" data-id=\"1dcb5f1\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcm5\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9d7389 elementor-widget elementor-widget-spacer\" data-id=\"c9d7389\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ee3371 elementor-widget elementor-widget-heading\" data-id=\"8ee3371\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">E quanto tempo eu demoro para voltar a praticar esportes se operar o LCM?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-233f616 elementor-widget elementor-widget-text-editor\" data-id=\"233f616\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Esta resposta \u00e9 extremamente vari\u00e1vel, pois vai depender, dentre outras vari\u00e1veis, se a les\u00e3o \u00e9 de fato isolada ou associada a outras estruturas, como o ligamento obl\u00edquo posterior, em uma les\u00e3o combinada conhecida como canto posteromedial do joelho, do esporte que se deseja praticar, etc. Em geral, o tempo de retorno para esportes de maior risco podem levar de 5-6 meses.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c449c96 elementor-widget elementor-widget-menu-anchor\" data-id=\"c449c96\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcm6\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-257f500 elementor-widget elementor-widget-spacer\" data-id=\"257f500\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63c8df4 elementor-widget elementor-widget-heading\" data-id=\"63c8df4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Qual a diferen\u00e7a entre reparo e reconstru\u00e7\u00e3o do ligamento colateral medial?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52a57ef elementor-widget elementor-widget-text-editor\" data-id=\"52a57ef\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O reparo pode ser indicado em situa\u00e7\u00f5es mais agudas e neste caso, tenta-se suturar as fibras rompidas do ligamento. Em geral, utiliza-se algum dispositivo que proteja o reparo, chamado de \u201c<\/span><i><span style=\"font-weight: 400;\">internal brace<\/span><\/i><span style=\"font-weight: 400;\">\u201d. Este dispositivo segue o mesmo trajeto do ligamento, mas n\u00e3o deve ser utilizado isoladamente, como se fosse um ligamento sint\u00e9tico, pois a longo prazo, ele n\u00e3o tolera as cargas sofridas pelo ligamento e pode romper. Seu objetivo \u00e9 somente assegurar um ambiente mais est\u00e1vel durante a fase de cicatriza\u00e7\u00e3o do ligamento reparado. Algumas vantagens do reparo incluem o fato de n\u00e3o requerer a retirada de enxerto (menor morbidade) e pelo fato das fibras poderem recuperar uma esp\u00e9cie de sensibilidade conhecida como propriocep\u00e7\u00e3o. No entanto, principalmente para pacientes de alta demanda, os resultados tendem a ser inferiores \u00e0 reconstru\u00e7\u00e3o \u00e0 longo prazo.<\/span><\/p><p><span style=\"font-weight: 400;\">A reconstru\u00e7\u00e3o \u00e9 a t\u00e9cnica em que se utiliza algum outro enxerto (pode ser do pr\u00f3prio paciente ou de doador) para se recriar o ligamento rompido. Dependendo do estado da anatomia no momento da cirurgia, \u00e9 poss\u00edvel suturar fibras do ligamento nativo juntamente com a reconstru\u00e7\u00e3o em uma tentativa de melhorar a propriocep\u00e7\u00e3o e aumentar ainda mais a estabilidade. Em geral, as t\u00e9cnicas de reconstru\u00e7\u00e3o s\u00e3o mais bem estudadas e com resultados mais previs\u00edveis biomecanicamente, sendo preferidas por muitos cirurgi\u00f5es.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20b27de elementor-widget elementor-widget-spacer\" data-id=\"20b27de\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c6a074b elementor-widget elementor-widget-heading\" data-id=\"c6a074b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ligamento Colateral Lateral (LCL)<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d7f258e elementor-widget elementor-widget-spacer\" data-id=\"d7f258e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-037eb96 elementor-widget elementor-widget-menu-anchor\" data-id=\"037eb96\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcl\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4461d17 elementor-widget elementor-widget-heading\" data-id=\"4461d17\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">O que \u00e9 o ligamento colateral lateral do joelho?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-645acb5 elementor-widget elementor-widget-text-editor\" data-id=\"645acb5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">O LCL \u00e9 uma estrutura que se origina na parte lateral do f\u00eamur, pr\u00f3ximo ao epic\u00f4ndilo e se estende at\u00e9 a cabe\u00e7a da f\u00edbula (osso mais fino da perna).\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5571578 elementor-widget elementor-widget-spacer\" data-id=\"5571578\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf66dd8 elementor-widget elementor-widget-menu-anchor\" data-id=\"cf66dd8\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcl2\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e33b00f elementor-widget elementor-widget-heading\" data-id=\"e33b00f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Qual a fun\u00e7\u00e3o do ligamento colateral lateral?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41b9676 elementor-widget elementor-widget-text-editor\" data-id=\"41b9676\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">A principal fun\u00e7\u00e3o do ligamento colateral lateral \u00e9 a de restringir o excesso de varo (quando, mantendo a coxa fixa, a perna se movimenta para dentro em um movimento que tende a aproximar o tornozelo da linha m\u00e9dia do corpo), mas tamb\u00e9m atua no controle rotacional. Quando ocorre les\u00e3o deste ligamento, pode haver tamb\u00e9m les\u00e3o do que chamamos de canto posterolateral do joelho (melhor descrito na parte de les\u00f5es ligamentares complexas), gerando neste caso uma grande instabilidade rotacional associada.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dde6724 elementor-widget elementor-widget-menu-anchor\" data-id=\"dde6724\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcl3\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6721814 elementor-widget elementor-widget-spacer\" data-id=\"6721814\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c188d37 elementor-widget elementor-widget-heading\" data-id=\"c188d37\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Les\u00e3o do ligamento colateral lateral do joelho precisa operar?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0cb5a3b elementor-widget elementor-widget-text-editor\" data-id=\"0cb5a3b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Ao contr\u00e1rio do ligamento colateral medial, que fica na parte interna do joelho (uma regi\u00e3o anatomicamente mais est\u00e1vel), o LCL fica em uma regi\u00e3o inerentemente inst\u00e1vel devido ao formato das superf\u00edcies articulares (tanto o f\u00eamur quanto a t\u00edbia t\u00eam um formato convexo) dificultando ainda mais a cicatriza\u00e7\u00e3o. Portanto, uma vez diagnosticada a les\u00e3o, a indica\u00e7\u00e3o de cirurgia \u00e9 comum.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e1b9e9a elementor-widget elementor-widget-menu-anchor\" data-id=\"e1b9e9a\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcl4\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-efc843c elementor-widget elementor-widget-spacer\" data-id=\"efc843c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f9602c1 elementor-widget elementor-widget-heading\" data-id=\"f9602c1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como \u00e9 a recupera\u00e7\u00e3o da cirurgia do ligamento colateral lateral?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16119ae elementor-widget elementor-widget-text-editor\" data-id=\"16119ae\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">\u00c9 recomendado o uso de um <\/span><i><span style=\"font-weight: 400;\">brace<\/span><\/i><span style=\"font-weight: 400;\"> (imobilizador articulado de joelho) e deve-se utilizar um par de muletas sem apoiar o peso do corpo no lado lesionado por cerca de 1 m\u00eas e meio ap\u00f3s o procedimento cir\u00fargico. Mesmo durante as sess\u00f5es de fisioterapia, os exerc\u00edcios que envolvam mais carga demoram cerca de 2 meses para serem liberados.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-231440b elementor-widget elementor-widget-menu-anchor\" data-id=\"231440b\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"lcl5\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2228df elementor-widget elementor-widget-spacer\" data-id=\"e2228df\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c07fd7c elementor-widget elementor-widget-heading\" data-id=\"c07fd7c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Em quanto tempo volto a praticar esportes depois da cirurgia do ligamento colateral lateral?\n<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc9e07f elementor-widget elementor-widget-text-editor\" data-id=\"dc9e07f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Corrida inicial em terreno plano\/ esteira s\u00f3 \u00e9 liberada com cerca de 5 meses. Exerc\u00edcios multidirecionais de agilidade, com 6 meses. Esportes de maior risco, como futebol, em n\u00e3o menos que 9 meses. <\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b5b1060 elementor-widget elementor-widget-spacer\" data-id=\"b5b1060\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a82705b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a82705b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5547333\" data-id=\"5547333\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8a18891 elementor-widget elementor-widget-image\" data-id=\"8a18891\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"804\" src=\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg\" class=\"attachment-large size-large wp-image-2481\" alt=\"\" srcset=\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg 1019w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-150x150.jpg 150w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-768x772.jpg 768w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1529x1536.jpg 1529w, https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289.jpg 1707w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a48ca7c\" data-id=\"a48ca7c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4420677 elementor-widget elementor-widget-heading\" data-id=\"4420677\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dr. Raphael Serra Cruz<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7478c56 elementor-widget elementor-widget-text-editor\" data-id=\"7478c56\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>Cirurgi\u00e3o de Joelho do INTO;<br \/><br \/><\/li><li>Fellowship em Vail, CO, EUA;<br \/><br \/><\/li><li>Mestre pelo INTO\/UFRJ;<br \/><br \/><\/li><li>Experi\u00eancia com les\u00f5es esportivas de joelho.<br \/><br \/><\/li><li><a href=\"https:\/\/www.drserracruz.com.br\/sobre\/\">Saiba mais<\/a><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-25d8adb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"25d8adb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-75df5b5\" data-id=\"75df5b5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c057c77 elementor-widget elementor-widget-button\" data-id=\"c057c77\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/api.whatsapp.com\/send?phone=5521964979360&#038;text=Ol%C3%A1%20Dr.%20Raphael%20Serra%20Cruz%2C%20tudo%20bem%3F%20Gostaria%20de%20agendar%20uma%20consulta.%20Obrigado(a).\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-left\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-whatsapp\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Agende uma consulta<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-49426e2\" data-id=\"49426e2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9d9c8e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9d9c8e4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6206efe2\" data-id=\"6206efe2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d7ff0c1 elementor-widget elementor-widget-spacer\" data-id=\"d7ff0c1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f82c1af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f82c1af\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-2957c35\" data-id=\"2957c35\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-f311b0a\" data-id=\"f311b0a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-78eeaef\" data-id=\"78eeaef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Ligamento Cruzado Anterior (LCA)\u200b O que \u00e9 o Ligamento Cruzado Anterior? Quando o ligamento cruzado anterior rompe, precisa operar? Como \u00e9 a cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior? Qual o melhor enxerto para a reconstru\u00e7\u00e3o do ligamento cruzado anterior? Como \u00e9 o p\u00f3s-operat\u00f3rio da cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior? Quanto tempo depois [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1630,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Les\u00f5es ligamentares isoladas - Dr. Raphael Serra Cruz<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les\u00f5es ligamentares isoladas - Dr. Raphael Serra Cruz\" \/>\n<meta property=\"og:description\" content=\"Ligamento Cruzado Anterior (LCA)\u200b O que \u00e9 o Ligamento Cruzado Anterior? Quando o ligamento cruzado anterior rompe, precisa operar? Como \u00e9 a cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior? Qual o melhor enxerto para a reconstru\u00e7\u00e3o do ligamento cruzado anterior? Como \u00e9 o p\u00f3s-operat\u00f3rio da cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior? Quanto tempo depois [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Raphael Serra Cruz\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-06T04:51:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"14 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/\",\"url\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/\",\"name\":\"Les\u00f5es ligamentares isoladas - Dr. Raphael Serra Cruz\",\"isPartOf\":{\"@id\":\"https:\/\/www.drserracruz.com.br\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg\",\"datePublished\":\"2021-07-14T01:39:15+00:00\",\"dateModified\":\"2021-10-06T04:51:35+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#primaryimage\",\"url\":\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289.jpg\",\"contentUrl\":\"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289.jpg\",\"width\":1707,\"height\":1715},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\/\/www.drserracruz.com.br\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Les\u00f5es e Tratamentos\",\"item\":\"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Les\u00f5es ligamentares isoladas\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.drserracruz.com.br\/#website\",\"url\":\"https:\/\/www.drserracruz.com.br\/\",\"name\":\"Dr. Raphael Serra Cruz\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.drserracruz.com.br\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"pt-BR\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Les\u00f5es ligamentares isoladas - Dr. Raphael Serra Cruz","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/","og_locale":"pt_BR","og_type":"article","og_title":"Les\u00f5es ligamentares isoladas - Dr. Raphael Serra Cruz","og_description":"Ligamento Cruzado Anterior (LCA)\u200b O que \u00e9 o Ligamento Cruzado Anterior? Quando o ligamento cruzado anterior rompe, precisa operar? Como \u00e9 a cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior? Qual o melhor enxerto para a reconstru\u00e7\u00e3o do ligamento cruzado anterior? Como \u00e9 o p\u00f3s-operat\u00f3rio da cirurgia de reconstru\u00e7\u00e3o do ligamento cruzado anterior? Quanto tempo depois [&hellip;]","og_url":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/","og_site_name":"Dr. Raphael Serra Cruz","article_modified_time":"2021-10-06T04:51:35+00:00","og_image":[{"url":"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. tempo de leitura":"14 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/","url":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/","name":"Les\u00f5es ligamentares isoladas - Dr. Raphael Serra Cruz","isPartOf":{"@id":"https:\/\/www.drserracruz.com.br\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#primaryimage"},"image":{"@id":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#primaryimage"},"thumbnailUrl":"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289-1019x1024.jpg","datePublished":"2021-07-14T01:39:15+00:00","dateModified":"2021-10-06T04:51:35+00:00","breadcrumb":{"@id":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#primaryimage","url":"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289.jpg","contentUrl":"https:\/\/www.drserracruz.com.br\/wp-content\/uploads\/2021\/09\/RETRATO-BRACO-CRUZADO-scaled-e1630935023289.jpg","width":1707,"height":1715},{"@type":"BreadcrumbList","@id":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/lesoes-ligamentares\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.drserracruz.com.br\/"},{"@type":"ListItem","position":2,"name":"Les\u00f5es e Tratamentos","item":"https:\/\/www.drserracruz.com.br\/lesoes-e-tratamentos\/"},{"@type":"ListItem","position":3,"name":"Les\u00f5es ligamentares isoladas"}]},{"@type":"WebSite","@id":"https:\/\/www.drserracruz.com.br\/#website","url":"https:\/\/www.drserracruz.com.br\/","name":"Dr. Raphael Serra Cruz","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.drserracruz.com.br\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"pt-BR"}]}},"_links":{"self":[{"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/pages\/964"}],"collection":[{"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/comments?post=964"}],"version-history":[{"count":0,"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/pages\/964\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/pages\/1630"}],"wp:attachment":[{"href":"https:\/\/www.drserracruz.com.br\/wp-json\/wp\/v2\/media?parent=964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}