The Anterior Cruciate Ligament (ACL) is a fibrous tissue connecting femur and tibia at the knee joint. The function of ACL is to keep the knee joint stable during twisting actions leading to injuries,commonly seen in sports like football,hockey and skiing. It is a typical sports ACL injury that rarely heals completely and requires reconstruction.
Preparing for Anterior Cruciate Ligament Surgery includes surgeon’s consultation, pre-operative investigations, bone density tests and understanding the graft to be used. Prehabilitation is a must before surgery. General anaesthesia is not indicated for knee replacement surgery. It is performed under regional anaesthesia and sometimes under local.
The surgery is performed by making small incisions in the joint which helps:
The ligament that has been torn/damaged is removed with keyhole surgery. Tunnels are made into the shin bone and thigh bone and the graft is positioned across the torn ligament in knee and secured at both ends. It has 90% chances of success if the joint is not extensively damaged and rehabilitation is done as per the advice of the physiotherapist.
ACL injury is 4-6 times higher in females than in males. The surgery has a success rate of 90% if rehabilitation is rigorously undertaken.
The cost of ACL reconstruction surgery or arthroscopic knee surgery depends on:
Following are a few of the symptoms seen in a torn/damaged ACL:
Following should be the initial line of treatment or first aid in a torn ACL:
This is a troublesome injury, and has various ill-effects that can be noted long term:
Following are some of the indications for which ACL reconstruction is advised:
The treatment also depends from patient to patient. There are usually two approaches for the treatment:
Conservative treatment is the best suited in:
Surgical intervention is preferred in the following cases:
As per the effects with respect to time, the ACL tear complications can be:
Immediate Complications include:
Long Term Complications are as Follows:
Pre-operative and Postoperative exercises under the guidance of a physiotherapist is preferred.
The ACL tear rehabilitation as well as ACL recovery time is different for each knee.
The objective of rehabilitation is to:
In case of any recurring or persistent symptoms of pain, swelling or immobility the patient is advised to immediately consult the surgeon.