Arthroscopic ACL reconstruction


What is ACL?

The Anterior Cruciate Ligament is the ligament that keeps the knee stable. ACL is one of the four main ligaments in the knee that connects the femur to the tibia. The knee is normally a hinged joint that is held together by the medial collateral (MCL), lateral collateral (LCL), anterior cruciate (ACL) and posterior cruciate (PCL) ligaments.

How ACL gets injured?

ACL injury is generally caused during the sports are when a person is hit to another person or a strong object on the knee. The injury can occur when the foot is firmly planted on the ground and a sudden force hits your knee while your leg is straight or slightly bent.
Anterior Cruciate Ligament damage is a very common injury, especially among athletes. ACL injuries can be categorized into groups- contact and non-contact based on the nature of the injury Contact injuries occur when a person or object come into contact with the knee causing the ligament to tear. However, non-contact tears typically occur during the following movements: decelerating, cutting, or landing from a jump. ACL injury is 4-6 times higher in females than in males.

Why is ACL surgery necessary?

ACL tears are not generally repaired and sewed back together, because repaired ACLs have generally been shown to fail over time. Therefore, the torn ACL is generally replaced by a substitute graft made of tendon.

• Patellar tendon autograft
• Hamstring tendon autograft
• Quadriceps tendon autograft
• Allograft patellar tendon, Achilles tendon, semitendinosus, gracilis, or posterior tibialis tendon

What problems you may face if your ACL gets torn?

The patient suffering from ACL injury often have difficulty in walking. It can also cause loud poping sound of knees as the ligaments tear,including knee swelling and pain.

How ACL Surgery is done?

Arthroscopic ACL Reconstruction is done via key-hole surgery, wherein the torn ACL is reconstructed using a graft. This graft is extracted from your own body. Hamstring Tendon graft is the most common graft used. These tendons are dispensable and cause no long term side effects.

Small tunnels are drilled in bone to place the graft in the anatomical site of ACL.

How is post-op recovery after ACL surgery?

Some physical therapy under the guidance of physiotherapist guidance will help to regain the flexibility of the ligament, it will prevent the breaking of the tissue and will help in strengthening the muscle tone.
Approximately 4-6 weeks is required for the bone to attach to the graft. However, patient can start their normal activities like walking on their own and do some exercises under proper observation and care.

Famous Sportsman who have underwent ACL Surgery?

1. Cheteshwar Pujara (Indian cricketer and was a part of Kolkata Night Riders in 2009)
2. Luis Suarez (Liverpool Football Player)
3. Tom Brady (five-time Super Bowl champion)
4. Kieron Pollard (Cricketer from the West Indies and IPL player for Mumbai Indians)
5. Tiger Woods (World-famous pro-golfer )
6. Kurt Zouma (Football star player for Chelsea)
7. Mary Pierce (Tennis Champion)
8. Derrick Rose (Former NBA player)
9. Usman Khawaja (Australian batsman)
10. Xavier Hernandez (famous Spanish footballer who holds Barcelona’s record)

Pain after Knee / Hip Replacement Surgery can be a worrisome factor that deters the determination to undergo surgery.
With recent advances it is possible to replace a joint via Minimally Invasive Techniques, wherein patients enjoy painless postoperative period. With this technique your new knee will feel as comfortable as you feel at home. Our idea is to comfort patients and help them eliminate the fear of Knee and Hip replacement.

A. Surgery using Minimally Invasive Technique: 

Mini Invasive Surgery is when the muscles around the joint are NOT CUT. This approach doesn’t incite the inflammation as much as the conventional technique. Hence the surgery is painless, recovery is quick and most patients begin walking within 3 to 6 hours after surgery, start stairs climbing on the next day.Dr.Shailendra Patil Mulund

Surgical Advantages of Minimally Invasive Knee Replacement Surgery .

Fast Recovery
Walking after 4-5 hrs of surgery and staircase climbing from next day of surgery.
Short hospital stay 2 to 4 days.
Minimal blood loss during the surgery
No blood Transfusion.
Less Physiotherapy.
Less Antibiotic.
Stitch less Surgery.

B. Unique techniques: surgery is done WITHOUT use of

TOURNIQUET
CAUTERY
SUCTION
DRAIN

Benefits:

• Less blood loss.
• Less local tissue trauma to nerves and muscles.
• Less post-operative pain.
• Less risk of complications like deep vein thrombosis, infection or blood clots, etc.
• Easier & early rehabilitation.
• Less post operative stiffness.

Knee arthritis is a progressive disorder caused by gradual loss of cartilage and resulting in the development of bony spurs and cysts along the margins of the joints.
According to a survey done in India, a huge population, both urban and rural, are facing knee arthritis on a large scale.

Common symptoms are pain, deformity and disability to do daily routine activities, like stair climbing, sitting cross legged or squatting.

Knee arthritis affects women more commonly than men. Chiefly due to hormonal changes after a certain age that affect the joints adversely. Obesity and Genetic predisposition also play a role. Socio-cultural habits like sitting cross legged on floor, squatting, long standing hours of work, frequent use of stairs, also contribute to the knee arthritis in the society.
Malnutrition with calcium & vitamin D deficiency weakens the bones and predispose to arthritis.
“Knee Osteoarthritis leads to disability and loss of mobility, if pain is not relived by basic treatments like physiotherapy & medications, then Knee Replacement Surgery provides magical solution to all knee related problems”, quotes Dr.Shailendra Patil, Consultant Joint Replacement Surgeon.

As per a survey done by NDTV “India May Have 60 Million Osteoarthritis Cases by 2025”
India may hold the highest rank of Arthritis patients by 2020.Dr.Shailendra Patil Reviews

Let’s pledge to fight arthritis together and regain the freedom of movement.
Age Gracefully Live Carefree & Walk Painfree.

Bone and Joint Care Centre

Human Touch Clinic, 2nd Floor, Above Manoranjan Shop Paanch Rasta, Mulund (West), Mumbai.

OTHER LOCATIONS

THANE – Currae Specialty Hospital

THANE (West) – Doctors Planet

NAVI MUMBAI – Sterling Wockhardt Hospital

VIKROLI & BHANDUP : Ruby Hospital

It is difficult to read a sports page in any major newspaper these days and not see a report dealing with an athlete sidelined by a knee injury. Knee injuries are occurring with alarming frequency at all levels of athletic participation – from “Peewee” to adult, from recreational to professional.

Most younger athletes injure their knees by direct trauma or by a twisting type injury. Individuals can injure their ligaments, articular cartilage or menisci. A traumatic meniscal tear occurs with little or no trauma. These degenerative tears are seen more in the older population. As part of the aging process, the water content of the menisci decreases and a gradual weakening occurs. This leads to a decrease in the force necessary to tear a meniscus.

Your meniscus is crescent-shaped cartilage, cupped to help hold bones in place. You have one on each side of your joint – on the outside, the lateral meniscus, and on the side closest to your other knee, the medial meniscus. When healthy, the meniscus absorbs shock by cushioning and distributing forces across your joint. It also helps stabilize your knee by controlling its rotation. The outer edge of the meniscus is supplied by nutrient-rich blood.Dr.Shailendra Patil Kalyan .

Meniscal tears can cause locking to the knee, buckling of the knee, or just pain and swelling. Treatment consists of rest, ice, and elevation. In instances of locking, arthroscopy is necessary to repair the injury. Depending on the age of the individual and the symptoms that occur, one’s treatment is tailored to each individual. Treatment may be conservative with physical therapy or may require surgical intervention.

The knee is one of the largest joints in the body. It provides us the flexibility to do daily activities like sitting, standing, walking, running with ease. Age related knee problems are common, however, due to changing lifestyle, younger people are also experiencing knee pains. This may be due to….

Knee injury
Nutritional deficiency
Heavy intake of sodium
Smoking or drinking
Here are some of the changes that may help to strengthen the knees:

Do A Proper Knee Exercise:  There are some exercise which are targeted on the knees especially. This exercise helps in strengthening the weak muscles around knee joints it also helps in strengthening knee bones. These exercise includes sit-ups, step-ups, lunges, squats, thigh contraction, knee bends, knee strengthening stretches, swiss ball, straight leg raises.  Doing this exercises 30-40 minutes per day will help to strengthen the knee. Stop doing the exercise if knee pain increase and consult the doctor. Get a proper guidance on the exercises which are suitable for the patient.

Massage: Massage therapy is best method known to get relief of knee pain. Rubbing warm oil (coconut oil, mustard oil, olive oil) on patient’s knees will help in improving proper blood circulation in the veins around the knees. Always massage 3-4 times a week for 10 to 15 minutes to get the better result. If the patient is suffering from extreme knee pain then consult a doctor and get help of an experienced massage therapist.

Intake of Vitamin D: Vitamin D is known to be extremely beneficial for bones and joints health. Patient suffering from knee pain can get vitamin D from the sunlight. Hence exposing their knees in morning sunlight before 11 a.m. for 15-20 minutes daily is very much useful to decrease the further risk of trauma. Also, they can get the source of vitamin D from dietary source such as fish, cod liver oil, eggs yolks, dairy products and cereals.

Calcium: Calcium is essential for bone health. Thus, to increase knee strength eat lots of leafy green vegetable, dairy products, cereals, almonds, oranges.Dr.Shailendra Patil Thane

Swimming: Swimming allows exercising of knees with low pressure on joints. It can reduce stiffness and pain from the knees and helps to strengthen the bones. Swimming for half an hour to one hour alternate days a week can help to reduce knee problem. If the pain continues and if the patient feels increase in knee problem then consult a doctor and take a proper guidance for the treatment