ACL/PCL-Injuries Surgery in
Ponnani

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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

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

The following are typical symptoms and signs of an ACL tear: 1. A sudden "popping" sound in the knee ·2. ntense pain and lack of mobility 3. Sudden inflammation 4. Limited range of motion 5. Feeling of instability or giving way when bearing weight ACL injuries can result in severe pain. 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 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 physical examination is necessary for the diagnosis of ACL injury. Your doctor might also suggest a few tests. Your doctor might first ask you questions about your symptoms. Your doctor needs 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 any specific positions hurt the most. Your doctor might suggest a few tests. 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: 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

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 programs 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 follow the following safety tips to lower your chances of having an ACL injury: 1. Refrain from putting your foot down and turning over your knee. This is the most common cause of meniscus and ACL injuries among athletes in this way. 2. Ensure that nothing could trip you or others in your home or workspace. 3. Always use the appropriate tools or equipment when reaching for objects at home. 4. Never stand on countertops or tables or chairs. 5. Take the support of a walker or a cane if you have trouble walking or are more likely to fall.

Post-surgery Procedure

Follow the rehabilitation guidelines created by your orthopaedic surgeon and physical therapist after undergoing ACL surgery. Start by using ice and prescribed medication to reduce swelling and manage pain. As directed by your healthcare team, start with mild range-of-motion exercises and work up to strengthening exercises. Reintroduce weight-bearing activities and sports-specific training gradually. Attend physical therapy sessions regularly to track your progress and make necessary adjustments to the rehabilitation plan. Observe all post-operative guidelines about the use of braces, limitations on weight bearing, and degree of activity. Maintaining regular contact with your medical team is crucial to a full recovery following ACL reconstruction.