ACL Reconstruction


What is the ACL?

Anterior Cruciate Ligament (ACL) is one of the major stabilizing ligaments located centrally in the knee. It forms a central pivot along with the Posterior Cruciate Ligament surgery placed in a cruciate (cross) arrangement with each other.

symptoms of an ACL tear

At the time of injury, one may feel a "pop" in the knee as the ligament ruptures. The knee may swell over a period of time. One would find it difficult to balance over the knee and it "gives way" suddenly (buckles) on standing or pivoting over it. There is a feeling of instability and a painful limp on walking immediately following the injury.

If left untreated for long one may feel a loss of strength and confidence on the injured side as compared to the opposite normal knee. One finds it difficult to resume sports involving twisting & pivoting of the knee.

There may not be any pain in the knee with an isolated long-standing ACL injury(Acl Injury Surgery). However, if there is any other associated structural injury or prolonged neglect one may start developing pain. It is not advisable to neglect an ACL injury till the symptom of pain appears.

acl reconstruction
acl reconstruction

ACL Reconstruction

ACL reconstruction is a procedure to replace a torn anterior cruciate ligament (ACL), a major ligament in your knee. ACL is a band of tissue inside the knee that attaches one bone to another. ACL injuries occur when it stretches or tears, mostly during sports that involve sudden stops and swift changes in direction like football, soccer, volleyball, and basketball.

PCL Reconstruction


What is the PCL?

The Posterior Cruciate Ligament (PCL) lies just behind the ACL and similarly connects the femur and tibia but runs in a different direction. The PCL is the primary stabilizer of the Knee and the main controller of how far backward the tibia moves under the femur. This motion is called posterior translation of the tibia. If the tibia moves too far back, the PCL can rupture.

Recent studies have suggested that the PCL also prevents medial-lateral (side-to-side) and rotatory movements. Thus the PCL's effect on Knee Joint function is more complex than previously thought.

The PCL is made of two thick bands of tissue bundled together. One part of the ligament tightens when the knee is bent; the other part tightens as the Knee straightens. This is why the PCL is sometimes injured along with the ACL when the Knee is forced to straighten too far or hyperextend.

Both bundles of the PCL change in length as well as orientation (direction of the fibers) from front-to-back and side-to-side with Knee flexion and extension. This function allows the ligament to keep the tibia from sliding too far back or slipping from side-to-side.

pcl reconstruction

Ligaments:


Four major bundles of collagen fibers stabilize and guide knee joint motion.

Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL) are inside the knee. The name ‘cruciate’ means ‘cross’ and comes from the fact that these two ligaments cross each other as they attach to the femur and tibia.

Medial Collateral Ligament (MCL) and Lateral Collateral Ligament (LCL) are on either side of the knee. MCL is on the inner side attached to the femur and tibia, and LCL is on the outer side attached to the femur and fibula.

How Ligaments & Tendons Interact in Your Ankle

The ankle and foot are held together by ligaments and tendons. The ligaments on both sides of the ankle are tightly attached to the bones. On the outside (lateral) aspect of the ankle, there are three major ligaments called the lateral collateral ligaments (LCL). On the inside (medial) aspect of the ankle, there is a complex network of ligaments called the medial collateral ligaments (MCL).

Ligaments help to restrict the motion of the ankle joint. When there is an injury to the ligaments, they can be stretched out or torn. This can lead to a sprain of the ligament, weakening them. In cases that are left untreated, or in cases where many sprains are experienced in a short period of time, there will be weakening of the ligaments leading to instability of the ankle.

ligament reconstruction

FAQs


Yes, our team will be able to help you with insurance approvals and clearances

With proper care and physiotherapy, the patient can return to sports in 3-6 months. Many international players have faced this injury and after surgery have returned to sports.

Yes, but Doctor will suggest exercises to be done at home and you might not need to pay for a physiotherapist.

You can walk from the next day and can return to a normal lifestyle in 15 days

Yes, metal implants are available in abundance however, we recommend using Bio-absorbable implants due to higher acceptability and no requirement for removing the implant.

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