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ACL reconstructive surgery

ACL Reconstructive Surgery

Overview

Repair of the Anterior Cruciate ligament (ACL) is a surgical procedure designed to improve knee strength and stability after the ligament is torn. The remaining fragments of the torn ligament need to be removed and replaced by a new ligament in your body or using tissue from cadavers.

A hinge joint is in which the thighbone, also known as the femur connects with the tibia or the shinbone. The crucial joint is held in place by four ligaments that connect bones and connect them.

  • an anterior cruciate ligament (ACL)

  • medial collateral ligament (MCL)

  • lateral collateral ligament (LCL)

  • a posterior cruciate ligament (PCL)

The ACL Surgery is a diagonal joint between the femur and the tibia. It prevents the tibia over the femur. It also helps stabilize the knee during rotation between sides.

ACL Injuries

ACL tears are one of the most frequent knee injuries, particularly among those who play extreme sports, like:

  • basketball

  • football

  • soccer

  • skiing

  • hockey

Most of these injuries are not caused by other players, as per the They often occur when an athlete is twisted or pivots in playing.

There are approximately 200 000 ACL injuries annually in India, and according to the AAOS, around half of those suffering from injuries require ACL reconstruction surgery.

Why ACL Reconstruction Is Performed

ACL surgical reconstruction is carried out to repair a damaged ACL to restore mobility and stability within the knee. Although not all instances of torn ligaments need surgery, athletes or those suffering from chronic discomfort may consider surgery.

ACL reconstruction is typically suggested when:

  • You are young and active.

  • You suffer from chronic knee pain.

  • the injury causes your knee to stretch during everyday exercises, like walking

How to Prepare for ACL Reconstruction

There will be meetings with your doctor and surgeon before the surgery. The doctor and surgeon will discuss the options for treatment, undergo various knee exams, and decide on the type of anesthesia you'll need for surgery. In these meetings, it is important to be prepared to ask questions.

Talk to your doctor about what the surgically implanted tendon comes from. Common sources for this tendon are:

  • the patellar tendon is the tendon that connects the kneecap's bottom or patella to your tibia

  • Hamstring: the tendon connecting the muscles that run long in the leg's back to the rear of your knee

  • Quadriceps is a tendon located in front of the hip. This kind of graft is generally reserved for larger or taller patients or those who have failed transplants.

  • A cadaver: tissue taken from the dead body that is known as an allograft

All carcasses are checked for signs of illness before surgery; some are concerned regarding using dead tissue. Discuss any concerns with your physician.

The doctor will provide you with full instructions on the day of the procedure. The instructions may include fasting up to 12 hours before the ACL surgery and avoiding taking aspirin or blood thinners.

Be sure that someone accompanies you during your surgery. It is helpful to have someone else take note of the instructions for post-operative care and take you back home.

How ACL Reconstruction Is Performed

You'll be prepared to undergo the procedure by dressing in the hospital gown and then having the intricate (IV) line put into your arm. The IV line will permit the surgeons to administer anesthesia, medications or sedatives.

After the tissue sample is chosen, it's extracted surgically from the body or crafted from an animal. It is adorned using "bone plugs," or anchor points to join the tendon to the knee.

During the procedure, a tiny cut is made on the inside of your knee to accommodate an arthroscope - a small tube equipped with an optical fiber camera and surgical instruments. This allows the surgeon to view your knee while performing the surgery.

The surgeon will then remove the torn ACL 

and scrub the region. They'll then drill tiny holes in your tibia and femur so that the bone plugs are joined with screws, posts staples, washers or screws.

Following the insertion to the new ligament, the surgeon will examine the knee's motion and tension to confirm that the graft is secured. The opening is stitched, the wound will be covered, and your knee secured with braces. The duration of the procedure will depend on the surgeon's expertise and whether other procedures are required (such as meniscal repairs) in addition to other aspects.

Typically, you'll be able to return home on the day of your procedure.

 

The Risks of ACL Reconstruction

Since ACL reconstructive surgery is an operation, it comes with certain risks, which include:

  • bleeding and blood bleeding and blood clots

  • continued knee pain

  • The graft can transmit disease if it originates from a cadaver

  • Infection

  • Knee stiffness or weakening of the knee

  • Loss of motion range

  • incorrect healing when the graft is rejected, your immune system

Young children who tear their ACLs are at risk of developing injury to the growth plate. Growth plates enable bones to expand and are situated near the end of the bones on legs and arms. The injuries to growth plates may cause bones to be shorter.

Your doctor will consider the risk factors when deciding whether surgery should be delayed until your child has reached a certain age with their growth plates developed in solid bone.

ACL reconstructive surgery is still the most effective method of repairing common knee injuries. The AAOS estimates that 85 to 90% of ACL reconstruction surgeries provide excellent results and complete knee stability.

After ACL Reconstruction

Rehabilitation is crucial to the achievement of ACL reconstruction.

Following the procedure, you'll be asked to take pain medication to keep the area free of dirt and moisture, as well as rest. Citing your knee is vitally crucial as it eases the pain and reduces swelling. You will likely need to schedule a follow-up appointment with your surgeon or physician after a short period after surgery.

Here's what you can expect after ACL surgery:

  • Some pain

  • restrictions on activity for a few months

  • walking on crutches for at least six to seven weeks

  • wearing a knee brace for a minimum of one week

It is possible to restore mobility in your knee within a couple of weeks following surgery. Most athletes return to their sport within 6 to 12 months.

After the procedure has been proven successful, the physical therapy routine can begin. The efficacy of these therapies is different from person to.more information visit sarwarpro.com

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