Is ACL surgery a major surgery?
by OAKS Clinic Orthopaedic treatments for knee and shoulderACL reconstruction surgery
Reconstruction of the Anterior Cruciate Ligament
(ACL) is a surgery designed to reestablish knee stability and strength after
the ligament has been torn. The remnants of the torn ligament must be detached
and replaced with a graft tissue
harvested from the patient’s body.
The knee is a hinge joint where the femur, or
thighbone, meets the tibia, or shinbone. This vital joint is held together by
these four ligaments, which connect bones to one another:
- Anterior
cruciate ligament (ACL)
- Medial
collateral ligament (MCL)
- Lateral
collateral ligament (LCL)
- Posterior cruciate ligament (PCL)
The
ACL runs crossways between the femur and the tibia and keeps the tibia from
slipping in front of the femur. It also provides steadiness to the knee when it
rotates from side to side. An ACL tear
is one of the most common knee injuries, particularly among people who take
part in high-impact sports like:
- Basketball
- Football
- Skiing
- Hockey
- Soccer
Diagnosis:
The diagnoses can habitually
be made on the history and clinical exam alone.
Analysis reveals shakiness of the knee, if sufficiently relaxed or not too
painful. MRI (Magnetic Resonance
Imaging) can be supportive if there is qualm as well as to look for damage to
other structures within the knee
Initial
- Rest
- Elevation
- Bandage
- Ice
Long term:
Not everybody
needs operation. Some people can compensate for the injured ligament with strengthening
exercises or a brace.It is strongly recommended to give up sports including
twisting activities, if you have an ACL
injury. Episodes of instability can cause further harm to important
structures within the knee that may outcometo early arthritis
ACL Tear Surgery
Surgical techniques have enhanced considerably over the last
decade, difficulties are reduced and recovery much faster than in the past. The operation is performed arthroscopically. The ruptured
ligament is detached and then tunnels (holes) in the bone are pierced to accept
the new
graft. This graft which substitutes your old ACL is taken either from the
hamstring tendon or the patella tendon. There are benefits & drawbacks of
each with the final decision will take by arthroscopy
specialist in Mumbai. The graft is equipped to take the form of a new
tendon and passed from side to side the drill holes in the bone.The new tendon
is then fixed into the bone with several devices to hold it into place while
the ligament rebuilds into the bone (typically 7 months).The rest of the knee
can be evidently pictured at the same time and any other injury is dealt with
e.g., meniscal tears. The wounds are closed and a dry dressing applied.
Post- ACL Tear Surgery Precaution:
1.
Surgery is performed as a
day only process or an overnight stay.
2.
Any drains will be detached from the knee.
3.
A splint is sometimes used for ease.
4.
Leave any water-resistant dressings on your
knee until your post-op evaluation.
5.
You can put your entireload on your leg.
6.
You have to put ice on the knee for 25
minutes at a time, as regularly as possible.
7.
Post-op review will usually be at 5 to 10
days.
8.
Physiotherapy can initiate after a few days
or can be prescribed at your first post-op visit.
9.
If you have any soreness around the wound or
increasing aching in the knee or you have fever or feel unwell, you should
contact your surgeon as soon as possible.
10.
You will have pain medication by tablet or in
a drip.
11.
Avoid anti-inflammatories or aspirin for 10
to 15 days.
12.
You will be seen by a physiotherapist who
will show you to use crutches and show you some easy and simple exercises to do
at home.
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Created on May 2nd 2019 06:17. Viewed 219 times.