Low-Cost Anterior Cruciate Ligament (Acl) Reconstruction Surgery In India

Anterior cruciate ligament (ACL) reconstruction Surgery refers to the replacement of the damaged ACL with a tissue to facilitate the normal functioning of the knee. ACL is a major stabilizing ligament in the knee, which connects the femur to the tibia. ACL helps provide proper movement of the tibia. ACL also facilitates pivoting or sudden change in the direction of the leg, preventing damage to the knee.

Risks and limitations

An ACL reconstruction is a surgical procedure, which involves the replacement of the anterior cruciate ligament present in the knee. The procedure involves certain risks and limitations as mentioned below.
Bleeding from the site of surgery

  • Blood clots
  • Infection at the surgical site
  • Persistent knee pain, weakness, or stiffness even after the ACL reconstruction surgery.
  • Unable to move or discomfort in moving the knee
  • Failure in attaining symptom relief
  • Lack of proper healing of the graft

An ACL tear in children increases the chances of getting growth plate injuries. These plates are placed at the end of the bones in the legs and the arms. These growth plates assist in bone growth. Sometimes, these growth plates result in injuries and lead to shortening of bones.


However, apart from the above-mentioned risks, the AAOS (American Association of Orthopedic Surgeons) reports that approximately 82% to 90% of the ACL reconstruction surgeries have provided complete stability of the knee and have resulted in stupendous results and increased patient satisfaction.


Some patients may have problems with the anesthesia given before the surgery. The anesthesia might cause shortness of breath, nausea, vomiting, or allergic reactions in some patients.

Damage to the ACL Surgery

The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:

  • Collision with a football

  • Slowing down while running

  • Landing incorrectly after a jump

  • Twisting of the knee and the foot in opposite direction

Initial Treatment for Anterior Cruciate Ligament Tear

The ACL may not require surgery when the knee is stable when the ligament is not torn completely, or even when you don’t have to strain your knees by active sports. The alternate treatment in such a situation is “RICE” – Rest, Ice, Compression, and Elevation.

 

Physiotherapy, exercise, and braces for legs can help provide support to the knee. Exercises such as swimming, running in a straight line, and playing golf can be preferred by active individuals if they do not wish to return to an active sports life.

Before Procedure

  • Before two weeks of ACL reconstruction surgery

  • Inform the surgeon if you are on any other medications.

  • Drugs like aspirin, ibuprofen, naproxen should be stopped as these increase the risk of bleeding.

  • You should ask the surgeon about the drugs that can be taken until the day of the surgery.

  • You should inform the surgeon about your medical history.

  • On the day of ACL reconstruction surgery

  • You should not drink water or take food 6 to 12 hours before the surgery.

  • The drugs which are supposed to be taken must be consumed with a little amount of water.

During the procedure:-

  • General anaesthesia or local anaesthesia will be given before ACL reconstruction surgery. The tissue to replace the damaged ACL will be taken from the kneecap or hamstring tendons of your body, or from a donor. The surgery is usually performed with the help of knee arthroscopy.
 
  • ACL repair involves the use of a camera inserted into the slit made in the knee. A computer connected to the camera facilitates viewing of the inner ligament, by which the physician can perform the surgery. Other incisions are made to incorporate the required equipment and then the ACL reconstruction surgery is performed.
 
  • The torn ligament is removed with the shaver.

  • If the patient’s tissue is used, the surgeon would make a larger cut and remove the tissue.

  • The knee bone is drilled and the tendon is now implanted into the position where the old ACL was present.

  • Screws and other instruments are used to attach the new tendon to the bone.

  • The bone tunnels would gradually fill in as the bone grows, which holds the ligament in place.

  • Small incisions made in the area of the surgery are closed with sutures and sterile dressing.

After the procedure:

  • ACL reconstruction surgery is a long procedure and usually takes place in the outpatient department.

  • The patient is allowed to go home after the procedure. However, it is better to call a companion along with, to drive the patient home after the surgery.

  • Sometimes, after the surgery, the surgeon will advise the patient to wear a knee brace or crutches (splints) for at least 1 to 4 weeks.

  • Some people are allowed to and are able to move the knee easily, immediately after the surgery. This helps in preventing any kind of knee stiffness.

  • Patients are also advised pain relief medications after the surgery.

  • Patients are advised to start physiotherapy after the recovery of the patient from surgery. Physiotherapy helps the patient to regain the strength and flexibility back again to be able to perform normal activities e.g. walking or even running.

  • Patients are advised not to play sports that involve quick direction changes, jumps, fast running and sudden stops e.g. volleyball, soccer, basketball, hockey, skiing, and football, for at least 9 to 12 months after the surgery.

  • In order to get rid of the post-surgery pain, the patient can follow the I.C.E model which includes the following points:
    Rest – Avoid too much movement and always use knee brace or crutches (splints) for at least 1 to 4 weeks.
    Ice – Whenever possible apply ice on the affected knee at least for 20 minutes on a daily basis.
    Compression – It is important to compress the affected area by either applying compression wrap or elastic bandage around the knee.
    Elevation – It is important to always keep the affected knee elevated with the pillows while sitting or lying down.

Frequently asked questions

Q: What does the ACL reconstruction surgery do?

Anterior Cruciate Ligament reconstruction surgery is helpful for the construction of the damaged ligaments of the knee that is usually due to the high-intensity physical exercises during outdoor sports.

Q. What is the average cost of ACL Reconstruction Surgery in India?

The average cost of ACL Reconstruction Surgery in India is $3,000 which is way lower than the other highly advanced countries such as the United States of America, Singapore, etc. However, there are many factors that affect the final cost of the treatment like a type of surgery, location of the hospital, reputation of the hospital and doctor’s expertise, to name a few.

Q. Are there any scenarios where ACL reconstruction surgery can be avoided?

  • The anterior cruciate ligament does not heal itself in case of an injury. However, in some cases the doctor might suggest avoiding the ACL reconstruction surgery. These scenarios are as mentioned below

  • Patients who are very old with usually weak bones or less active in nature

  • Severe cases of arthritis, which are better treated by rehabilitation program as compared to ACL reconstruction surgery.

Q. Are there different types of ACL reconstruction surgery, if yes then which is the best option?

There are various types of ACL reconstruction surgeries available as mentioned below.


The tendon graft surgery involves the removal of the damaged part or tendon and replacement with a tendon from some other place like from the patient’s own healthy tendon. Healthy tendon can be taken from multiple places like hamstring graft wherein the tendon is taken from the patient’s hamstring, Bone-patellar tendon-bone graft wherein the tendon is taken from patellar tendon, Quadriceps graft wherein the tendon is removed from the quadriceps muscle and tendon may also be taken from a tissue bank (allograft graft). Also, a combination of tendons may be used depending upon the severity or need.

 

Different types of tendon removal surgeries have their own benefits and risks. Usually, the best type of surgeries is the one wherein all the things are taken care of i.e. the type of graft used, specifications of the injured part, methods to secure a graft and proper rehabilitation procedure followed.

Q. How much time does it take to recover after the ACL surgery?

The time period of recovery varies from person to person. In some patients, the recovery might take a few months but in some patients the recovery might be slower and they may take up to an year to recover. The most important factor to be considered post-surgery and to have an early recovery is to follow the rehabilitation program properly. The rehabilitation program aims at regaining the range of motion first and then strengthening the muscles and bones. For the patients who are athletes, the rehabilitation program covers sports-exercises also at the end.

Q. What are the factors on which the success of ACL Reconstruction Surgery is dependent?

There is a high success rate of ACL Reconstruction Surgery in India and the most common factors on which the success of ACL Reconstruction Surgery is dependent are the selection of graft, placement of graft into the bone tunnel and fixation of the graft. Another factor which can help in a great way with the success of the surgery is attending the post-operative rehabilitation.

Best ACL Reconstruction Surgeon In India

Dr Ips oberoi,

Dr. Ips oberoi

MBBS, MS, MCh
25 years of experience
Gurgaon , India.

  • He is an expert in Primary and Revision Joint replacement surgeries of Knee, Hip, Shoulder, Elbow and Ankle joints.
  • He is one of the first and among only few surgeons to start minimally invasive reconstructive surgery that is Key Hole surgery (Arthroscopy) for Shoulder, Elbow, Hip and Ankle problems. In addition, has mastered techniques of managing Multi-Ligament and complex injuries of Knee.
  • He has published Joint Replacement, Arthroscopy and Sports injury related research publications in text books, journals and prepared manuscripts for Arthroscopy education for young orthopods.
Dr. Subhash jangid,

Dr. Subhash Jangid

Head of Department , DNB, MS, MBBS,

16 Years of Experience Gurgaon, India.

  • Dr Subhash Jangid is currently working as Director, Orthopaedics & Joint Reconstruction at Fortis Memorial Research Institute, Gurgaon. His primary work comprises of knee, hip and shoulder joints related surgeries including replacement.
  • He was the first surgeon in India, who introduced NAV 3 computer navigation for knee replacement surgery. He is one of the most experienced joint replacement surgeon in computer navigation technique in the world.
  • Dr Subhash Jangid is also trained in Partial knee replacement surgery. Many advanced knee osteoarthritic patients have all ligaments intact and the disease is limited to one compartment of the knee. These are the right candidates for partial knee replacement. He has performed more than 6000 successful joint replacement surgeries till date.
Dr. Hemant Sharma, Best Shoulder Replacement surgery In India

Dr. Hemant Sharma

Trauma & Orthopedic Surgery, MBBS, DNB – Orthopedics/Orthopedic Surgery, Diploma in Orthopaedics Allopath Orthopedist
24 Years Experience
Gurgaon, India

  • Dr. Hemant Sharma has over 21 years of experience (10 years in India and 11 years in England) in the field of orthopaedic and is a certified Fellow of Royal College of Surgeons of England. 
  • He specializes in adult reconstructive orthopaedic, joint replacements, tumour and musculoskeletal problems in post-polio and cerebral palsy. 
  • He does a lot of redo-trauma cases and sports injuries which involve single or multiple ligament reconstructions and joint saving procedures in younger patients with arthritis. 
  • He also operates on teenagers with problems like hip dysplasia, when the hip doesn’t fit properly into the socket or slipped capital femoral epiphysis or SCFE when the growth plate slips off the end of the thighbone. 
  • Dr. Sharma also has significant experience in patients with sickle cell disease where joints are damaged.

Best ACL Reconstruction Hospitals In India

Fortis Hospitals

Fortis Hospital

Fortis Hospital Gurgaon is the flagship hospital of Fortis Group, it is one of the leading healthcare destination providing world-class integrated services to the community at large. Spread over the sprawling landscape of 11 acres with the capacity of 1000 beds, Fortis Gurgaon brings together an outstanding pool of doctors, assistants and medical staff to treat patients. With an objective to provide quaternary care to the society in a dignified, compassionate, and distinctive way, the medical institute integrates modern & traditional forms of medicine to dispense accessible and affordable health care.

It is one of the multi-super-specialty hospital boastings of its reputed clinicians, global faculty, leading technology, and enviable infrastructure.  It runs on the principle of trust and it thrives on the four pillars, talent, infrastructure, viz, technology and service. The institute is specialized in providing the best treatment and offers a comprehensive medical programme implemented by its proficient team of doctors, specialty, and super-sub-specialty nursing staff. Innovative medical services are provided at this hospital having the centers of excellence including Cardiac Sciences, Gastro Sciences, Renal Sciences, Plastic Surgery, Neurosciences, Bone & Joint, Organ Transplants, Emergency & Trauma, and Critical Care. The clinical specialties offered here are Ophthalmology, Pulmonology, Dental Care, Invasive Cardiology, Pediatrics, IVF, Bariatric & GI Surgery, organ transplant among other areas, and lots more.

Artemis Hospital

Artemis Hospital

Artemis Hospital in Gurgaon was established in 2007 with a mission to deliver world-class healthcare procedures. It is a multi-specialty hospital offering a wide array of medical care services spread across 9 acres, is a 400 plus bed; state-of-the-art multi-specialty hospital located in Gurgaon, India. Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon and became a proactive partner in the local community initiatives.

The Hospital is a part of Artemis Health Sciences (AHS), a healthcare venture promoted by Apollo Tyres Group. The hospital specialize in a wide spectrum of advanced medical & surgical interventions, comprehensive mix of outpatient services and inpatient services including other services like Urology, Nephrology, Neurosurgery, Cardiac & Vascular Surgery, ENT, Medical Oncology, General Surgery, Obstetrics & Gynecology, Gastroenterology, Cardiology, Neurology, Pulmonology, and Orthopedics.

W Pratiksha Hospital

W Pratiksha Hospital

W Pratiksha Hospital was established in 2015 by the Pratiksha group offering healthcare through a combination of cutting-edge technology, a team of well-qualified, experienced and dedicated doctors with global education and experience, and super specialized clinicians. It is a multi –specialty hospital having 25 years of experience in treating the patients across multiple hospitals and clinics in India, Pratiksha Group has become a one-of-its-kind facility in Gurugram.

The hospital is located in the heart of the city at an easily accessible location with close proximity to the national capital. The hospital is supported by a team of highly qualified practitioners and specialists committed to set the new benchmarks of excellence in the healthcare industry by comprehensively catering to the individual health requirements and providing a home-like environment to them. It is constructed as an ultra-modern hospital with an objective to provide comfort and privacy to its patients and Equipped with state-of-the-art technology, luxurious ambiance to serve every individual’s needs. The hospital works with the core values of providing equitable, responsive, and accountable services sufficing the needs of the community at an affordable price.