Category | Arthroscopic Knee Ligament Injury Repair/ Reconstruction in Indore |
An ACL (anterior cruciate ligament) injury typically results from the knee joint being overstretched, often during physical activities like exercise or sports. This condition involves a tear in the ACL ligament and is classified into various grades based on severity.
ACL Reconstruction
ACL surgery is a minimally invasive procedure utilizing arthroscopy to replace a torn anterior cruciate ligament (ACL) in your knee. This crucial band of tissue is often damaged due to sports injuries or road traffic accidents.
How it's Done?
Using advanced arthroscopic techniques, our expert surgeons perform ACL reconstruction by creating a new ACL from a graft. This graft is taken either from a portion of the patient’s hamstring or the quadriceps/patellar tendon. This modern approach enables us to offer the procedure as an outpatient treatment.
What Are the Steps Involved in ACL Reconstruction Surgery?
• Graft Preparation: Initially, the surgeon procures a graft, either from the patient’s own body (autograft) typically from the kneecap, hamstring, or front thigh, or from a donor. This graft is essential for reconstructing the ACL.
• Arthroscopic Evaluation: Using arthroscopy, the knee surgeon meticulously examines the knee joint and the damaged anterior cruciate ligament. This step is crucial for diagnosis, assessing the damage to other knee structures, and planning for the acquisition of a graft that perfectly matches the size and shape required for the knee.
• ACL Reconstruction Procedure: The surgeon assesses the remnants of the natural ACL to understand its original attachment points on the femur and tibia. Precise locations on the thigh and lower leg are marked for the placement of the ACL graft. The surgeon then drills holes or tunnels at these marked locations, typically starting with the femur and then the tibia. The new ACL is then positioned and attached to the femur, secured in place with a strap, and the areas around the tibial tunnel and femur are sutured to properly anchor the newly reconstructed ACL.
What are ligaments?
The knee is stabilized by four key ligaments, which act like ropes to hold the thigh and shin bones together, preventing unwanted movements.
Anterior Cruciate Ligament (ACL): Anchoring from the thigh bone to the shin bone, the ACL is crucial for limiting excessive motion both in the forward-backward axis and rotationally.
Posterior Cruciate Ligament (PCL): This ligament plays a pivotal role in preventing the knee from moving backwards, ensuring stability in the joint.
Medial Collateral Ligament (MCL): Positioned on the inner side of the knee, the MCL stretches from the thigh bone to the shin bone, its main role being to restrict excessive sideways movements.
Lateral Collateral Ligament (LCL): Found on the outer aspect of the knee, the LCL connects the thigh bone to the shin bone, safeguarding against undue sideward motion of the knee.
Together, these ligaments maintain the integrity of the knee joint, allowing for fluid motion while preventing dislocation and injury
Do all ligament tears need surgery?
No, Not in all ligament injuries required surgery. Two types of patients copers and non copers. Copers have an inherent capacity to compensate for a tear. They also may belong to a less active lifestyle where the particular ligaments role is not that significant and may never require surgery.
The ACL more often than not does not heal up and requires arthroscopic surgery in non copers.
The PCL has a propensity to heal and in low grade tears may have a trial of conservative treatment using a brace with a posterior support.
Risks Of Arthroscopic ACL Repair
• Complications from blood clots, such as pulmonary embolism, which occurs when a clot travels to the lungs, posing life-threatening risks. • Numbness, either temporary or permanent, near the area of the operation, stemming from damage to surrounding nerves. • Infections caused by bacteria if sterilization practices are not properly implemented. • Knee stiffness or loss of motion, a result of inadequate surgical procedures. • Adverse reactions to anesthesia, including symptoms like skin rash, hives, itching, swelling of the eyes or lips, nausea, vomiting, dizziness, and difficulty breathing.
When can I start physical therapy after an ACL Reconstruction Surgery?
After ACL reconstruction surgery, undergoing physical therapy is crucial for restoring the knee joint's normal functioning. The rehabilitation program, tailored by your physical therapist, concentrates on both strengthening the knee and regaining its normal range of motion. The specific set of exercises and therapies recommended will vary depending on the surgical approach taken.
What is the recovery time after ACL surgery?
While recovery timelines can differ, most patients typically experience a restoration of stability and functionality in their knee within a month. For athletes, the journey back to their sport can span between 4 to 6 months, contingent on their personal recovery pace.
What are the risks and complications associated with ACL reconstruction?
Potential complications from the surgery may encompass sensations of numbness or weakness, diminished flexibility, ongoing pain, swelling, and the risk of harming nerves, muscles, or blood vessels. It's critical to have a comprehensive conversation about these risks with your healthcare provider prior to undergoing the procedure.
How long does the surgery take, and is it an outpatient procedure?
ACL reconstruction is usually an outpatient procedure, and the surgery duration is relatively short. Patients can go home on the same day as their surgery.
Are there different types of ACL reconstruction?
Yes, there are various types, including reconstruction using Endo button & Bioabsorbable Screws, All Inside ACL Reconstruction, and All Inside ACL Reconstruction & Internal Bracing.
Why Choose Dr. Abhijeet Pandit For Arthroscopic Knee Ligament Injury Repair in Indore?
The ACL (anterior cruciate ligament) plays a crucial role in stabilizing the knee during movements such as planting and twisting, in addition to preventing the lower leg from moving forward relative to the thigh. Injuries to the ACL can range from partial to complete tears, with arthroscopic surgery being the preferred method for quick healing over traditional open surgery. This advanced surgical approach significantly reduces recovery time, allowing patients to resume their daily activities within a few days, with a complete recovery period of three to four weeks.
Dr. Abhijeet Pandit, cruciate ligament treatment specialist in Indore, is highly recommended for those seeking effective ACL surgery. He ensures a meticulous approach to patient care, from thorough review of medical reports to the execution of surgery, followed by post-operative care that includes recommendations for therapy and healthy lifestyle tips. Emphasizing the importance of psychotherapy, Dr. Pandit advocates for its role in accelerating recovery and strengthening the affected areas.
For individuals in need of ACL ligament surgery aiming for a rapid and efficient recovery, reaching out to Dr. Abhijeet Pandit in Indore is advised to access top-notch treatment and care.