ACL/PCL-Injuries Surgery in
Nagpur

Condition

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

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

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

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

Strengthening leg muscles through targeted exercises, focusing on the quadriceps, hamstrings, and core, can help prevent ACL injuries. Include agility and balance training in your exercise regimen. When participating in sports, use proper technique, particularly when jumping, cutting, or pivoting. Pay attention to the playing surfaces and wear appropriate shoes for the activity. To address biomechanical differences, implement neuromuscular training programs, especially for female athletes. Give warm-up exercises top priority before playing sports, with a focus on dynamic stretching. Additionally, think about speaking with a sports medicine specialist for individualised injury prevention strategies catered to your unique needs and activities. 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

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.