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ACL/PCL-Injuries Surgery in
Haldwani-cum-Kathgodam

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What is ACL/PCL injury?

The tissue that connects the thigh to the shin is called the anterior cruciate ligament (ACL). The ACL keeps the knee joint stable. An ACL tear or sprain causes an ACL injury. An ACL injury makes people feel like something is popping. The upper and lower limbs are connected by the posterior cruciate ligament (PCL). The PCL holds the bones in place, facilitating the smooth movement of the knees. A 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

    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?

    See your doctor if you suspect an ACL injury. Be vigilant about the above-mentioned ACL injury symptoms. Immediately draw your doctor’s attention if needed. Early diagnosis will result in early treatment and management of your condition. 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

    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 Haldwani-cum-Kathgodam varies between government and private hospitals, correlating with the extent of services and facilities they furnish.

Prevention of ACL injury

    1. Strength Training: To improve stability and support, perform regular strength training exercises emphasising the muscles surrounding the knee, such as the hamstrings, quadriceps, and hip muscles. 2. Practices for Proprioception: Incorporate proprioceptive exercises, such as agility and balance drills, to improve joint awareness and reduce fall risk. 3. Correct Technique: To reduce strain on the ACL, use the proper landing and cutting techniques when participating in sports or activities requiring jumping or abrupt direction changes. 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. During the ACL surgery recovery time, you can 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

Ans: The recovery time varies but usually takes six to twelve months. Patients receive progressive physical therapy after the initial healing phase to restore their strength and function.

Ans: Strength training, using the correct form, and participating in conditioning programs can significantly lower the risk of ACL injuries, though there is no guarantee. During activities, it is essential to be aware of your body mechanics.

Ans: Not every time. The decision is influenced by the degree of the injury, lifestyle, and activity objectives. Bracing and physical therapy are non-surgical interventions that can help some people recover.

Ans: Returning to sports can happen anywhere from six to twelve months after surgery, depending on the patient's recovery, the extent of the rehabilitation, and the demands of the particular sport.