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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
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
It is common for your doctor to grade your ACL injuries. The grading is based on the severity of the injury. ACL injuries are graded from I to III. Grade I injuries are those that are extremely minor. A Grade III injury is considered to be more serious. 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. Co nsult your doctor if you are unsure about the specific type of ACL injury you have. This will help you and your doctor to manage your condition better.
When to See the Doctor?
If you have symptoms of an ACL injury, such as severe knee pain, swelling, instability, or trouble bearing weight, get medical help immediately. Speaking with a healthcare provider is essential for a precise diagnosis and customised treatment plan, which may involve ACL operation. Seeking early medical assistance guarantees appropriate management and timely intervention for ACL injuries. Early medical evaluation increases the likelihood of a full recovery by enabling an accurate diagnosis and prompt initiation of the proper treatment. Getting medical help when you suspect an ACL injury can help avoid complications and facilitate a more successful recovery process. 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
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
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 Take the help of programmes to strengthen your knees and lower body during the off-season. This will help your knees withstand the strain during your sports season. 1. You must comply with the following safety advice in order to reduce your risk of suffering an ACL injury. 2. Avoid planting the foot and pivoting over the knee. This is the most frequent reason why athletes sustain meniscus and ACL injuries. 3. Check your home or workspace to make sure nothing could trip you. 4. Make sure you always use the proper tools or equipment when reaching for items around the house. 5. Avoid standing on tables, chairs, or countertops. 6. Use a walker or cane if you have difficulty walking or are at risk of falling.
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. 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.
