The Anterior Cruciate Ligament or ACL reconstruction is the surgery, performed to rebuild the ligament present at the center part of the knee. ACL keeps the tibia or shine bone in its place. When this ligament tears, it could cause the knee to give away, experienced especially during the normal to hard physical activities.
The reconstruction involves the need of the tissue to rebuild the ACL by replacing. The tissue can be taken from the other parts of the body of the patient and it is called autograft. Alternatively, the tissue can also be taken from the donor or the other person and such graft is called allograft.
Need for Reconstruction
If the ACL is not reconstructed when needed, knee would become unstable and chances of meniscus tear are increased. So, ACL reconstruction is needed for the following problems associated with the knees.
- Candidates felt unstable with their knees, while performing the daily activities
- Severe knee pain
- Inability to play sports and other hard activities
- While the other ligaments get injured
- Risks that are associated with the anesthesia are allergic reactions from the medicine and breathing problems
- Risks for any surgery are infection and bleeding
- Specific risks from ACL Reconstruction are, blood clots found in the leg, ligament healing failure, pain or weakness in the knees, injury happening to the nearby blood vessels, lost range of mobility or stiffness of knees.
Pre surgical evaluation is done, by checking the medical history of the patient, and thorough discussion happens about the other kinds of medications or other medical complications that the patient, has been going through or had gone through in the past.
Before the surgical procedure starts, drugs taken for other medications must be stopped. If the patient has other medical complications like heart disease, diabetes or others like herpes breakout, cold, flue, etc., it needs the discussion with the family doctor, or at least thorough check of the medical records are done. Smoling and alcohol must be stopped.
ACL reconstruction procedure is performed using knee arthroscopy. Arthroscopy consists of a camera that is to be inserted into the knee and the surgeon can view the inner view of the knee that is seen over the video monitor. The video helps also to check the tissues and the ligaments present in the knee. Small incisions are made over the surgical site of the knee and the procedure is performed with the following steps.
- The ligament torn is removed with the help of the instruments like shaver.
- If the tissue considered to be taken is autograft, a larger cut is made and then the autograft is then removed.
- Tunnels are made in the bone for bringing the new tissue through the way. The new tissue is then placed at the position of the old ACL.
- The new ligament is attached to the bone with the help of the screws or with the help of other devices so that they are held in the right position. The bone tunnels are filled in as and when it heals. It holds the new ligament in the right position.
- Once the surgery is completed, the incisions are then closed with the sutures and the surgical area is then covered with dressing. The pictures of the inner parts of the knees can be shown to the patient, after the procedure is completed.
After the surgery is successfully performed, the surgeon and orthopedic team suggest you all the necessary exercises to perform on daily basis. The rehabilitation program has to be followed at least for 4 to 6 months of duration, post surgery.
Cost of ACL Reconstruction Surgery
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