ACL/PCL-Injuries Surgery in
Bhopal

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What is ACL/PCL injury?

Anterior Cruciate Ligament (ACL) is a tissue that connects your thigh bone and the shinbone. ACL stabilises the knee joint. ACL injury, meaning, an injury that occurs when there is a sprain or tear of the ACL. ACL injury makes people experience a popping sensation. Posterior Cruciate Ligament (PCL) joins the upper and the lower leg. It helps the knee to move smoothly by keeping the bones in place. PCL injury occurs when there is a sprain or tear of the PCL.

ACL Injury: Causes

ACL injuries can occur during exercise or athletic activity. These include tasks that require sudden stops or changes in direction. ACL injuries are common in athletes who play football, basketball, soccer, and other contact sports. The following are the ACL injury causes: 1. Abrupt direction changes 2. Abrupt braking or slowing down 3. Turning while maintaining a steady foot 4. Awkward landing after a jump ·5. Abrupt stopping 6. Direct strikes to the knee or collisions with objects

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

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?

Consult your doctor if you encounter any of the above-mentioned ACL injury symptoms. You may need medical attention if you suffer from severe pain. Do not delay your visit to your doctor. Early diagnosis is key to early initiation of treatment. Do not delay an appointment with your doctor if you suspect an injury.

Diagnosis and Tests for ACL injury

A thorough physical examination is necessary for the diagnosis of ACL injury. Your doctor might also suggest a few tests. You may be first asked questions by your healthcare provider about your symptoms. Your doctor requires you to know what you were doing before any injury-related symptoms appeared. Your physician might also inquire about the initial symptoms that you experienced after the injury. Your doctor might try putting your leg and knee in different positions to evaluate your condition. You need to let your doctor know if there are specific positions that hurt the most. A few investigations might be indicated by your doctor. These could be an MRI, CT scan, or X-ray.

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

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 programs 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 follow the following safety tips to lower your chances of having an ACL injury: 1. Refrain from putting your foot down and turning over your knee. This is the most common cause of meniscus and ACL injuries among athletes in this way. 2. Ensure that nothing could trip you or others in your home or workspace. 3. Always use the appropriate tools or equipment when reaching for objects at home. 4. Never stand on countertops or tables or chairs. 5. Take the support of a walker or a cane if you have trouble walking or are more likely to fall.

Post-surgery Procedure

1. Immediate Postoperative Care: Following anterior cruciate ligament (ACL) surgery, patients usually receive instructions on wound care and pain management. 2. Start of Physical Therapy: To regain range of motion, strengthen muscles, and restore function, physical therapy begins soon after the ACL operation. The emphasis may be on mild exercises at first, then progress gradually. 3. Bracing and Support: A knee brace may be used initially to provide support based on the surgeon's recommendation. Its duration of use varies. 4. Weight-Bearing Progression: Under the supervision of a physical therapist, a gradual introduction of weight-bearing activities takes place, progressing from non-weight-bearing to partial and full weight-bearing. 5. Activity Graduation: Returning to regular activities and sports is a gradual process. The physical therapist and surgeon frequently supervise the patient's recovery goals and progress. 6. Follow-up Appointments: To track development, address concerns, and modify the rehabilitation plan as necessary, follow-up appointments with the surgeon and physical therapist are crucial.