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ACL Reconstruction Tips

Anterior Cruciate Ligament Tear - What Happens In Case Of It?

Dr. Pardeep Bageja 88% (10 ratings)
DNB - Orthopaedics, MBBS
Orthopedist, Delhi
Anterior Cruciate Ligament Tear - What Happens In Case Of It?

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury-

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

  • Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery.
3 people found this helpful

Anterior Cruciate Ligament Injury - What Should You Know?

Dr. Sunil Kumar Dash 89% (25 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedist, Bhubaneswar
Anterior Cruciate Ligament Injury - What Should You Know?

In general, anterior cruciate ligament injuries or ACL injuries, are understood as tears in any of the several knee ligaments joining the upper leg bone and the lower leg bone. This can vary from minor injuries, such as small ligament tears, to more serious cases like complete tears or when the ligament and one of the bones gets displaced from the other.

These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc. An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain.

In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms:
Signs and symptoms of anterior cruciate ligament may include:

  1. You are unable to move properly.
  2. You experience immense pain while walking up and down stairs.
  3. You are unable to engage much in physical activities.
  4. Your knee begins to swell gradually.
  5. You can sense a loud popping sensation when moving your knee.
  6. You experience feelings of instability.

Causes:
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:

  1. Sudden arrest in motion
  2. An unsteady landing from a jump
  3. Direct blows to the knee from tackles
  4. Sudden shifts in direction

Treatment:
Treatment of ACL injuries normally involves the following:
1. Immediate medical attention along with intense first aid care
2. Sincere adherence to the R.I.C.E model of self care

  • Rest: proper rest for a couple of weeks or months depending upon the severity of the injury
  • Ice: using ice packs to help cool the nerves
  • Compression: ice treatment further helps in compression
  • Elevation: when lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions

3. Success rehabilitative therapy for several weeks
4. Anterior cruciate ligament surgery or reconstruction

Frequently Asked Questions About ACL Reconstruction Surgery!

Dr. Sanjib Kumar Behera 85% (10 ratings)
MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics & Orthopedic Surgery
Orthopedist, Hyderabad
Frequently Asked Questions About ACL Reconstruction Surgery!

ACL which stands for Anterior Cruciate Ligament is a common form of injury for people involved in sports. Tear of ACL can be an extremely painful and debilitating injury. The prospect of having to undergo a surgery for reconstruction will definitely have certain concerns and questions.

Here are some brief questions and answers that are commonly asked and can offer an insight into the topic.

Q1. Who should undergo an ACL reconstruction surgery?
ACL reconstruction surgery is the most suitable treatment option for patients who are physically active. It is especially recommended for athletes who play sports requiring pivoting. If you have an injury in more than one ligament or have knee instability, then ACL reconstruction surgery may be recommended. Patients who lead an active lifestyle are prone to injuring their knees again and therefore, an ACL reconstruction surgery can be of immense help.

Q2. What are the different types of ACL reconstruction surgery?
There are several variants of ACL reconstruction surgery for an ACL tear. In these surgeries, the damaged tendons are replaced from tendons taken from some other parts of the body. This can constitute portions of your own tendon, patellar tendon, hamstrings, quadriceps or a combination of these areas. Each of the various types of ACL reconstruction surgery has pros and cons and which type would be most suitable for you depends on the specifics of the injury as well as the type of graft and other factors.

Q3. How long does it take to recover from an ACL reconstruction surgery take?
Though the recovery time is different from one person to another, the ACL reconstruction surgery indicates a recovery period of several months that may last up to a year. A rehabilitation program can ensure optimum recovery since it focuses on restoring the range of motion and subsequently, strengthening the affected parts.

Q4. When to start therapy after the ACL reconstruction surgery?
It is important to start the therapy right after the first post-operative visit. The therapy can be done at any place that is convenient for the patient. It could be at the therapist’s office or at the patient’s home as well.

Q5. Is it possible to injure the ACL by bending the knee?
Since the ACL graft is positioned in an isometric manner, it means that the length of the graft would not change its position regardless of whether a knee is bent or straightened. It is, therefore impossible to injure the ACL grafting by bending the knee.

Q6. Is it important to use crutches after the surgery?
Most patients are able to bear full weight right after the operation but it may not be the case for all patients. There is no need to use crutches since it is crucial to maintain strength and boost the healing process.
For further clarifications, it is best to discuss the pros and cons with your doctor before opting for the procedure.

4847 people found this helpful

How Surgery Can Help With ACL?

Dr. Ashwani Maichand 89% (48 ratings)
Fellowship in Joint Replacement , M.Ch , MS - Orthopaedics, MBBS
Orthopedist, Delhi
How Surgery Can Help With ACL?

The anterior cruciate ligament is one of the most delicate yet vital ligaments that holds the knee bones in place and stabilizes the movement. Injury to the ligament, on account of a sprain, can prove to be a cause of severe distress. This may lead to a partial or a complete destabilization of the knee joints and impair the normal movements to a great extent.

Causes
Some of the most common causes of this sort of a ligament tear are accidental injuries during a sporting activity, unexpected collision or incorrect body postures. This is a fairly common occurrence among the athletes. However, the physiological and neuromuscular controls make women more susceptible to damage to the Anterior Cruciate Ligament than men.

There are two cruciate ligaments in our body, i.e. the anterior and the posterior cruciate ligaments. They run in crosses to connect the insides of the knee joints. They regulate the back and forth movement of your knees. They therefore, may incur substantial damage through sudden movements like jerks or an abrupt change of direction; the degree of tear may vary from minor strains to complete detachment. Accordingly, treatments are available to cure the distress. The treatments may either be surgical or nonsurgical, depending about the extent of the injury as well as the age of the patient. A complete tear in the ligament necessitates surgery for recovery. However, one may choose to opt for other non - surgical methods to minimize the damage.

Some of the most effective treatments for a tear in the anterior cruciate ligament have been enlisted below:
1. Bracing: Wearing a brace or using a crutch for the purpose of movement can accord the knees with some stability. It also keeps the joints intact and alleviates pain.
2. Physiotherapy: Once the inflammation reduces, you may opt for physiotherapy to restore movement and reduce the pain. Heat and Ice therapies work as ideal adjuvants to physiotherapy in such cases.
3. Surgery: Regrowth of the anterior cruciate ligament may be possible through a surgical process of grafting. This enables the tissues to repair themselves. Knee caps and adequate rest accord better rehabilitation. The recovery is faster and steadier in this process. In surgery we reconstruct the ligament again using patients own tissues. Its called Arthroscopic ACL Reconstruction.

4086 people found this helpful

Anterior Cruciate Ligament Tear - What Leads An Injury To It?

Dr. Umesh Kulkarni 88% (20 ratings)
MBBS, MS - Orthopaedics, Diploma In Orthopedics
Orthopedist, Nashik
Anterior Cruciate Ligament Tear - What Leads  An Injury To It?

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL-

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

  1. Sudden stopping while running or slowing down from a fast speed

  2. Sudden change in direction

  3. Uncontrolled jumping from a height

  4. Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury-

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

  • Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

  • Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery.
4081 people found this helpful

Anterior Cruciate Ligament (ACL) - How Can It Be Treated?

Dr. Saurabh Mathur 85% (10 ratings)
MBBS Bachelor of Medicine & Bachelor of Surgery, MS - Orthopaedics, Fellow Sports Medicine SGH Singapore, Fellow Shoulder surgery
Orthopedist, Jaipur
Anterior Cruciate Ligament (ACL) - How Can It Be Treated?

The anterior cruciate ligament is one of the most delicate yet vital ligaments that holds the knee bones in place and stabilizes the movement. Injury to the ligament, on account of a sprain, can prove to be a cause of severe distress. This may lead to a partial or a complete destabilization of the knee joints and impair the normal movements to a great extent.

Causes
Some of the most common causes of this sort of a ligament tear are accidental injuries during a sporting activity, unexpected collision or incorrect body postures. This is a fairly common occurrence among the athletes. However, the physiological and neuromuscular controls make women more susceptible to damage to the Anterior Cruciate Ligament than men.

There are two cruciate ligaments in our body, i.e. the anterior and the posterior cruciate ligaments. They run in crosses to connect the insides of the knee joints. They regulate the back and forth movement of your knees. They therefore, may incur substantial damage through sudden movements like jerks or an abrupt change of direction; the degree of tear may vary from minor strains to complete detachment. Accordingly, treatments are available to cure the distress. The treatments may either be surgical or nonsurgical, depending about the extent of the injury as well as the age of the patient. A complete tear in the ligament necessitates surgery for recovery. However, one may choose to opt for other non - surgical methods to minimize the damage.

Some of the most effective treatments for a tear in the anterior cruciate ligament have been enlisted below:

  1. Bracing: Wearing a brace or using a crutch for the purpose of movement can accord the knees with some stability. It also keeps the joints intact and alleviates pain.
  2. Physiotherapy: Once the inflammation reduces, you may opt for physiotherapy to restore movement and reduce the pain. Heat and Ice therapies work as ideal adjuvants to physiotherapy in such cases.
  3. Surgery: Regrowth of the anterior cruciate ligament may be possible through a surgical process of grafting. This enables the tissues to repair themselves. Knee caps and adequate rest accord better rehabilitation. The recovery is faster and steadier in this process.
2849 people found this helpful

ACL Surgery Recovery - What To Assume From It?

Dr. Prof Manish Khanna 89% (10 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Lucknow
ACL Surgery Recovery - What To Assume From It?

ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.

Read on to know what you can expect in the recovery phase following an ACL surgery.

  1. Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
  2. Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
  3. Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
  4. Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
  5. Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.

Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
 

2467 people found this helpful

Anterior Cruciate Ligament: What To Expect For Its Surgery?

Dr. Ashutosh Jha 90% (76 ratings)
AO TRAUMA, DNB (Orthopedics), MS Ortho, MBBS
Orthopedist, Ghaziabad
Anterior Cruciate Ligament: What To Expect For Its Surgery?

ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.

Read on to know what you can expect in the recovery phase following an ACL surgery.

  1. Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
  2. Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
  3. Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
  4. Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
  5. Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.

Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
 

2874 people found this helpful

What To Expect During The Recovery Phase Of ACL Surgery?

Dr. Kunal Saoji 85% (10 ratings)
MS - Orthopaedics, MD - Physician
Orthopedist, Nagpur
What To Expect During The Recovery Phase Of ACL Surgery?

ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.

Read on to know what you can expect in the recovery phase following an ACL surgery.

  1. Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
  2. Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
  3. Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
  4. Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
  5. Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.

Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
 

2560 people found this helpful

ACL Injury - What Causes It?

Dr. Shailesh Mishra 93% (40 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Ortho, Fellowship In Knee Replacement & Arthroscopic Surgery ( Knee & Shoulder )
Orthopedist, Mumbai
ACL Injury - What Causes It?

A tear in the anterior cruciate ligament or ACL is a common injury in people involved in sports. Any activity that involves sudden stops, jumping or sudden changes in direction have a chance of causing a tear in the ACL. Here is a look at some of the causes, symptoms, and treatment for the ACL injury.

Causes of the ACL injury
While the ACL injury is common in sportspersons, it can occur in others as well, due to sudden or excessive stain on the knee region. Common causes include-

  1. Suddenly slowing your pace and changing directions.
  2. Improper landing after a jump
  3. Suddenly stopping movement
  4. A direct and forceful blow to the knees, which is common in some sports, such as football, rugby, etc.

In some cases, the injury is mild enough to simply strain the ligament. However, a tear results when the force of impact on the ligament is high intensity.

Symptoms of the ACL injury

  1. A click or popping sensation in the knees during movement
  2. Extreme pain, which forces the patient to stop the strenuous activity
  3. Limited range of motion
  4. Swelling in the knee region
  5. Loss of balance when weight is put on the injured leg

Treatment for ACL injury

  1. Minor injuries can be treated with an ice pack. Rest can also alleviate the pain associated with such an injury.
  2. Anti-inflammatory drugs may be prescribed if there is considerable swelling and pain
  3. A knee brace is often required for people who intend to play sports despite an injury to the ACL.
  4. Physical therapy and exercises devised to strengthen the knee may also be effective in curing the condition.
  5. A severely torn ACL needs to be replaced using surgical procedure. People undergoing this surgery can often return to sports in a year or so.

In case of ACL injuries, prevention is often better than the cure. If you are into sports, make sure you exercise your knees and legs regularly, so that they are able to withstand the intense pressure put on them. In case you have a concern or query you can always consult an expert & get answers to your questions!

3293 people found this helpful
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