ACL Reconstruction & ACL Surgery in Delhi, India
What Is ACL Injury?
An ACL tear is a common injury that affects the anterior cruciate ligament in the knee joint. This ligament, along with the posterior cruciate ligament, helps stabilize the knee by preventing excessive forward or backward movement of the tibia over the femur during activities like walking or running. The ACL is composed of strong connective tissue and collagen fibers that originate from the thigh bone and attach to the leg bone. It plays a crucial role in providing rotational stability to the knee when subjected to varus or valgus stress.
The incidence of ACL injuries is on the rise globally, with India reporting an annual rate of 68.6 per 100,000 people and over 200,000 cases occurring in the US each year. These injuries are often caused by non-contact situations, particularly during sports activities. They are more prevalent among individuals aged 20-50 years old, with females experiencing a higher incidence compared to males, especially among athletes.
How does ACL injury occur?
ACL injuries are occurred commonly due to non-contact mechanism while playing sports like that involves sudden stop or change in direction, abnormal landing on leg and jumping (football, basketball, dancing, downhill skiing, soccer players), sudden twisting injury of knee (gymnastics). Typically, an ACL injury occurs when the foot strikes the ground with the knee close to full extension while landing manoeuvres, sudden deceleration manoeuvres. The likely loading condition of non-contact injury are a forward tibial shear force, knee abduction and tibial internal rotation moments.
What are types or grade of ACL injury?
ACL injuries frequently happen as a result of movements in sports that do not involve direct contact, such as abrupt stops or changes in direction, awkward landings on the leg, and jumping. This type of injury is common among athletes in sports like football, basketball, dancing, downhill skiing, soccer, and gymnastics. Typically, an ACL injury occurs when the knee is almost fully extended and the foot hits the ground during landing or sudden deceleration. The main causes of non-contact ACL injuries are a forward force on the shinbone, knee movement away from the body, and internal rotation of the shinbone.
What are symptoms & signs of ACL injury?
Patients often report experiencing a sudden popping sensation in their knee at the time of injury, along with difficulty bearing weight on the leg or walking, pain, swelling, decreased range of motion in the knee, and challenges with walking. Many patients also describe feeling instability in their knees.
How to diagnose ACL injury?
In Delhi, for ACL reconstruction surgery, an orthopedic specialist will conduct a thorough assessment of the patient, including a comprehensive physical and clinical examination. Diagnostic tests such as X-rays will be used to rule out fractures or avulsions, with the possibility of a CT scan if necessary. The primary diagnostic tool for confirming ligament injuries will be an MRI, providing a more precise and accurate confirmation of the injury.
What is the treatment for ACL injuries?
A recent clinical review revealed that conservative treatment can be an effective option to avoid immediate surgical reconstruction in cases of partial ACL tears. However, it was noted that a significant portion (38%) of partial tears may progress to complete tears, necessitating ACL reconstruction at a later stage. Early intervention with ACL augmentation while preserving torn ACL remnants has been shown to offer biomechanical, vascular, and proprioceptive benefits to patients.
The ACL plays a crucial role in stabilizing the knee by facilitating forward motion of the tibia; therefore, complete tears can result in knee instability and buckling. The two bundles of the ACL - the AM bundle for preventing forward motion and the PL bundle for rotational stability - are essential for knee function. Chronic ACL tears can lead to osteoarthritis, meniscal injuries, and cartilage damage if left untreated.
In cases of acute knee injury, conservative management involving rest, ice packs, NSAIDs, bracing, and avoiding strain on the knee is recommended initially.
Proper evaluation is necessary to determine whether the tear is partial or complete; partial tears may be managed with knee bracing and physiotherapy focused on strengthening the quadriceps and hamstrings. Complete tears typically require surgical intervention to prevent further complications.
In cases of a fully torn ACL, surgery is required to avoid complications and protect the other knee structures. The procedure involves arthroscopic surgery to reconstruct the ACL using a graft sourced from the hamstrings, quadriceps, or peroneus tendon. This reconstructed ACL enables patients to resume activities sooner. Following surgery, patients undergo physiotherapy exercises to strengthen the ligament and can typically return to sports within 6 to 8 months.
If you're looking for top-notch ACL surgery in Delhi, look no further. Our team of experienced orthopedic surgeons is dedicated to providing the best care and treatment options for all our patients. From thorough pre-operative assessments to personalized post-operative rehabilitation plans, we ensure a comprehensive approach to your recovery journey.
Who is the Best ACL Reconstruction Surgeon in Delhi, India?
Dr. Vishwadeep Sharma stands out as one of the best ACL reconstruction surgeons in Delhi, renowned for his precision and expertise in the field of orthopedic surgery. With a track record of successful surgeries and satisfied patients, Dr. Sharma has earned a reputation for his exceptional surgical skills and compassionate patient care.
Patients who have undergone ACL reconstruction surgery with Dr. Vishwadeep Sharma often praise his thorough approach to pre-operative planning and post-operative care, highlighting his attention to detail and commitment to ensuring the best possible outcomes. His vast experience in performing ACL reconstructions using advanced techniques sets him apart as a dedicated surgeon who prioritizes patient well-being above all else.
Choosing Dr. Vishwadeep Sharma for ACL surgery in Delhi means placing your trust in a skilled professional who is dedicated to helping patients regain function and mobility following an injury. With his commitment to excellence and unwavering focus on patient satisfaction, Dr. Sharma continues to be a trusted name in the field of orthopedic surgery, making him the go-to surgeon for individuals seeking high-quality care in Delhi's medical landscape.
If you are searching for the best ACL surgeon in Delhi, then schedule an appointment with Dr. Sharma today.
FAQs About ACL Reconstruction or ACL Surgery
How soon after an ACL injury should I consider having surgery?
It is best to consult with an orthopedic surgeon as soon as possible after an ACL injury to determine the best course of treatment, which may or may not include surgery.
How long does the ACL reconstruction surgery procedure take?
The actual surgical procedure typically takes around 1-2 hours to complete.
Is ACL reconstruction surgery painful?
Pain levels can vary from person to person, but pain following ACL reconstruction surgery can be managed with medication and proper rehabilitation.
How long will I need to wear a brace after ACL reconstruction surgery?
The duration of wearing a brace after ACL reconstruction surgery varies depending on individual cases, but it is typically worn for several weeks to support the knee during the healing process.
Can I still participate in sports after having ACL reconstruction surgery?
With proper rehabilitation and guidance from your doctor, many individuals are able to return to sports following ACL reconstruction surgery.
Will I need physical therapy after undergoing ACL reconstruction surgery?
Yes, physical therapy is an essential part of the recovery process following ACL reconstruction surgery to help regain strength and flexibility in the knee joint.
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