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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
Following are the signs and symptoms of ACL injury: 1. Sudden sensation or sound of popping in the knee 2. Severe pain 3. Sudden swelling 4. Limited movement 5. Feeling of giving way or instability when bearing weight Most patients with ACL injuries can experience excruciating pain. However, some patients only experience mild discomfort. See your doctor if you think you might have hurt your knee. Do not disregard your condition, particularly if you experience or hear a popping sound.
Types of ACL injuries
It is common for your doctor to grade ACL injuries. The severity of the injury determines its grading. Grades for ACL injuries range from I to III. A Grade I injury is one that is extremely less severe. A more serious injury is called a Grade III injury. Let us understand what the three grades mean. 1. Grade I: The injury stretched your ACL to the point of destruction, but it is still in place and supports your knee bones. 2. Grade II: The excessive stretching that resulted from the injury partially tore and loosened your ACL. 3. Grade III: The ACL is broken into two pieces. Speak with your doctor if you have any questions about the type of ACL injury you may have in order to understand your situation 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
ACL injury is first diagnosed using a thorough physical examination. A few tests may also be recommended by your physician. Your doctor may start by asking you questions regarding your symptoms. What you were doing prior to the onset of any injury-related symptoms must be disclosed to your doctor. Your doctor may also want to know about the early symptoms you had following the injury. Your doctor may try adjusting the position of your leg and knee to assess your condition. You should let your doctor know if there are particular positions that hurt more than others. Your doctor may also recommend a few tests. These may include an X-ray, CT scan, or 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
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. You must comply with the following safety advice in order to reduce your risk of suffering an ACL injury. Avoid planting the foot and pivoting over the knee. This is the most frequent reason why athletes sustain meniscus and ACL injuries. 1. Check your home or workspace to make sure nothing could trip you. 2. Make sure you always use the proper tools or equipment when reaching for items around the house. 3. Avoid standing on tables, chairs, or countertops. 4. 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: Although recovery times vary, they usually take six to nine months.
Ans: ACL surgery is the best chance of recovery for complete tears; however, partial tears may respond to non-surgical treatments.
Ans: Indeed, following ACL surgery, physical therapy is essential for regaining function, strength, and flexibility.
Ans: Although entirely avoidable, the risk of ACL injuries can be decreased with strengthening exercises, appropriate technique, and neuromuscular training.
