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ACL/PCL-Injuries Surgery in
Almora

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Amitabh Bachchan

Condition

What is ACL/PCL injury?

The ligament known as the anterior cruciate ligament (ACL) joins your shinbone to your thigh bone. The ACL keeps the knee joint stable. ACL injury happens when the ACL is torn or sprained. ACL damage causes people to feel as though something is popping. The lower and upper legs are joined by the posterior cruciate ligament (PCL). ACL holds the bones in place and facilitates smooth movement of the knee. PCL injury occurs when the PCL is torn or sprained.

ACL Injury: Causes

ACL injury is common among individuals who play sports or are involved in fitness activities. These include activities that call for abrupt stops or direction changes. ACL injuries are common if you are involved in soccer, football, basketball, etc. The main 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

    Let us understand the signs and symptoms of ACL injury. These include the following: 1. A sudden sound or sensation of "popping" in the knee 2. Excruciating pain 3. Sudden swelling 4. Limited mobility 5. Feeling of instability or giving way when bearing weight ACL injuries can result in severe pain in most patients. However, some patients only feel slight discomfort. Consult your physician if you believe you may have injured your knee. Do not ignore your condition, particularly if you feel or hear a popping sound.

Types of ACL injuries

    Your ACL injuries may often be graded by your doctor. The grading is dependent on the extent of the injury. ACL injuries are categorised into grades I through III. Grade I injuries are those that are extremely minor. A Grade III injury is considered to be more serious. Let us understand what the three grades mean. 1. Grade I: Your ACL is still intact and supporting your knee bones even though the injury stretched it to a point of destruction. 2. Grade II: The injury caused your ACL to become partially torn and loosened due to excessive stretching. 3 Grade III: The ACL is broken into two pieces. Talk to your physician if you have any doubts regarding the type of ACL injury you are suffering from. This will help you better manage your condition.

When to See the Doctor?

    You must see your doctor if you experience any of the above-mentioned ACL injury symptoms. Your condition may need your doctor’s attention, especially if you experience pain. Early diagnosis is critical to initiate early treatment. 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

    Different treatment options are available depending on the severity of your ACL tear. Additional damage inside your knee is also taken into account while making ACL tear treatments choices. You must not engage yourself in any activity that could further strain your knee. This includes sports or fitness activities. As soon as you experience pain or other symptoms, apply the RICE method: 1. Rest: Take a break and refrain from the activity that hurt you. Avoid overusing your knee while it is healing. 2. Ice: Use a thin towel-wrapped ice pack or cold compress on your knee for 15 minutes at a time, several times a day. 3. Compression: To help with swelling reduction, you can wrap an elastic bandage around your knee. 4. Elevation: Raise your leg and knee as high as possible above your heart. A treatment plan may be recommended by your doctor, depending on your condition. This will help control the symptoms and reduce discomfort. You may be advised to use crutches. These braces help in stabilising and securing the knee. Your physician may also suggest over-the-counter pain relievers. These might include nonsteroidal anti-inflammatory drugs or paracetamol. Your doctor might advise you to perform certain exercises in order to help you feel better. Physical therapy is the cornerstone of any programme for treating injuries. An ACL tear does not self-heal. You can manage your condition if your injury is not too serious. Some people may need surgery to repair the ACL, especially if the individual is an athlete or wishes to resume exercising. ACL surgery is the most commonly used method of treating an ACL tear. The ACL operation is performed in an outpatient facility. Your surgeon will perform a minimally invasive procedure called a knee arthroscopy to repair your torn knee ligament. This type of surgery enables the healing process of the knees. You are allowed to return home the day following the procedure.

Prevention of ACL injury

    Strengthening leg muscles through targeted exercises, focusing on the quadriceps, hamstrings, and core, can help prevent ACL injuries. Include agility and balance training in your exercise regimen. When participating in sports, use proper technique, particularly when jumping, cutting, or pivoting. Pay attention to the playing surfaces and wear appropriate shoes for the activity. To address biomechanical differences, implement neuromuscular training programs, especially for female athletes. Give warm-up exercises top priority before playing sports, with a focus on dynamic stretching. Additionally, think about speaking with a sports medicine specialist for individualised injury prevention strategies catered to your unique needs and activities. Even though many procedures are available in the public and private hospitals, it's better to prevent the wear and tear of ACL by incorporating healthy habits.

Post-surgery Procedure

    Make sure you take all the required care after your ACL tear surgery. The ACL injury recovery time after the surgery is around 6 to 9 months. Some athletes may take longer to get back to normal and resume their sport. Observe what your doctor has prescribed. Exercise as your doctor recommended. You will regain your normal range of motion with these exercises. It will also stop blood clots from forming. Patients are typically expected to raise their legs on their own without assistance. Physical therapy typically begins seven to fourteen days after the surgery. Take your pain medicines as recommended by your doctor. Pay attention to the temperature of your body. Let your doctor know if you experience a persistent fever that does not go down. Do not hesitate to inform your doctor if you face any problems after the surgery.

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Frequently Asked Questions

Consult your physician if you have a knee injury. Never disregard any of the symptoms and indicators listed above. Visit the emergency department if you have experienced trauma or a car accident. Certain traumas and accidents can also affect other areas.

Some people can walk normally following an ACL injury. You must avoid walking on your injury even if you are not in pain. You need to learn how to recognise an ACL injury if you are an athlete in particular. If you think you may have injured your ACL, see your doctor.

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.