Best ACL Reconstruction Surgeon in Delhi
The ACL, or anterior cruciate ligament, is an integral part of the anatomy of the knee. This ligament stabilizes the knee joint from the front and connects the femur (femur) to the lower leg (shin). The ACL tends to get ruptured in various situations (most common) such as during exercises or playing sports.
What Is Your Knee Joint Made Up Of?
The knee joint consists of a thigh bone (femur), shin bone (Tibia), and the Knee cap (Patella). It is a major weight-bearing joint that takes up a major weight of the body. Two bones are always connected with the help of the ligaments. In a knee joint, four primary ligaments maintain the stability of the joint-
- Collateral Ligaments- It consists of two ligaments- medial and lateral. This ligament helps in maintaining the stability.
- Cruciate Ligament- It consists of two ligaments- Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL). The ACL stabilizes the knee joint from the front, while the PCL stabilizes the knee joint from the backside. These ligaments prevent abnormal movement of the Tibia bone. ACL also helps in maintaining the rotational movement of the joint.
What is an ACL Injury?
ACL injury is the appearance of tear in the ACL ligament. It is often caused due to overstretching of the knee joint, usually during exercising or playing sports. There are several grades of an ACL injury.
Grades of ACL Injury
A ligament injury or tear is known as sprain. An ACL Injury is divided into the following types, corresponding to the amount of severeness-
- Grade 1- Mild damage and ACL works fine
- Grade 2- Intermediate damage or partial tear, and ACL becomes slightly loose.
- Grade 3- Complete tear, knee joint becomes unstable, and surgical intervention is required.
How Does an ACL Get Injured?
- Here are some common reasons why someone notices an ACL violation.
- If someone changes direction quickly, they are vulnerable to ACL violations.
- When one suddenly stops running, jogging, or doing strenuous exercise.
Direct impact with the ball in sports.
How Is ACL Treated?
The level of treatment for AS depends on the size of the patient and the individual. A third grader needs reconstructive surgery to get back to normal. There are two types of treatment for anterior cruciate ligament injuries.
- Non-surgical – This type of treatment includes braces and physical therapy. An orthosis includes support that can be provided with crutches, and physical therapy includes treatment with exercises to strengthen the knee joint.
- Surgical– Since most ACL tears are irreversible, reconstructive surgery bypasses the treatment of ACL tears as the surgical procedures involve reconstructive surgery. In traditional reconstructive surgery, arthroscopic surgery is performed with minimal intervention and in a very short time.
What Is An ACL Reconstruction Surgery?
The following techniques are used for reconstructive anterior cruciate ligament surgery.
- ACL reconstruction surgery uses a graft to replace the ligament.
- The most common transplant is an autograft transplant, which uses a part of your body.
- Sometimes the quadriceps tendon above the knee is used.
- Another option is an allograft of tissue from a deceased donor.
- Reconstructive surgery is usually used only for fractures-dislocations (removal of ligaments and bone fragments from the remaining bone).
- In this case, the bone fragments attached to the anterior cruciate ligament are attached to the bone.
- Anterior cruciate ligament surgery, commonly known as arthroscopic ACL surgery, is a newer technique performed by inserting surgical instruments through small incisions in the knee.
What Are The Steps Involved in ACL Reconstruction Surgery?
- Arthroscopy– The Knee Surgeon examines the knee joint and an injured anterior cruciate ligament using arthroscopy to determine- diagnosis during preoperative examination and evaluation, absence or presence of damage to other structures, and plan to receive a tissue graft of the right size and shape for the knee.
- Graft harvesting- In this, the surgeon will harvest a graft from the person’s body or a donor. The graft is usually obtained from kneecap, front thigh, and hamstring
- ACL surgery- The surgeon examines what is left of the natural anterior cruciate ligament to see where and how it attaches to the femur and tibia. Marks the areas of the thigh and lower leg for placement of the ACL graft. Drills a suitable size hole or tunnel in the marked area. Usually, the femur is drilled first, followed by the tibia. Sutures the tibial tunnel and then the femur to isolate the new anterior cruciate ligament. Attaches the new ACL to the femur and secured with a strap.
How Long Does It Take To Recover After An ACL Reconstruction Surgery in Delhi?
Even if you are discharged from the hospital the same day after your surgery, recovery from ACL reconstruction surgery can take up to 6 months. This includes a complete postoperative rehabilitation program consisting of care and physical therapy.
Arthroscopic Surgery Over Conventional Surgery
The use of arthroscopic surgery has many advantages over traditional open reconstructive surgery.
- It takes less time.
- Since very small incisions are used, there is much less scarring.
- This type of treatment is also carried out for diagnostic purposes and is less dangerous than conventional methods.
Where Can I Find the Best Arthroscopic Surgeon in Delhi?
Arthroscopy is a complex procedure and should only be performed by an experienced orthopedic surgeon. Finding an experienced orthopaedic surgeon in Delhi is like finding a needle in a haystack. But we list the best arthroscopic surgeons in Delhi so you don’t need to worry. Dr Biren Nadkarni of Joint and Bone Solutions is the best arthroscopic surgeon in Delhi and nearby areas. He has experience of more than 20 years and thousands of arthroscopic surgeries.
FAQs
Physical therapy after an ACL reconstruction surgery is very important to resume the normal activity of the knee joint. Physical therapy focuses on regaining the normal range of motion of the knee joint along with its strengthening. Your physical therapist will set a defined set of programs for your rehabilitation after an ACL reconstruction surgery. This program depends upon the type of surgery involved.
Dr. Biren Nadkarni of Joint & Bone Solutions is the best arthroscopic and ACL reconstruction surgeon in Delhi with experience of more than 20 years in the relevant field.
Patients can go for weight-bearing exercises assisted or unassisted within 2-4 weeks. However, it is done only for short periods. After 10-12 weeks, one can take long walks except brisk walking, light jogging, and even plyometric exercises. Full recovery of ACL reconstruction is 6-12 months or more with physical therapy.