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.
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
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.
The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:
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.
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.
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.
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.
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.
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.
MBBS, MS, MCh
25 years of experience
Gurgaon , India.
Head of Department , DNB, MS, MBBS,
16 Years of Experience Gurgaon, India.
Trauma & Orthopedic Surgery, MBBS, DNB – Orthopedics/Orthopedic Surgery, Diploma in Orthopaedics Allopath Orthopedist
24 Years Experience
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