ACL Surgery

1. What Is ACL Ligament?

 

 

ACL ligament is the rope between the knees which works to hold the knee, which we call the articular    cruciate ligament. If the ACL ligament is torn, it can  be very difficult to walk.

 

 

2. Types of ACL Ligament Tears and Treatment?

Tyep of ACL Ligaments Tear Galaxy Hospital Bhopal

1. Partial ACL Tear

If there is a partial ACL tear then we do not need to do surgery for it. It can be cured by physiotherapy also but in some conditions, we need surgery for partial ACL tear also.

2. Grade I ACL Tear

If there is a partial ACL tear then we do not need to do surgery for it. It can be cured by physiotherapy also but in some conditions, we need surgery for partial ACL tear also.

3. Grade II ACL Tear

If there is a partial ACL tear then we do not need to do surgery for it. It can be cured by physiotherapy also but in some conditions, we need surgery for partial ACL tear also.

4. Grade III Complete ACL Tear

If there is a partial ACL tear then we do not need to do surgery for it. It can be cured by physiotherapy also but in some conditions, we need surgery for partial ACL tear also.

5. How would you know that your ACL ligament is torn?

 

Generally, this injury is preceded by some trauma.

The signs and symptoms which indicate ACL tear are

  1. The patient experience is sudden sharp pain in the knee joint at the time of the injury.

       It is often a complete by a popping sensation.

  1. Accumulation of blood and fluid in the knee joint leads to development

of swelling within few hours of injury.

  1. The pain and swelling is usually located around the front and sides of the knee joint.
  2. Unstability is felt during whatevering activities like walking in running, https://youtu.be/ClBasmmluyc?si=HIetcb_xBIMt4Dmb

Specially while changing directions and pivoting on knee.

  1. Reduced range of motion of the knee joint when trying to fully straighten or bend it.

When one experience ACL tear, it must be examined by knee specialist doctor.

 

Dr. S.K. Gupta                                                                       Dr. S.K. Gupta
                                                          (Best Orthopedic Surgeon)
Best Orthopedic Surgeon for Knee,Shoulder & Sports Injury Surgeries With Over 20 Years of Experience
  1. Why does one experiences fear of falling with torn ACL?
  2. Instability due to torn ACL makes it difficult to maintain balance and control during weight bearing activities, and navigating uneven surfaces.
  3. Pain leads to cautious behavior to avoid falling
  4. Muscle weakness specially surrounding the knee joint that is quadriceps hamstrings effects stability.
  5. Anxiety related psychological impact due to perceived risk of injury.

In partial and complete ACL tear these issues should be with a combination of physical therapy to strength in the muscles, proprioception and stability exercises, gait training to regain confidence and psychological support through counseling’s if needed.

  1. Does ACL injury occur in sports persons only?

No, anterior cruciate ligament injuries can occur in both sports and non-Sporting population. Activities such as the ones involving sudden stops changing and pivoting movements, can lead to knee ligament injuries.

  1. In Sporting populations high risk sports are football basketball soccer skiing, which involve such movements.
  2. The daily life situations which can lead to

these injuries are motor vehicle accidents, fall due to sleeping tripping falling from a height with knee twisting, some work related injuries which involved sudden twisting and bending motions, accidental trauma during jumping, dancing gymnastics, incorrect landing.

Regardless of the cause the most important element is early diagnosis and treatment according to the grade of injury.

  1. Does an ACL injury always need surgery?

https://youtu.be/tO0SlB85L0o?si=A5XJDk_Ju8kOvqlK

No, not all ACL injury require surgery, it depends on the severity of the injury individuals activity level and overall knee symptoms and stability.

For partial tears and low demand physical activity consecutive treatment including rehabilitation and physiotherapy can be opted, if advised by an experienced knee surgeon. the central idea is on strengthening this surrounding muscles deloading the knee joint, improving the range of motion, reducing pain and swelling.

However with complete tear of ACL and high physical activity and agility demand, ACL reconstruction is recommended. it involves replacing the torn ligament with a graft.

  1. Canon ACL tear be treated without surgery?

Yes, acl tear can be managed surgery specially when the tear is partial tear and individual activity level is relatively low. the plan of treatment involving the non-surgical approach is

  1. Targeted physiotherapy
  2. Appropriate bracing to avoid further injury
  3. Activity modification avoiding high impact activities and twisting movements.
  4. POLICE protocol is followed to manage acute injury condition.

It is mandatory to follow the advice of professional Orthopedic surgeon and physiotherapist to ensure correct diagnosis, plan of care and proper rehabilitation.

  1. Do only sports persons need ACL surgery?

No, ACL surgery reconstruction is not exclusively needed by sports persons. factors which determine the need for surgery are grade of the ACL tear severity, the individuals activity level, age and functional goals.

Timely done acl surgery is important to prevent further damages of the associated knee structures.

 

  1. What is the recovery time of ACL reconstruction surgery?

https://youtu.be/F8kjTJXU22o?si=_gk_nwH8JelW5yxi

The recovery time is strictly not only on the timeline, but primarily according to the functional milestones achieved by the individual patient. General Timeline can be divided as follows

  1. Immediate post-surgery Phase 1-

(0-2 weeks) – The primary focus here is on pain management, would healing and early mobility. crutches and knee braces can be used to support the knee.

The primary targets are full knee extension and quadriceps conditioning.

  1. Early rehabilitation Phase 2- (2-6 weeks)

Physical therapy becomes more intensive to improve knee range of motion strength and stability. gait training is focused. Some swelling and discomfort may be there.

  1. Mid-term rehabilitation (6weeks to 3 months)- strengthening exercises are focused building the muscles around the knee joint. Balance, proprioception and return of functional movements are the primary targets.
  2. Late rehabilitation (3-6 months) –

Higher level activities are progressed, including high intensity strengthening exercises, running agility dress sports specific exercises etc.

  1. Return to Sports (6-12 months)-

Higher intensity sports specific training maybe begun depending on individual response and Rehabilitation compliance. to begin with shadow Sports is allowed, then sports in noncomparative setting with team and finally competitive Sports, as one progresses.

 

It is imperative to understand that rehabilitation should be personalized and supervised by a trained physiotherapist to optimize the surgical outcomes and reduce the risk of re-injury.

ANIL SAHU
ANIL SAHU
2024-03-15
Very good ???? ????????hospital for knee and shoulder surgery. I satisfy my cuff repair surgery ???????? Thank you galaxy hospital ????????????
Dinesh sen
Dinesh sen
2024-03-12
Wonderful ☺️????
vandana saxena
vandana saxena
2024-03-11
जैसा कि डॉक्टर साहब का नाम मैंने सुना था वैसे ही मैंने पाया मेरा ऑपरेशन सफलतापूर्वक बहुत अच्छे टीम के साथ हुआ और मुझे बिल्कुल भी तकलीफ नहीं हुई है रक्षा को बहुत-बहुत धन्यवाद
Parmanand Verma
Parmanand Verma
2024-03-10
Had my knee surgery done by Dr. S. K Gupta sir tq sir & galaxy hospital hospital & staff
nikhil mohaniya
nikhil mohaniya
2024-03-08
Best orthopaedic surgeon Dr s k Gupta sir galaxy hospital Bhopal
mangal91
mangal91
2024-03-06
Best orthopaedic galaxy hospital bhopal meri surgery knee me meniscus repair huaa h tq galaxy team
NITIN Malviya
NITIN Malviya
2024-03-06
Galaxy hospital in best hospital in bhopal best treatment and best care oprthopatic thank to all staff thank you very much Dr shyam malviya sir apka support raha thank you very much all team galaxy hospital.
Aayush Kadam
Aayush Kadam
2024-03-03
Had my ACL reconstruction done. Great staff and really great doctors. A+ for services and hospitality
shashank jain
shashank jain
2024-03-02
I m feeling good and confident. Thanks to dr SK Gupta sir and entire galaxy team . They all are very supportive.

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