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ACL/PCL-Injuries Surgery in
Guwahati

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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

Sports and fitness activities can result in ACL injuries. These include 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. Abrupt shifts in orientation 2. Abrupt halting 3. Abrupt stops and slowing down 4. Rotating while keeping a steady foot 5. Uncomfortable landing following a jump 6. Direct hits 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

    1. Immediate Pain and Swelling: ACL injuries frequently result in acute, palpable pain and knee swelling. 2. Popping Sensation: Many people say that they heard or felt a popping sound right after getting hurt. 3. Joint Instability: When performing weight-bearing activities, the knee may feel unstable and give way. 4. Bruising: Over time, bruises may appear around the knee, signifying internal bleeding. 5. Reduced Range of Motion: People may find it difficult to bend or straighten their knee, which results in a restricted range of motion. 6. Tenderness: Commonly, there is tenderness along the joint line, and specific movements may cause pain. 7. Walking Difficulty: Walking or bearing weight on the affected leg may be challenging due to pain and instability in that leg. 8. Increased Joint Laxity: People with an affected knee joint may experience increased laxity or looseness.

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?

    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

    The diagnosis of ACL depends on physical examination. Your doctor may also recommend a few tests. Firstly, your doctor may ask you questions related to your symptoms. You must tell your doctor about the activities you did before experiencing the symptoms of any injury. You may also be asked about the initial symptoms. Your doctor may try moving your leg and knee in certain positions to assess your condition. You must highlight to your doctor if any particular position hurts you the most. Your doctor may recommend a few tests. These may include an X-ray, CT scan or an 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 Guwahati 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

    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

The same ACL is rarely injured twice. Less than 10% of cases involve injuries to the same ACL. Speak to your doctor for information on what to expect after surgery for an injury.

Most of the time, it is not the end of a career. Take the right ACL injury treatment. Do not rush your recovery from an ACL injury. Get the proper care. Many athletes who suffered an ACL injury went back to their passion. Following surgery, rehabilitation is a crucial step. It will support the restoration of knee flexibility and strength. Consult your physician about the ideal time to start practising and returning to your sport.

See your doctor immediately if you have a knee injury. It is not appropriate to ignore any of the symptoms mentioned above or indicators. Go to the emergency room immediately if you have met with an accident or suffered trauma. Some accidents and traumas can also affect other areas.

Walking is not a problem in most patients after an ACL injury. It is important that you do not walk over your injury even if you are not in pain. Learn how to recognise an ACL injury if you are into sports or physical activity. See a physician if you think you may have injured your ACL.

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