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ACL/PCL-Injuries Surgery in
Nellore

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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

ACL injury is common among individuals who play sports or are involved in fitness activities. These include activities that call for abrupt stops or direction changes. ACL injuries are common if you are involved in soccer, football, basketball, etc. The main ACL injury causes include: 1. Sudden change in the direction 2. Sudden stopping or slowing down 3. Turning while keeping the foot steady 4. Awkwardly landing after a jump 5. Abruptly stopping 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

    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 physician may frequently assign a grade for your ACL injuries. The degree of the injury determines the grading. Grades for ACL injuries range from I to III. A very minor injury is classified as Grade I. A more serious injury is called a Grade III injury. 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?

    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

    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

    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: 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 may suggest a course of treatment based on your condition. This will lessen discomfort and assist in managing the symptoms. It may be suggested that you use crutches. The knee is stabilised and secured with the aid of these braces. Your doctor might also recommend over-the-counter painkillers. These could consist of paracetamol or nonsteroidal anti-inflammatory medications. Your doctor may suggest specific exercises to help you feel better. The foundation of any injury treatment programme is physical therapy. 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

    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

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.