Dr. Pradyumna R carefully evaluate your conditions and symptoms associated to your knee pain and knee injuries, based on the diagnostic report and scan he would suggest if so, you are a candidate for Anterior Cruciate Ligament Reconstruction in short ACL Reconstruction procedure, he is an highly experienced knee treatment specialist provides diagnosis as well as surgical and nonsurgical treatment options at Bangalore Orthopaedic Clinic, in BTM Layout, Bangalore.

If you have any queries or would like to schedule an appointment for Anterior Cruciate Ligament Reconstruction in short ACL Reconstruction procedure or knee pain or knee injury treatment consultation please call +919113025188.

What is an Anterior Cruciate Ligament Reconstruction (ACL) Reconstruction?

ACL reconstruction, or anterior cruciate ligament surgery, is a surgical procedure used to restore normal knee stability after an ACL injury. ACL reconstruction can be performed as an outpatient procedure with minimal incision and low complication rates.

Advanced arthroscopic techniques provide surgeons with direct visual access to knee structures, making it easier to perform ligament reconstruction. A minimally invasive procedure can be performed at the same time as arthroscopy, increasing the chances of a successful return to sports or daily activity.

Why is the ACL the most common knee injury?

The ACL is a strong rope-like structure located in the center of the knee, running from the femur to the tibia. It is a stabilizing ligament that is responsible for keeping the shinbone in line with the thighbone so your knee can remain stable and straight. When this ligament tears, unfortunately, it does not heal on its own, and often leads to instability in the knee.

What are causes of ACL Injury?

An ACL injury can occur in sports that involve sudden directional changes, such as soccer and football, or slowing down while running, such as basketball and tennis. The ACL is torn when your knee twists or bends the wrong way. Contact during a direct blow to the side of your knee, such as in a football tackle, can also damage your ACL.

What are the symptoms of ACL Injury?

In an ACL injury you may hear a loud snapping or popping sound, or instead hear grinding or crunching when the knee is rotated or moved. Within an hour after an ACL injury, you are likely to notice swelling in the area of the ligament tear, pain when using the knee, and loss of stability in the knee joint.

How do you diagnose a torn knee ACL Injury?

If an ACL injury is suspected in a patient, X-rays and MRI scans can be done to rule out any other injuries. A Lachman's test can be done to test the integrity of the ACL. As part of this test, when the knee is bent to a 30° angle, the stability of the knee should remain intact when the tibia moves into place in relation to the femur. The pivot shift test can also be performed to assess ACL integrity. During this test, if the patient has an ACL tear, the tibia will continue moving forward as the knee bends past 30° and it will not shift back into position until after it has straightened up again.

How can ACL injury be treated?

The four components of an ACL treatment plan (RICE: rest, ice, compression and elevation) serve to limit initial swelling and pain while allowing the ligament to heal properly. The physician will customize a rehabilitation timetable based on the patient's injury history, goals, and activity level.

Non-Operative Treatment

ACL injury is a traumatic injury that can happen to anyone, even top athletes. About 20% of patients will do well with nonoperative care by avoiding pivoting sports and decreasing their activity level. Younger or active patients are more at risk for re-injury. A common re-injury is tearing a meniscus, leading to degenerative arthritis in the years to come.

If you are good candidate for nonoperative treatment

If he or she is younger and more active, is there a serious chance of re-injury

If so, performing an ACL reconstruction with tissue grafting may be the best course of action. Or, if nonoperative treatment is chosen, the most advanced rehabilitation strategies should be used to prevent premature failure of a reconstructed ACL.

Surgical Treatment

Recent research focuses on the repair of torn ACLs (such as with an avulsion, or separation, at the end attachment to the femur) with various techniques. The torn ACL is typically replaced by a substitute graft made of tendon (including semitendinosus, gracilis and posterior tibialis). Currently, there is not sufficient evidence to support widespread use of biologics to promote healing.

If you have a soccer, tennis, basketball and football or ski injury, if you need to plan your daily activities or if you are an athlete suffering after an injury, we can help you.

If you have ACL injury, surgical reconstruction is an option. Our surgeon will tell you if you are a candidate for the surgery. Weight bearing and range of motion activities should be delayed for 4-6 weeks to allow time for neovascularization (new blood vessel formation). To avoid stiffness after surgery and ensure the best results, we will design a custom rehabilitation for your ACL.

What the risks and complication?

As with any type of surgery, there are risks associated with ACL surgery. Some of these risks include:

• Infection
• Shock
• Blood clots
• Breathing issues
• Trouble peeing
• Knee pain
• Stiffness in your knee
• A graft not healing well
• A graft failing after you return to physical activity

What are the advantages of ACL reconstruction?

ACL reconstruction is the gold standard for treating knee injuries of the anterior cruciate ligament. ACL reconstruction is the only proven, effective method of restoring a knee joint's stability and function after an ACL tear.

For more information on an ACL injury or tear, or on an anterior cruciate ligament reconstruction and the treatment options available, please call +919113025188 Dr. Pradyumna R, Orthopaedic knee specialist serving BTM Layout, Bangalore City.