The Departments of ACL
reconstruction surgery at We Care India partner Hospital always strive to
improve the quality of lives of patients by aiming upon our tradition of deep
and strengthening collaboration. Our belief of sharing ideas across disciplines
and joining forces to develop the strong individualized treatment packages for
our patients is truly what sets us apart from any other medical center. Our
most admired and reputed physicians are able to bring new and exceptional
treatments to patients faster because of our tight network of experts.
The
anterior cruciate ligament (ACL) is the pillar or major stabilizing ligament of
the knee. The ACL is located in the center of the knee joint and runs from the thigh
bone to the tibia through the center of
the knee.This is a crux or basis for this body region In this position, it
functions to prevent a buckling type of instability of the knee.
ACL
reconstruction is surgery to replace the ligament in the center of your knee
with a new ligament. The anterior cruciate ligament (ACL) keeps your shin
bone in place. A tear of this ligament
can cause your knee to give way during physical activity.
Why It Is Done:
The
goal of ACL surgery is to restore normalcy or almost normal stability in the
knee and the level of function you had before the knee injury or damage , limit
loss of function in the knee, and prevent injury or degeneration to other knee
structures.
Not all ACL tears
require surgery. You and your doctor will decide whether rehabilitation (rehab)
only or surgery plus rehab is right for you.
You may choose to
have surgery if you:
- Have completely torn your ACL or have a partial tear and your knee is very unstable.
- Have gone through a rehab program and your knee is still unstable.
- Are very active in sports or have a job that requires knee strength and stability (such as construction work), and you want your knee to be as strong and stable as it was before your injury.
- Are willing to complete a long and rigorous rehab program.
- Have chronic ACL deficiency that is affecting your quality of life.
- Have injured other parts of your knee, such as the cartilage or meniscus, or other knee ligaments or tendons.
You may choose not to have surgery if you:
- Have a minor tear in your ACL (a tear that can heal with rest and rehab).
- Are not very active in sports and your work does not require a stable knee.
- Are willing to stop doing activities that require a stable knee or stop doing them at the same level of intensity. You may choose to substitute other activities that don't require a stable knee, such as cycling or swimming.
- Can complete a rehab program that stabilizes your knee and strengthens your leg muscles to reduce the chances that you will injure your knee again and are willing to live with a small amount of knee instability.
- Do not feel motivated to complete the long and rigorous rehab program necessary after surgery.
- You have medical problems that make surgery too risky.
Procedure:
There are several options available
when treating an ACL injury. The most common treatment is to replace your
native ACL with a new ligament. Typically, the new ligament material (graft)
can be taken from one of the patient's own tendons (auto graft), or the graft
can be taken from a tendon in the knee of a tissue donor (allograft). You and
your doctor will decide which option is best for your particular situation.
ACL Reconstruction is usually
performed as an outpatient procedure and rarely requires an overnight stay in
the hospital. The entire procedure requires approximately 1-2 hours to complete
and is typically performed under general anesthesia, spinal or epidural.
ACL Reconstruction
is most often performed arthroscopic ally. Arthroscopy is a surgical technique
that uses long tube-like scopes that are inserted into the body through very
small incisions. These scopes display the inside of your knee joint on a
monitor, allowing the surgeon to precisely manipulate the surgical instruments.
The benefits of arthroscopic surgery are a shorter recovery period, smaller
incisions (one-quarter to one-half inch in length), minimal scarring, and less
potential for infection.
The ACL
Reconstruction procedure creates tunnels in the thigh bone (femur) and the shin
bone (tibia) to make a path for the new graft (tendon). One of the most common
graft used is the semi-tendon sis/gracilis graft. This graft is taken from a
portion of the muscles in the thigh. The graft is passed through specially
designed instruments into the tunnels and fixed inside the tunnels. The new
graft is fixed inside the tunnels with screws, buttons, pins, or similar
devices. Some of those devices are made out of materials that resorb or
dissolve with time and are replaced with bone by the body. The graft crosses
the joint in the position as the original ACL after it is fixed with these
devices. The small incisions are then closed and a knee compression bandage is
applied. Some surgeons prefer to use a long leg brace postoperatively.
What To Expect After Surgery:
Arthroscopic
surgery is often done on an outpatient basis, which means that you do not spend
a night in the hospital. Other surgery may require staying in the hospital for
a couple of days.
To care for your incision
while it heals, you need to keep it clean and dry and watch for signs of
infection.
Physical
rehabilitation after ACL surgery may take several months to a year. The length
of time until you can return to normal activities or sports is different for
every person. It may range from 4 to 6 months.
Having the
industry's most elaborate and exclusive Patient Care and Clinical Coordination
teams stationed at each partner hospital, we provide you the smoothest and
seamless care ever imagined. With a ratio of one Patient Care Manager to five
patients our patient care standards are unmatched across the sub continent.
For
more information :
About
This is Pankaj
Nagpal,I am working in a Medical Domain. My hobbies writing Medical and Knee
Replacement Knee Replacement related Article and doing research in Medical
Domain. Please reach me on info@wecareindia.com including endocarditis.
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