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ACL/PCL-Injuries Surgery in
Ahmednagar

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Amitabh Bachchan

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What is ACL/PCL injury?

The tissue that connects the thigh to the shin is called the anterior cruciate ligament (ACL). The ACL keeps the knee joint stable. An ACL tear or sprain causes an ACL injury. An ACL injury makes people feel like something is popping. The upper and lower limbs are connected by the posterior cruciate ligament (PCL). The PCL holds the bones in place, facilitating the smooth movement of the knees. A PCL injury occurs when the PCL is torn or sprained.

ACL Injury: Causes

ACL injury occurs during sports or fitness activities. These include activities that require you to stop or change directions suddenly. ACL injuries are common if you are involved in soccer, football, basketball, etc. The main causes of ACL injury causes include: 1. Sudden change in the direction 2. Sudden stopping or slowing down 3. Turning while keeping the foot steady 4. Awkwardly landing after a jump 5. Abruptly stopping 6. Getting struck in the knee directly or colliding with something

Who is at Risk?

    ACL (anterior cruciate ligament) injuries are relatively common, and several factors can increase the likelihood of experiencing this type of knee injury. Women have a higher risk, being 2-8 times more susceptible to ACL injuries than men. This difference in risk might be due to various factors such as differences in muscle strength, the way muscles activate during movements, and hormonal influences. Participation in certain sports can also heighten the risk of ACL injuries. Sports involving quick changes in direction, sudden stops, and jumping movements like soccer, basketball, and volleyball put individuals at an increased risk due to the demanding movements involved in these activities.

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Symptoms of ACL injury

    1. Direct Pain: An abrupt, intense pain in the knee at the time of the injury is frequently indicative of an ACL injury. 2. Emulation: Blood clots within the joint cause swelling quickly, resulting in a painful and noticeable bulge around the knee. 3. Indecision: People may feel instability or that their knee is giving way significantly when they are pivoting or making abrupt changes in direction. 4. Trouble Putting on Weight: It's common to have trouble bearing weight on the injured leg, which adds discomfort and instability. This is particularly apparent when engaging in knee-stressing activities. 5. Popping Noise: Some people claim to have heard a popping sound at the injury scene, which could be a sign of tearing. 6. Reduced Flexibility: ACL injuries frequently cause joint stiffness and tightness in the affected area, as well as limitations in the knee's ability to fully bend or straighten. 7. Looseness or Laxity: Enhanced laxity or a loose sensation in the injured knee can exacerbate the feeling of instability. 8. Ecchymosis (bruising): Bleeding in the surrounding tissues or within the joint can cause bruises around the knee. The days that follow the injury show more of this discolouration. 9. Delayed Manifestations: While some symptoms appear immediately, others, like severe swelling and bruises, might take longer to show up in the days after the injury. 10. Intensity Variation: The degree of the ACL injury can affect how severe the symptoms are. While more severe injuries can cause significant pain, extensive swelling, and noticeable instability, milder cases may only show minimal swelling and discomfort.

Types of ACL injuries

    Depending on their severity and degree of ligament damage, ACL injuries usually fall into one of several categories: 1. Sprains: Mild ACL injuries cause the ligament to stretch or partially tear without completely rupturing. They frequently cause localised oedema and pain. 2. Some Tears: The ACL is harmed but not torn in partial tears. The degree to which this kind of impacts stability and function varies.

When to See the Doctor?

    See your doctor if you suspect an ACL injury. Be vigilant about the above-mentioned ACL injury symptoms. Immediately draw your doctor’s attention if needed. Early diagnosis will result in early treatment and management of your condition. Do not delay an appointment with your doctor if you suspect an injury.

Diagnosis and Tests for ACL injury

    ACL injury is first diagnosed using a thorough physical examination. A few tests may also be recommended by your physician. Your doctor may start by asking you questions regarding your symptoms. What you were doing prior to the onset of any injury-related symptoms must be disclosed to your doctor. Your doctor may also want to know about the early symptoms you had following the injury. Your doctor may try adjusting the position of your leg and knee to assess your condition. You should let your doctor know if there are particular positions that hurt more than others. Your doctor may also recommend a few tests. These may include an X-ray, CT scan, or MRI.

Treatment for ACL Injury

    1. Physical therapy: A customised physical therapy program is frequently the first step in non-surgical treatment to strengthen the knee's surrounding muscles and increase stability. 2. Bracing and Activity Modification: Depending on the severity, people might be told to wear a brace for extra support. Changing activities can help them heal. 3. Pain Management: Medications may be prescribed to control pain and minimise inflammation during the healing process. 4. Surgical Intervention (ACL Reconstruction): To restore ligament stability through graft replacement, surgical intervention such as ACL reconstruction may be advised in more severe cases or for individuals with particular needs. 5. Follow-up and Rehabilitation: For the best possible recovery and long-term joint health, consistent follow-up appointments and rigorous rehabilitation—which includes exercises and activities supervised by medical professionals—are crucial. From routine to specialised treatments, the ACL surgery cost in Ahmednagar varies between government and private hospitals, correlating with the extent of services and facilities they furnish.

Prevention of ACL injury

    Athletes cannot avoid the situation of an ACL injury. ACL tears are typically caused by unexpected accidents and injuries related to sports. While you indulge in physical activities or sports: 1. Ensure that you are wearing the right gear 2. Do not play over your pain if you have hurt your knees during or after physical activity 3. Allow your body some time to rest and recover after a strenuous activity 4. Relax, stretch and warm up prior to engaging in exercise or sports 5. Stretch and cool down after working out 6. Take the help of programmes to strengthen your knees and lower body during the off-season. This will help your knees withstand the strain during your sports season. You must comply with the following safety advice in order to reduce your risk of suffering an ACL injury. 1. Avoid planting the foot and pivoting over the knee. This is the most frequent reason why athletes sustain meniscus and ACL injuries. 2. Check your home or workspace to make sure nothing could trip you. 3. Make sure you always use the proper tools or equipment when reaching for items around the house. 4. Avoid standing on tables, chairs, or countertops. 5. Use a walker or cane if you have difficulty walking or are at risk of falling.

Post-surgery Procedure

    Ensure that you get all the necessary care after your ACL tear surgery. The ACL injury recovery time after the surgery is around 6 to 9 months. Regaining their normalcy and returning to their sport may take longer for some athletes. Follow your doctor's instructions about physical activity. These exercises will help you restore your natural range of motion. It will also prevent the formation of blood clots. It is usually expected of patients to raise their legs without assistance in the first week after the surgery. Physical therapy usually starts seven to fourteen days after the surgery. Follow your doctor's suggestions when taking pain medication. Take note of your body temperature. Inform your doctor if you have a persistent fever that does not go down. Do not be afraid to let your doctor know if you experience any issues following the procedure.

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Frequently Asked Questions

See your doctor as soon as you have a knee injury. Do not ignore any of the above-mentioned signs and symptoms. If you have suffered from a car accident or trauma, go to the emergency room. Some accidents and traumas can affect other parts as well.

Some people can walk normally after an ACL injury. You must not walk over your injury even if you do not feel the pain. You must learn to identify ACL injury, especially if you are an athlete. See your doctor if you suspect an ACL injury.

It is very rare that you will injure the same ACL. Less than 10% of individuals injure the same ACL. Talk to your doctor about what you should expect after an injury and its surgery.

The ACL surgery cost varies in every city. The cost depends on the hospital, the surgeon involved and the severity of the injury.

It is not the end of a career in most cases. Take the right ACL injury treatment, and do not rush to recovery. Many athletes have returned to their passion after an ACL injury. Rehabilitation is a very important aspect after surgery. It will help in bringing back knee strength and flexibility. Ask your doctor the right time to resume your sport and start your practice.