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ACL/PCL-Injuries Surgery in
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What is ACL/PCL injury?
ACL Injury: Causes
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 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 visit a doctor right away if you think you may have an ACL injury. If you have symptoms like sharp pain, swelling, joint instability, popping sound during injury, or trouble walking, get medical help. Early detection and action reduce the likelihood of side effects and increase the possibility of a successful outcome. For a customised treatment plan that considers general health, lifestyle, and treatment objectives, consulting with a healthcare professional is essential.
Diagnosis and Tests for ACL injury
Healthcare professionals usually start the diagnosis of an ACL injury with a comprehensive physical examination of the knee, noting stability, range of motion, and any signs of swelling or tenderness. They could ask about the specifics of the injury and any accompanying symptoms. Imaging tests such as magnetic resonance imaging (MRI) are frequently used to evaluate possible concomitant injuries to surrounding structures and to visualise the extent of ligament damage. It is possible to perform X-rays to rule out fractures. A thorough diagnosis is probable when imaging is paired with clinical evaluation. Finding the best course of action, whether it entails non-surgical methods like physical therapy or surgical procedures like ACL reconstruction surgery, requires speaking with a healthcare professional for a timely and precise diagnosis.
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 treatment 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. You may be recommended a course of action depending on your condition. This will help to reduce the pain and manage the symptoms. Your doctor may even ask you to use crutches. The knee is stabilised and secured with the help of these braces. Your doctor may also suggest over-the-counter pain relievers. These might include nonsteroidal anti-inflammatory drugs or paracetamol. Your doctor might advise you to perform particular exercises to help manage your symptoms. Physical therapy is a fundamental component of any injury treatment programme. ACL tears do not recover on their own. You can, however, manage your condition if your injury is not too serious. Some people may require surgery to repair the ACL if the individual is an athlete or wishes to resume exercising. An ACL operation is the most common method of treating an ACL tear. The procedure for ACL repair is performed in outpatient care. The ACL surgery facilitates the healing process of the knees. You are allowed to return home the day following the procedure. Your surgeon will perform a minimally invasive procedure called a knee arthroscopy to repair your torn knee ligament.
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. 1. When participating in sports or physical activities: 2. Make sure you are wearing the appropriate clothing. 3. Do not play through your pain if you have injured your knees during or after physical activity. 4. Give your body time to relax and heal following an intense exercise regimen. 5. Stretch, unwind, and warm up before working out or playing sports. 6. Stretch and relax following a workout. Join programmes during the off-season to strengthen your lower body and knees. This will lessen the strain on your knees while you play sports. The following safety recommendations must be followed in order to lower your chance of suffering an ACL injury. 1. Do not plant your foot and turn over your knee. This is the most common cause of meniscus and ACL injuries in athletes. 2. Make use of a cane or a walker if you have trouble walking or are at risk of falling. 3. Make sure nothing in your home or workplace could trip you. 4. Always use the right tools or equipment when reaching for items around the house. 5. Avoid standing on tables, chairs, or countertops.
Post-surgery Procedure
Ensure that you get all the necessary care after your ACL tear surgery. The ACL injury recovery time after the surgery is around 6 to 9 months. Regaining their normalcy and returning to their sport may take longer for some athletes. Follow your doctor's instructions about physical activity. These exercises will help you restore your natural range of motion. It will also prevent the formation of blood clots. It is usually expected of patients to raise their legs without assistance in the first week after the surgery. Physical therapy usually starts seven to fourteen days after the surgery. Follow your doctor's suggestions when taking pain medication. Take note of your body temperature. Inform your doctor if you have a persistent fever that does not go down. Do not be afraid to let your doctor know if you experience any issues following the procedure.
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Frequently Asked Questions
Consult your physician if you have a knee injury. Never disregard any of the symptoms and indicators listed above. Visit the emergency department if you have experienced trauma or a car accident. Certain traumas and accidents can also affect other areas.
Some people can walk normally following an ACL injury. You must avoid walking on your injury even if you are not in pain. You need to learn how to recognise an ACL injury if you are an athlete in particular. If you think you may have injured your ACL, see your doctor.
It is very rare that you will injure the same ACL. Less than 10% of individuals injure the same ACL. Talk to your doctor about what you should expect after an injury and its surgery.
The ACL surgery cost varies in every city. The cost depends on the hospital, the surgeon involved and the severity of the injury.
It is not the end of a career in most cases. Take the right ACL injury treatment, and do not rush to recovery. Many athletes have returned to their passion after an ACL injury. Rehabilitation is a very important aspect after surgery. It will help in bringing back knee strength and flexibility. Ask your doctor the right time to resume your sport and start your practice.
