Acl Reconstruction Surgeon in Kolkata
Acl Reconstruction Surgeon
The Anterior Cruciate Ligament (ACL) is an important part of the knee joint while performing activities involving pivoting, weaving, or kicking. The knee can be unstable with a ruptured ACL and the joint may become more damaged over time. ACL reconstruction is the surgical procedure to restore strength and ability at the knee joint.
ACL Reconstruction surgery replaces the important anterior cruciate ligament (ACL) in the patient’s knee. ACL injuries occur while playing sports that involve quick direction changes, jumps, fast running, volleyball, cricket, soccer, basketball, and hockey. Injuries happen when the ACL gets stretched and tear off. ACL is present between the tibia and the femur and prevents the slipping of the tibia. Damage of the ACL may require continuous doctor consultations and a lot of time to heal and physiotherapy. The ACL can be replaced through surgery especially.
Non operative treatment is preferred when the patient: Is older than 55 years old and has a minimal anterior tibial subluxation.
Operative treatment is preferred when the patient : Is younger than 55 years old and has a marked anterior tibial subluxation or additional intra-articular damage.
Techniques for ACL reconstruction
There are two different techniques used for ACL reconstruction:
- Extra-articular
- Intra-articular
What are the risks?
The procedure may involve certain risks and limitations as mentioned below. Bleeding, Blood clots, Infection at the surgical site. Unable to move or discomfort in moving the knee AAOS (American Association of Orthopedic Surgeons) reports that approximately 82% to 90% of the ACL reconstruction surgeries have provided complete stability and satisfaction.
Expected results from procedure?
Successful ACL reconstruction surgery with continuous and regular physiotherapy improves the strength and flexibility of a stable knee very soon after the surgery. The patient is advised to inform the doctor about any medications or supplements At least two weeks before the surgery. Avoid alcohol and quit smoking as it delays the healing process of bone and any wounds. The patients need to inform the surgeon about any medical history such as diabetes, heart disorders, or any other medical problems. The doctor may advise starting physiotherapy treatments many weeks before the surgery.
The day of surgery:
Not to eat or drink anything at least 6 to 12 hours before the surgery. The patient is advised to take some medications prescribed before the surgery. During the surgery. The patient needs general anesthesia. The surgery is done by making 2 small incisions in the skin of the concerned area (knee). An arthroscope (a small tube-shaped video camera) is placed inside the patient with one end held outside the body. The procedure is performed by drilling some holes or tunnels into the femur (thighbone). Through the other incision, the surgical instruments are placed. The orthopedic surgeon cuts and removes the impaired or damaged ligament and replaces it with the healthy tendon from either the other leg of the same patient or from a deceased donor.
After the procedure :
The patient is allowed to go home after 2 days of surgery. The surgeon will advise the patient to wear knee splints or brace for at least one month. Patients are advised to start physiotherapy after surgery. Physiotherapy helps the patient to regain strength. Patients are advised not to play cricket, volleyball, basketball, hockey, soccer, skiing for at least 9 months after the surgery.
R.I.C.E model which can be followed:
Rest – Avoid too much movement and take rest as much as you can
Ice – Whenever possible apply ice on the operated knee at least for 20 minutes daily.
Compression –Compress the knee by applying an elastic bandage.
Elevation –Knee elevation is important with the pillows while sitting or lying down.