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ACL/PCL-Injuries Surgery in
Ghaziabad

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Amitabh Bachchan

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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

    The signs and symptoms of ACL injury are mentioned below: 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 Most people who suffer from ACL injuries experience excruciating pain. Some patients only experience mild discomfort. Consult your physician if you think you might have hurt your knee. Do not ignore your condition, especially if you experience or hear a popping sound in your knee region.

Types of ACL injuries

    Your doctor may often grade the ACL injuries. The grading depends on the severity of the injury. The ACL injury is graded from I to III. Grade I describes a very less severe injury. Grade III indicates a more severe injury. Let us understand what the three grades mean. 1. Grade 1: Your ACL is still intact and supporting your knee bones even though the injury stretched it to a point of destruction. 2. Grade 2: 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. If you have any queries regarding the type of ACL injury, talk to your doctor to better understand 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

    Healthcare professionals usually start the diagnosis of an ACL injury with a comprehensive physical examination of the knee, noting stability, range of motion, and any signs of swelling or tenderness. They could ask about the specifics of the injury and any accompanying symptoms. Imaging tests such as magnetic resonance imaging (MRI) are frequently used to evaluate possible concomitant injuries to surrounding structures and to visualise the extent of ligament damage. It is possible to perform X-rays to rule out fractures. 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. Your doctor might suggest a course of treatment based on your condition. This wil l assist in managing the symptoms and lessening the pain. You may be asked to use crutches. These braces aid in stabilising and securing the knee. OTC painkillers might also be recommended by your doctor. These could consist of paracetamol or nonsteroidal anti-inflammatory medications. Your doctor may ask you to engage in specific exercises that will help reduce your symptoms. The foundation of any injury treatment programme is physical therapy. An ACL tear cannot heal by itself. But you can manage it if you have the injury is not very severe. If you are an athlete or want to start exercising again, you will need surgery to repair your ACL. The most popular way of treating an ACL tear is through an ACL operation. The ACL surgery is done in the outpatient setting. It helps to repair the damaged knee. You can go back home on the same day after the surgery. Your knee tear will be repaired by your surgeon using a minimally invasive technique known as knee arthroscopy.

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. 1. When participating in sports or physical activities: 2. Make sure you are wearing the appropriate clothing. 3. Do not play through your pain if you have injured your knees during or after physical activity. 4. Give your body time to relax and heal following an intense exercise regimen. 5. Stretch, unwind, and warm up before working out or playing sports. 6. Stretch and relax following a workout. Join programmes during the off-season to strengthen your lower body and knees. This will lessen the strain on your knees while you play sports. The following safety recommendations must be followed in order to lower your chance of suffering an ACL injury. 1. Do not plant your foot and turn over your knee. This is the most common cause of meniscus and ACL injuries in athletes. 2. Make use of a cane or a walker if you have trouble walking or are at risk of falling. 3. Make sure nothing in your home or workplace could trip you. 4. Always use the right tools or equipment when reaching for items around the house. 5. Avoid standing on tables, chairs, or countertops.

Post-surgery Procedure

    Take all the necessary care after your ACL tear surgery. The ACL injury recovery time after the injury is around 6 to 9 months. Some athletes may take longer to get back to normal and resume their sport. Follow your doctor's instructions. Perform exercises as suggested by your doctor. These exercises will bring your mobility back to normal. It will also prevent the formation of blood clots. In most cases, patients are expected to lift their legs without any assistance. Physical therapy usually starts seven to 14 days after the surgery. During the ACL surgery recovery time, take your pain medicines as recommended by your doctor. Monitor your body temperature. Inform your doctor if you have a persistent fever that does not subside. 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.