Anterior Cruciate Ligament (ACL) Repair SurgeryAn anterior cruciate ligament (ACL) is a major ligament situated in the front of the knee joint that helps provide support and stability to the knee. A severe sports injury or a forceful accident may cause irreparable damage to the ligament. As this ligament cannot be repaired by simply stitching the two torn ends together the surgical treatment requires the replacement of the injured ligament with a donor tissue (allograft) or by sourcing a tissue from your own body (autograft).
How Anterior Cruciate Ligament (ACL) Repair surgery works?An anterior cruciate ligament is one of the two main ligaments of the knee. This ligament is situated at the front of the knee, opposite the posterior cruciate ligament. Both these ligaments are crossed over each other in the middle to form an ‘x’ at the knee. This anterior cruciate ligament provides support to the shinbone (tibia) and stabilises it as well. The injuries to the cruciate ligaments are classified into three categories according to their severity:
- Grade 1 sprain – In this the ligament is slightly damaged and stretched but the knee is stable.
- Grade 2 sprain – In this the ligament is stretched extensively and becomes loose, also known as ‘partial tear’ in the ligament.
- Grade 3 sprain – In this the ligament is completely torn apart and the knee joint becomes unstable.
Anterior Cruciate Ligament (ACL) Repair surgery proceduresA severe (Grade 3 sprain) injury to the anterior cruciate ligament (ACL) requires surgical methods to replace the damaged ligament with a healthy tissue graft. This is a major type of surgery and requires a number of pre-surgical tests to determine the best course of treatment as well as your ability to undergo the surgery. After the orthopedic specialist/surgeon has determined that the surgical replacement of the anterior cruciate ligament (ACL) is necessary to treat the injured knee they will also decide the best choice for graft tissue for you (autograft or allograft). The surgery begins with the administration of general anaesthesia to the patient. The ACL repair surgery today is performed using minimally invasive surgical method using an ‘arthroscope’. This is a thin and flexible surgical tube that is initially fitted with a light source and video camera.
The surgeon will make very small (keyhole) incisions in the knee region to insert the arthroscope and view the injured parts clearly on the video monitor. After determining the exact location and extent of damage to the ligament and other knee parts the surgeon will make a few more keyhole incisions and use similar tube-like devices to insert tiny surgical instruments to perform the removal of the debris (broken bones and ligament pieces).
The next step is to harvest the donor ligament and use special sutures to replace and attach the donor tissue in place if the damaged ligament.
This is a more preferred method of surgical treatment owing to the need for less number and smaller-sized incisions as well as the faster recovery time associated with it.
Who is a candidate for an Anterior Cruciate Ligament (ACL) Repair surgery?You are considered an ideal candidate for an anterior cruciate ligament (ACL) repair surgery if you experienced:
- A direct and severe blow to the front of the knee
- A pulling or unnatural stretching of the ligament
- A simple misstep causes disability in moving
- Constant pain with inflammation swiftly after the injury
- Swelling in the knee that make sit stiff and causes a limping gait
- Difficulty in walking normally
- Weakness in the knee when supporting your weight
Benefits of an Anterior Cruciate Ligament (ACL) Repair surgery in IndiaIndia is now growing popular as the most preferred medical tourism destination due to its large network of world-class orthopaedic hospitals and clinics. These hospitals and clinics are fitted with the best and most modern medical and surgical equipments to ensure that every patient gets the best of treatment. The major point of attraction for getting an anterior cruciate ligament (ACL) repair surgery and other orthopedic treatments in India is the high-standard quality of treatment provided at the lowest and most affordable cost.
Complications associated with Anterior Cruciate Ligament (ACL) Repair surgery
As with any other type of major surgery there are certain complications that are seen in rare cases after an anterior cruciate ligament (ACL) repair surgery, such as:
- Blood clot
- Aesthetic reaction