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Anterior Cruciate Ligament (ACL) Reconstruction in India ACL Reconstruction Regain full function of your knee with Renowned orthopaedics and team of doctors
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ACL Reconstruction

Swapnil is an IT professional working in Mumbai, India.

He was a 29 years old bachelor, four years ago, and was living with friends in a flat. He used to go to the office on his newly purchased bike along with one of his friends Manish. 

Swapnil was a jolly guy and loved to visit new places whenever he used to get time. He also used to go for tracking, every weekend. Like any other bachelor’s in Mumbai, he never missed an opportunity to go to a party with his friends.  

One regular day, while he was going back home from the office he met with an accident. A car driver lost control of the vehicle while reversing his car from parking.  Suddenly the car came on mid-road. Swapnil and his friend were on the same road. The car hit the moving bike pretty badly. 

Swapnil and his friend fell down on the road. Due to a sudden fall, both of them were injured severely. Knee was the first body part to hit the road and both of them got bruises on their knees.  The cut of Swapnil was so deep that even bone was visible. 

Nearby people rushed to help and helped Swapnil and Manish to stand and supported them to sit in the car. The driver of the car was courteous enough to take them to the hospital. On the way to the hospital,  Swapnil’s knee got swollen.

The doctor and nurse cleaned the wound and while cleaning the doctor could see some plastic parts and a small road stone in the knee. After cleaning the wound thoroughly, the doctor used switchers to close the wound. There were 16 stitches on Swapnil’s knee and 8 on Manish’s knee.

knee acl injury treatment
ACL injury treatment in india

In the meantime, an orthopedic doctor came and recommended the XRay to check the fracture. No fracture or dislocation is found in the Xrays report.

Looking at the swelling, the doctor suggested an MRI scan to check the ligament and condition of the knee. 

In MRI, an ACL tear was clearly detected in Swapnil’s report. 

The doctor described the condition of the knee and recommended surgery to fix the ACL. 

Swapnil’s friend who was working in MedicoExperts got to know about this and he connected Swapnil with the best orthopedic surgeon in Mumbai. Swapnil was worried about his injuries and their impact. Even he started thinking about whether he would be able to walk normally. What will the recovery time be and will there be a big scar from the surgery on his knees? 

After having the video consultation with the doctor and seeing all the reports, the doctor explained the procedure to Swapnil and addressed his concerns with respect to the long-term repercussions of the injury. 

Swapnil got fully satisfied and went for the arthroscopic ACL reconstruction. Surgery was conducted in less than an hour with the hairline cut. 

Swapnil was discharged from the hospital in a few hours when he recovered from anesthesia. 

After discharge, the doctor advised Swapnil to change the dressing twice a week, put ice packs daily, knee elevation while sleeping, and the amount of load to give on feet. The doctor also recommended physiotherapy once the wound of the surgery is healed up.

With perfect surgery and nice care, Swapnil was able to walk with any support within a fortnight.

Let’s understand what is ACL tear is. 

What is the anterior cruciate ligament?

The knee is a hinge joint with four ligaments that hold it together. A ligament is a structure in the knee that helps to control joint movement or motion by holding the bones together. There is a ligament on each side of the knee (the collateral ligaments) and two ligaments deep inside the knee.

The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) are two ligaments inside the knee that “cross” each other (PCL). Both ligaments attach to the top of the shinbone on one side and the end of the thighbone (femur) on the other (tibia).

One of the most important ligaments that helps stabilize your knee joint is the anterior cruciate ligament (ACL). The ACL is a ligament that connects your thighbone (femur) to your shinbone (tibia).

anterior cruciate ligament

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anterior cruciate ligament acl injury

What are ACL Injuries?

A tear or sprain of the anterior cruciate ligament (ACL) — one of the strong bands of tissue that connects your thigh bone (femur) to your shinbone (tibia) — is known as an ACL injury.

ACL injuries are most common in sports like soccer, basketball, football, and downhill skiing, which involve sudden stops or changes in direction, jumping, and landings.

It’s possible that your knee will swell, become unstable, and become too painful to bear weight on.

What are the different types of ACL injury or tears?

ACLs that have been mildly damaged, such as when the ACL is mildly stretched but still provides adequate stability to the knee joint.

ACL injuries are uncommon and refer to a stretched and partially torn ACL.

When the ACL is completely torn in half and no longer provides any stability to the knee joint, it is classified as a grade 3 ACL tear.

What are some signs and symptoms of an ACL injury?

The following are common signs and symptoms of an ACL injury:

  • The sensation of a loud pop or "popping" in the knee
  • Inability to continue with the activity due to severe pain
  • Rapid swelling
  • Loss of range of motion
  • With weight-bearing, a feeling of instability or "giving way"
signs-and-symptoms

To rule out a bone fracture, X-rays may be required. Soft tissues, such as ligaments and tendons, are not visible on X-rays.

An MRI creates images of both hard and soft tissues in your body using radio waves and a strong magnetic field. An MRI can reveal the extent of an ACL injury as well as signs of damage to other knee tissues, such as the cartilage.

Ultrasound can be used to check for injuries in the ligaments, tendons, and muscles of the knee by using sound waves to visualize internal structures.

ACL reconstruction treatment options in India

It is reported that ACL injury is one of the commonest types of injury and occurs most frequently either through non-contact mechanisms or a direct contact mechanism with another object. The ACL is more prone to get injured in individuals who play aggressive sports like basketball, football, soccer by a quick hyperextension or twisting movement at the knee joint.

To ensure you get the best ACL treatment in India, depending on the extent of the damage and your overall health, the orthopedic surgeon will propose or suggest either one of the approaches:

Bracing

This conventional technique is the most appropriate procedure for people who need correction of moderate to significant signs of aging. In this, incisions are sited around the ears, into the hairline, and also a small incision below the chin. This procedure yields the most dramatic and long-lasting results for most of the patients.

Conservative management

This is indicated in cases of Acute and Partial ACL tear, in which proper rest is advisable with limited to no mobility in order to protect the joint and heal the ligament.

Physiotherapy

Conservative Management is often combined with the intensive rehabilitation program to regain the normal range of motion, increase stability and strength at the joint so as to perform activities of daily living.

ACL Repair

In this procedure, the partially or completely torn ACL ligament is repaired by sewing it back together using sutures. However, studies have shown that the ACL repair generally fails over time and may require revision surgery or reconstruction.

ACL Reconstruction

ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee.

Ligaments are strong bands of tissue that attach one bone to another bone. During ACL reconstruction, the torn ligament is removed and replaced with a band of tissue that usually connects muscle to bone (tendon). The graft tendon is taken from another part of your knee or from a deceased donor.

In this procedure, the torn ACL ligament is replaced by using a substitute graft taken from either of the following sources

  • Hamstrings Muscle Tendon AutoGraft taken from the patient’s own knee
  • Patellar Tendon AutoGraft is taken from the patient’s own knee
  • Quadriceps Muscle Tendon AutoGraft
  • Allograft is a graft taken from a cadaver’s patellar tendon, posterior tibialis tendon, Achilles tendon, Gracilis, or Semitendinosus Tendon
Treatment cost

Treatment

Cost of Anterior Cruciate Ligament (ACL) Reconstruction in India

The cost of anterior cruciate ligament (ACL) reconstruction in India is one sixth of what it would cost to undergo the same in a country like the US, UK or Thailand. The cost of ACL reconstruction in India depends on the type of procedure, surgeon and the facility where you choose to get the surgery done. To ensure a best suited treatment plan, a pre-evaluation is done to determine the overall health of the patient. The cost of the comprehensive pre-evaluation is USD 500.

The cost for an ACL repair in India ranges from USD 2500-3500 and this can be done by either the traditional open approach or the minimally invasive (arthroscopic) approach. The cost for ACL reconstruction in India ranges from USD 3500-5000 USD and it can be done either by open surgical approach or minimally invasive (arthroscopic) approach. The approach chosen by the orthopaedic surgeon depends on the extend injury and condition of the patient.

Success Rate for ACL reconstruction in India

With ACL treatment in India the patient will be able to regain full function of the knee and will also be able to get back to previous sport activity. With the expertise of the best orthopaedic surgeons in India, patients can expert precision and international quality surgery. The success rate of ACL treatment in India across hospitals in 99 per cent with improvement in range motion and relief from pain.

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ACL Reconstruction

Advantages of ACL Surgery in India

Individuals who participate in a contact sport like football, soccer, and basketball are familiar with ACL tear which causes intense pain and restriction in movement. In order to effectively get back in the game, these individuals require to undergo ACL repair or ACL reconstruction to regain full functionality of their knee.

ACL repair in India is considered to be amongst the most affordable and cost-effective options when compared to countries like the US, UK, Singapore, etc. India also has some of the most expert and best orthopedic surgeons in the world who are highly skilled in delivering successful ACL surgeries. The best orthopedic hospitals in India are equipped with the latest technology and infrastructure to provide international quality treatment well within one’s budget.

Advantages-of-ACL-Surgery-in-India

Some key benefits you can acquire from your ACL surgery in India

  • ACL repair in India starts from USD 2500 USD and ACL reconstruction in India starts from USD 3500
  • More than 60-70% saving in travel and accommodation as opposed to travelling in western countries for treatment
  • 99 per cent success rate with relief from pain and improved range of motion
  • Highly experienced orthopaedic surgeons with proficiency in latest techniques
  • Multi-specialty hospitals with cutting-edge infrastructure and latest technology
  • Special privilege schemes for our MedicoExperts patients at our associated hospitals

Frequently Asked Questions and patient concerns:

1. Who is considered to be an ideal candidate for ACL surgery?

You can be considered as a good candidate for ACL reconstruction surgery if

  • You have got your knee injured as a result of some high impact sport activities
  • You are facing frequent episodes of disabling knee instability in the form of buckling or knee giving away while walking
  • No relief in the symptoms in spite of conservative management or rehabilitation

2. Can ACL injury be prevented or avoided?

Anyone can trim down the risk of ACL injuries by training drill that needs balance, power, and agility. In addition to that if you are doing plyometric exercises, such as balance and jumping drills, will pick up your neuromuscular conditioning and muscular reactions which will reduce the risk of ACL injury.

3. What can I expect from my ACL surgery?

ACL reconstruction is a minimal invasive surgery, which offers speedy recovery and more rapid return to functional activities. With intensive rehabilitation you can expect good recovery and return back to the functional level within three months. However, it may take 6 months to start the usual sports activities.

4. Is it true that female athletes are more prone to ACL injury as compared to male athletes?

Statistically, it has been found that the female athletes have higher prevalence of ACL injury than the male athletes in certain sports. The contributing factor for these has been anticipated mainly due to the gender related divergence which can be one of the following:

  • Physical Conditioning
  • Muscular strength
  • Neuromuscular control
  • Pelvis and Lower extremity alignment
  • Increased ligamentous laxity

5. What are the major causes of ACL injury?

The major causes of ACL injuries can thus be categorized into two types depending on the mechanism:

• Non-contact Mechanism

  1. Incorrect Landing after jumping from height
  2. Stopping suddenly with your legs hyperextended or a little bent
  3. Spinning or changing directions rapidly with foot planted firmly on ground
  4. Missing steps while ascending or descending staircase

• Contact Mechanism

  1. Fall on an extended knee
  2. Playing sport with foot firmly planted on ground
  3. Getting direct hit or blow one the lateral side of the knee

6. How is an ACL injury diagnosed?

When you experience a ‘pop’ sound or prolonged pain during your regular movements, you should see a doctor. The doctor will physically examine if both the knees, the normal one and the one with the soreness are same or look different. He/she may also suggest to get an MRI, ultrasound or X-ray done to determine the extend of the damage.
Arthroscopy is at times done to precisely determine the extend of the injury and provide real-time repair or correction.

7. What symptoms determine if one has an ACL tear or injury?

Usually, people experience a popping sound when they injure or damage their knee. However, some of the other symptoms that indicate a tear are as follows:

  1. Pain or soreness in the knee
  2. Swelling
  3. Trouble walking or moving the knee
  4. Limited range of motion or unable to flex the knee

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