ACL (Anterior Cruciate Ligament) is one of the crucial ligaments that runs obliquely inside the knee joint and connects the thigh bone (femur) to the lower leg bone (Tibia). It is purposed to provide strength and stability to the knee joint.
ACL Reconstruction is a specialized surgical procedure in which the torn anterior cruciate ligament is repaired or replaced by a normal functioning tendon/tissue, harvested from the other part of the patient’s knee, so as to restore its knee stability and normal function after an injury. This surgical intervention is performed arthroscopically also popularly known as key- hole or minimally invasive surgery.
It is reported that ACL injury is one of the commonest type of injury and occurs most frequently either through non-contact mechanisms or direct contact mechanism with another object. ACL is more prone to get injured in individuals who play aggressive sports like basketball, football, soccer by a quick hyper extension or twisting movement at the knee joint.
The major causes of ACL injuries can thus be categorized into two types depending on the mechanism:
Furthermore, statistically, it has been found that the female athlete have higher prevalence of ACL injury than the male athlete in certain sports. The contributing factor for these has been anticipated mainly due to the gender related divergence which can be one of the following :
ACL injury can be treated and managed by one of the following treatment options depending upon the grade of injury.
Treatment for ACL tear often depends on the grade of ACL tear or injury. If it is partial or complete tear with significant knee instability, then the patient may require surgical intervention. Surgery for ACL tear can be classified into two types:
In ACL procedure the damaged ligament will be removed by the surgeon rather than repairing it. With the replacement of segment of tendon tissue analogous to a ligament that bonds muscle to bone. The replaced tissue is termed as graft. A piece of tendon is used by the surgeon from your other knee or from a deceased donor.
This procedure is done under general anesthesia. Your surgeon will make a hole or excavate into your femur bone and tibia bone to precisely locate the graft which will protect your bones with screws. The graft will provide as gibbet on which new ligament tissue can grow.
After the procedure, when you will get back from anesthesia, on the same day you will be permitted to go home. Before going home your surgeon will ask you to put on a knee brace to shield the graft.
You can be considered as a good candidate for ACL reconstruction surgery if
Anyone can trim down the risk of ACL injuries by training drill that needs balance, power, andagility. In addition to that if you are doing plyometric exercises, such as balance and jumping drills, will pick up your neuromuscular conditioning and muscular reactions which will reduce the risk of ACL injury.
ACL reconstruction is a minimal invasive surgery, which offers speedy recovery and more rapid return to functional activities. With intensive rehabilitation you can expect good recovery and return back to the functional level within three months. However it may take 6 months to start the usual sports activities.
The cost of ACL reconstruction in India depends on the type of procedure, surgeon and the facility where you choose to get the surgery done. Enlisted below are the cost of ACL surgery in India
|Sr No||Name of Procedure||Cost in USD in India|
|1||ACL Evaluation Package||500 - 1000|
|2||Open ACL Repair Surgery||2500- 3500|
|3||Open ACL Reconstruction||3500- 4900|
|4||Arthroscopic (Minimally Invasive) ACL Repair||2500- 3500|
|5||Arthroscopic (Minimally Invasive) ACL Reconstruction||3700- 5000|
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