ACL Reconstruction Surgery - Dr.Shailendra Patil Mulund/Thane/Navi Mumbai | DesiMD

ACL Reconstruction Surgery - Dr.Shailendra Patil Mulund/Thane/Navi Mumbai

The technique for reconstruction involves taking a piece of tendon (usually from the same knee, but sometimes from the other knee) and using this to replace the torn ligament.The tendon graft is usually taken from the hamstrings on the inside of the thigh or from the patellar tendon at the front of the knee. It can also be taken from the quadriceps tendon, just above the patella (kneecap). Occasionally allografts are used. These are tendon grafts taken from cadavers (people who have died). In recent years, there has been increased interest and media coverage of synthetic grafts, specifically the LARS device. The role of the LARS remains unclear, but there are concerns because of problems seen when synthetic ligaments were used in the late eighties.

 A. Drilling | B. Tendon graft in place

From your point of view, there is a vertical or oblique scar on the front of the knee together with two small scars from stab incisions that allow the arthroscope and surgical instruments to be introduced into the knee. If additional surgery is required to repair a cartilage, a further incision may be made towards the back of the knee on either the outside or inside. A small area of the skin on the outside (lateral side) of the knee is usually numb after surgery. Sometimes there is numbness on the shin. Although the numbness can be permanent, the area of numbness usually gets smaller with time and does not usually cause any problems.

Surgery is usually performed under a spinal anaesthetic. At the end of the operation, the area affected by the surgery is infiltrated with local anaesthetic. Sometimes an epidural block or a femoral nerve block is also used. If this is the case you will notice numbness and tingling in your legs when you wake up. This gradually wears off over 8 hours or so. After leaving the recovery area pain control can usually be achieved with tablets alone. Anti-inflammatory medication is often used to help with pain control, so it is important that you tell your anaesthetist if you have ever had a history of stomach ulcers or bleeding, as this medication may not be appropriate in that situation.

You will be awake within 20 minutes of the operation and should be able to eat and drink after approximately 2 to 3 hours. On return to the ward after the operation, an inflatable cuff (Cryo-Cuff) is placed around the knee. This is filled with iced water to help control swelling. Patients find this very comfortable. Depending on your surgeon’s preference, you may have 1 or 2 drains placed in the knee joint so that unwanted blood does not accumulate and inhibit recovery. These drain tubes are usually removed the day after surgery.

A physiotherapist will teach you exercises to get the knee out straight (extension) and regain function in the quadriceps muscle at the front of the thigh as well as make sure that you are confident walking with the aid of crutches. A brace or splint is usually required.

You will usually go home on the morning after surgery. Following surgery you will be provided with information regarding rehabilitation. This outlines the rate of progression. Rehabilitation can be undertaken either independently or under the supervision of a physiotherapist.

It is very important to rest during the first week after surgery in particular. This means spending most of the time on a bed or couch with the leg elevated and regular icing of the knee. The main aim during this phase is to restore full extension of the knee.

The time of work that is required will vary according to your job. Dr.Shailendra Patil Navi Mumbai  .If it is mainly deskwork, then patients may be able to work within 2 weeks. If heavy manual work is involved, it may be 2 to 3 months before one can consider return to work. In general, crutches are required for up to 2 weeks.

In terms of returning to sport, most patients are able to recommence some of their activities by 4 months. By 6 months, the majority of patients are able to gradually resume training for their original sports with a view to returning to play from 9 or 10 months. However, improvement continues for another 6 to 12 months after that.

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Bone and Joint Care Centre

Human Touch Clinic, 2nd Floor, Above Manoranjan Shop Paanch Rasta, Mulund (West), Mumbai.

OTHER LOCATIONS

THANE – Currae Specialty Hospital

THANE (West) – Doctors Planet

NAVI MUMBAI – Sterling Wockhardt Hospital

VIKROLI & BHANDUP : Ruby Hospital

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