ACL/PCL-Injuries Surgery in
Faridabad

Condition

What is ACL/PCL injury?

The anterior cruciate ligament (ACL) is the tissue that joins the thighbone to the shinbone. The knee joint is stabilised by the ACL. An ACL injury occurs due to a sprain or damage in the ACL. People who have an ACL injury describe it as a sense of popping. The posterior cruciate ligament (PCL) connects the lower and upper limbs. The PCL stabilises the bones and allows the knees to move smoothly. A sprain or tear to the PCL results in an injury.

ACL Injury: Causes

ACL injuries happen when playing sports or working out. These consist of tasks that call for abrupt stops or direction changes. ACL injuries are frequent among athletes who play basketball, football, soccer, etc. The main ACL injury causes include: 1. Abruptly stopping 2. Sudden change in the direction 3. Sudden stopping or slowing down 4. Turning while keeping the foot steady 5. Awkwardly landing after a jump 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

It is common for your doctor to grade ACL injuries. The severity of the injury determines its grading. Grades for ACL injuries range from I to III. A Grade I injury is one that is extremely less severe. A more serious injury is called a Grade III injury. Let us understand what the three grades mean. 1. Grade I: The injury stretched your ACL to the point of destruction, but it is still in place and supports your knee bones. 2. Grade II: The excessive stretching that resulted from the injury partially tore and loosened your ACL. 3. Grade III: The ACL is broken into two pieces. Speak with your doctor if you have any questions about the type of ACL injury you may have in order to understand your situation better.

When to See the Doctor?

If you have symptoms of an ACL injury, such as severe knee pain, swelling, instability, or trouble bearing weight, get medical help immediately. Speaking with a healthcare provider is essential for a precise diagnosis and customised treatment plan, which may involve ACL operation. Seeking early medical assistance guarantees appropriate management and timely intervention for ACL injuries. Early medical evaluation increases the likelihood of a full recovery by enabling an accurate diagnosis and prompt initiation of the proper treatment. Getting medical help when you suspect an ACL injury can help avoid complications and facilitate a more successful recovery process. For a customised treatment plan that considers general health, lifestyle, and treatment objectives, consulting with a healthcare professional is essential.

Diagnosis and Tests for ACL injury

A clinical examination that evaluates knee stability, range of motion, and swelling is required to diagnose an ACL injury. Orthopaedic specialists can order an MRI to obtain fine-grained ligament imaging. Bone fractures could be ruled out with X-rays. A thorough diagnosis is probable when imaging is paired with clinical evaluation. Finding the best course of action, whether it entails non-surgical methods like physical therapy or surgical procedures like ACL reconstruction surgery, requires speaking with a healthcare professional for a timely and precise diagnosis.

Treatment for ACL Injury

Based on the severity of your ACL tear and any additional damage inside your knee, different ACL tear treatments may be necessary. You must avoid engaging 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: Rest: Take a break and refrain from the activity that hurt you. Avoid overusing your knee while it is healing. Ice: Use a thin towel-wrapped ice pack or cold compress on your knee for 15 minutes at a time, several times a day. Compression: To help with swelling reduction, you can wrap an elastic bandage around your knee. Elevation: Raise your leg and knee as high as possible above your heart. Based on your condition, your doctor may recommend treatment. This will help in reducing the pain and managing the symptoms. You may be asked to use crutches. These are braces that help to secure and stabilise your knee. You may also be asked to take OTC painkillers. These may include nonsteroidal anti-inflammatory drugs or paracetamol. Your physician will also ask you to perform certain exercises that will help in elevating your symptoms. Physical therapy is key to treating any kind of injury. ACL tear cannot mend on its own. But you can manage it if the injury is not very severe. However, you will require surgery to repair your ACL if you are an athlete or wish to resume physical activity. ACL operation is the most common option for treating an ACL tear. An ACL reconstruction may also be suggested based on the severity of the injury. ACL repair surgery to repair the damaged knee is typically performed as an outpatient procedure. You can return home the same day after the ACL surgery. Your surgeon will do a minimally invasive procedure called a knee arthroscopy to fix the tear inside your knee.

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

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.