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All About
Anterior Cruciate Ligament (ACL) reconstruction
Symptoms
Signs and symptoms of an ACL injury usually include:
· A loud "pop" or a "popping" sensation in the knee
· Severe pain and inability to continue activity
· Rapid swelling
· Loss of range of motion
· A feeling of instability or "giving way" with weight bearing
Causes
Ligaments are strong bands of tissue that connect one bone to another. The ACL, one of two ligaments that cross in the middle of the knee, connects your thighbone (femur) to your shinbone (tibia) and helps stabilize your knee joint.
ACL injuries often happen during sports and fitness activities that can put stress on the knee:
· Suddenly slowing down and changing direction (cutting)
· Pivoting with your foot firmly planted
· Landing awkwardly from a jump
· Stopping suddenly
· Receiving a direct blow to the knee or collision, such as a football
tackle
When the ligament is damaged, there is usually a partial or complete tear of the tissue. A mild injury may stretch the ligament but leave it intact
More about Treatment
ACL injuries are common among people who play sports. The ACL (anterior cruciate ligament) is a band of tissue within the knee. It gets damaged when it stretches or tears. This can happen if you turn sharply or move suddenly while you’re running or jumping.
If you strain or slightly tear your ACL, it may heal over time with your doctor’s help and physical therapy. But if it’s completely torn, you may need to have it replaced especially if you’re young and active or an athlete who wants to keep playing sports. If you’re older or less active, your doctor might recommend treatments that don’t require surgery.
Your doctor will remove the torn ligament from your knee and replace it with new tissue. The goal is to get your knee stable again and give it the full range of motion it had before you got hurt.
Doctors typically use arthroscopic surgery on your ACL. This means they insert tiny tools and a camera through small cuts around your knee. There’s less scarring of the skin with this method than with open-knee surgery.
FAQ on this Treatment
What is the procedure or steps for Intra ACL Reconstruction?
Intraarticular reconstruction involves graft selection, graft placement, graft tension, graft fixation.
What are types of Intra ACL Reconstruction?
1) Anterior Cruciate ligament reconstruction with Bone-Patellar Tendon-Bone graft
2) Anterior Cruciate ligament reconstruction with hamstring
3) Combined Intra and Extra Articular approach
What are types of Graft?
Autograft: Derived from other part of ligament or from other ligament
Allograft: Derived from donor.
What precaution should be taken before allografting?
Donor should be free from autoimmune disease like Rheumatid arthritis,SLE etc.
Blood testing should be done for Heb B, HIV,HepC
Tissue should be preserved at appropriate conditions
It should be disinfected.
What are the long term complication of this disease?
Knee instability: Unhealed ligament leads to instability. Patient can lose confidence on his knee and give away
Osteoarthritis: Further damage to knee in the form of meniscus tear, chondral damage.
How long do I have to keep the knee brace is advised after surgery?
For complete immobilization Knee braces to be applied for 5 weeks. It is gradually withdrawn.