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Restoration and reenactment of the Anterior Cruciate Ligament (ACL) better known as the Reconstruction of the ACL are among the most frequently performed procedures in knee surgery nowadays. Indiaprofile.com offers information regarding diagnosis and treatment for Knee surgery in association with the best medical facilities of Apollo Hospitals.
What is ACL?
The Anterior Cruciate Ligament is one of four primary ligaments around the knee joint. It is an important stabilizer of the knee that helps in a soft and easy movement of the knee.
Function of ACL:
ACL provides stability to the knee and minimize stress across the knee joint:
ACL controls excessive forward movement of the lower leg bone (the tibia) in relation to the thigh bone (the femur).
ACL limits rotational movements of the knee.
Anterior Cruciate Ligament Tear:
A tear to the anterior cruciate ligament (ACL) is caused due to overstretching of this ligament within the knee. It's usually due to a sudden stop and twisting motion of the knee, or a force or "blow" to the front of the knee. The ACL can be injured by trauma or sporting activities. The extent of the tear can be a partial or a complete tear. Individuals experiencing a tear to the ACL may or may not feel a pop at the time of the injury. It is often injured together with other structures inside the knee joint. After the initial injury, the knee may swell and become painful. Instability or a sensation the knee is "giving out" may be a major complaint following this injury.
Possibilities of Treatment:
Depending on a person's or rather affected person's activity level, a torn ACL needs to be fixed. Unfortunately always a simple repair by treating the torn ligament and putting back the fragments together does not become effective. A successful repair involves completely replacing the torn ligaments.
If the ligament is completely torn, it will not heal. Some individuals elect to leave the knee without an anterior cruciate ligament, and some choose ACL reconstruction of the ligament. If the knee has a deficient anterior cruciate ligament, the individual relies on the other three ligaments to stabilize the joint.
Facts about Anterior Cruciate Ligament Tears:
ACL provides almost 90% of the stability to the knee joint.
More than 11.2 million people suffer from a knee problem.
Of the four major ligaments in the knee, the anterior cruciate ligament and the medial collateral ligament are most often injured in sports.
Reconstruction of a torn ACL is now a common procedure nowadays
Almost 50,000 hospital admissions related to ACL Surgery occur per year.
ACL ruptures occur at a rate of 60 per 100,000 people per year. With society's increasing interest in physical fitness, primary care physicians are seeing more athletic injuries. Along with these injuries are the commonly experienced ACL ruptures in athletes and non-athletes alike. Today's athletes have greater than a 90% chance of returning to their pre-injury level of sports participation.
ACL reconstruction is a highly successful operation. With good rehabilitation, 90% to 95% of individuals who undergo this surgery can expect to return to full sports participation within six months.
Women are prone to ACL Injuries:
Factors contributing to ACL injuries have been detected as ground hardness, grass type and cleat type. Most surprisingly a major finding is that women are nearly three times more likely to have ACL injuries than men.
This may be due to differences in hormone levels on ligament strength and stiffness, neuromuscular control, lower limb biomechanics, ligament strength and fatigue. Findings have shown a difference in neuromuscular control in women when landing jumps as women appear to have less hip and knee flexion than men.
One program to improve the immunity of women in this regard is the ACL Prevention Project which focuses on proprioceptive exercises, plyometric training, education of how to avoid high risk movements and practicing proper positioning, landing techniques and other skills and strength work. Other programs include balance board training, strength and agility works. Many of these studies have shown a reduction in ACL injuries of up to 89 percent.
For women who participate in start and stop sports, appropriate skills training may be the key to staying injury free.
Apollo hospitals have the required expertise to treat the above disease. Apollo's Department of Orthopaedic Surgery specialises in the treatment of various musculo-skeletal problems with surgeries like the ACL Surgery.
When is the surgery done by the doctors at Apollo?
Generally doctors prefer to operate for ACL reconstruction as soon as possible after the diagnosis is made. The optimal time is three weeks. The advantages of the early arthroscopy and surgery are that it allows a peripheral tear of the meniscus to be sutured.
Technique of the Surgery:
The Arthroscopic ACL Reconstruction is the incidence of post operative neuromas of the infrapatellar branch of the saphenous nerve. Doctors prefer the patellar tendon as a graft, although recent reports have found no significant difference between patellar tendon and hamstring grafts. In a revision reconstruction they may choose to use allograft if available.
Orthopaedicians in India do not see many knee injuries in sportsmen but more injuries in two wheeler accidents. Arthroscopically doctors can inspect the rest of the knee for concomitant damage. Meniscal and cartilage tears can be addressed arthroscopically.
Post Operative Regime:
Postoperative regime aims at achieving knee extension first and then goes on to the rest of the regimen. The patient can return to his normal level of activity by one year.
| SPECIALITIES /PROCEDURES |
Hospital Stay |
Single Room
(In US $) |
Twin Sharing
(In US $) |
| ORTHOPEDICS |
| Knee Replacement |
| 1) Single (Including Implant) |
7 Days |
8200 |
6900 |
| 2) Double (Including Implant) |
14 Days |
14700 |
12500 |
| Hip Replacement |
| 1) Single (Including Implant) Cemented |
7 Days |
8000 |
6800 |
| 2) Double (Including Implant) |
14 Days |
14600 |
12500 |
| 3) Hip Resurfacing |
7 Days |
7800 |
6200 |
| Shoulder Replacement |
| 1) Single (Including Implant) |
7 Days |
8200 |
6500 |
| 2) Double (Including Implant) |
14 Days |
15000 |
13000 |
| Arthroscopic Surgery |
| 1) Memisectomy |
1 Day |
3100 |
2600 |
| 2) Shaving of Cartilage |
1 Day |
2600 |
2200 |
| 3) Anterior Cruciate Ligament |
3 Days |
4100 |
3200 |
| Fusion |
| 1) Cervical (Including implant) |
7 Days |
10000 |
8500 |
| 2) Lumber (Including implant) |
7 Days |
10000 |
8500 |
| 3) Bunionectomy |
3 Days |
4000 |
3500 |
Note:
- Prices are subject to change or withdrawal without notice.
- These are indicative prices only and may vary depending on the conditon of the patient, at the time of admission.
- Apollo will provide final estimates at the time of patient's admission.
- Single room is well furnished with Bed, Sofa-cum-Bed for Companion, Cupboard, Medicine Drawer, TV, Telephone and
Wi-fi facility for Internet access. Mobile phones are available on request.
- Stay and food for one Companion with patient in a Single Room is included in the above packages.
- Services like Mobile, Laundry etc. will be charged extra.
- Post-stay outside the Hospital is at the personal expense of the patient and is not included in the above prices.
- 1 US $ = INR 45
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