Tuesday 16 April 2019

When does an ACL injury requires surgery?

One of the primary ligaments in the knee joint is the anterior cruciate ligament (or ACL). For normal movement and mechanics of the knee joint the ACL is important. People may notice problems in the way their knee functions when the ACL is torn.

Common symptoms include:

    • Knee swelling
    • Joint Pain
    • Buckling sensations
    • Instability
    • Difficulty to perform sports activities

To replace a torn anterior cruciate ligament, ACL reconstruction or surgery is performed. ACL injuries most commonly occur during sports such as soccer, basketball, downhill skiing, football, and gymnastics that involve sudden changes and stops in direction.

During the surgery the torn ligament is removed and replaced with a piece of tendon from a deceased donor or from another part of your knee. It’s performed through small incisions around your knee joint and is an outpatient procedure.

Why it’s done?


ACL injuries happen when you put stress on the knee during sports and fitness activities.

For individuals who are relatively inactive, or engage in moderate recreational activities and exercise a course of physical therapy may successfully treat an ACL injury.

ACL surgery is generally recommended if:

    • You're an athlete and your training involves pivoting, cutting or jumping
    • More than one meniscus or ligament in your knee is injured
    • During everyday activities your knee is buckling
    • You are young and physically very active

ACL injuries can either be partial or complete. It is difficult to decide on surgery when there is a partial ACL tear.

Based on how much the ligament is damaged ACL sprains are graded by doctors. If there is only minor stretching to the ligament it is Grade 1. A partial ACL tear where the ligament is damaged and loose is Grade 2. If there is a complete tear of the ACL it is Grade 3 sprain, which is the most common. Surgery is almost inevitable in a Grade 3 injury as the knee joint becomes unstable.

A decision is taken by most surgeons based on how much instability the injury has caused. Surgery is recommended if the knee is unstable. Non-surgical treatments may be considered if the knee is stable.

The decision is usually based on physical examination findings and analyzing a combination of symptoms. If you have episodes of feeling the knee giving way or knee instability, that can be a determining factor. The tests done in the physical exam will be considered by the doctor. These tests often include pivot-shift test and the Lachman test. Knee reconstruction is a reasonable option if these are consistent with laxity of the ACL.


Treatment for ACL Injuries in Kerala


Dr. Thadi Mohan is a leading knee injury doctor in India.  Depending on the severity of your ACL injury, treatment options will be suggested by Dr. Thadi Mohan, one of the best Orthopaedic Specialists in Kerala. He can help you regain strength and stability.
Mail Us @ orthopaedicsurgeryindia@gmail.com

4 comments:

  1. Not all ACL tears require surgery. You and your doctor will decide whether rehabilitation (rehab) only or surgery plus rehab is right for you.

    Up to 80% of the knees will eventually develop a cartilage tear. The smooth Teflon lining of the knee which is known as articular cartilage is often damaged at the time of the ACL tear. If left untreated, this will again progressively wear at the knee, causing an increased rate of osteoarthritis development. ACL tears cannot be healed without ACL tear surgery in Mumbai.

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  2. One of the primary ligaments in the knee joint is the anterior cruciate ligament (or ACL). For Rhythmic Hormone Replacement Therapy movement and mechanics of the knee joint the ACL is important. People may notice problems in the way their knee functions when the ACL is torn. If we come to Health we can find the best doctor for a health checkup. But in the case of health, we can't take the risk of any compromise on it. Our best try is choosing the right compounding pharmacy for good health.

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  4. nice post

    Get consultation from Dr. Lalit Bafna arthroscopy surgeon in Delhi he has experties in treating joint & sports injuries with the help of arthroscopy

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