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acl tear

What to do?

Surgical Options

 

Grafts commonly used to replace the ACL

 

  • Patellar tendon autograft 
  • Hamstring tendon autograft
  • Quadriceps tendon autograft
  • Allograft - Rarely used in India

 

 

The goal of the ACL reconstruction surgery is to prevent instability and restore the function of the torn ligament, creating a stable knee. This allows the patient to return to sports and other daily activities. 

 

Activity, not age, should determine if a surgical intervention should be considered.

 

In young children or adolescents with ACL tears, early ACL reconstruction creates a possible risk of growth plate injury, leading to bone growth problems. Surgery can be delayed until the child is closer to skeletal maturity or the surgeon may modify the ACL surgery technique to decrease the risk of growth plate injury.

 

It is common to see ACL injuries combined with damage to the menisci (50 percent), articular cartilage (30 percent), collateral ligaments (30 percent), joint capsule, or a combination of the above.  50 percent of meniscus tears may be repairable and may heal better if the repair is done in combination with the ACL reconstruction.

 

Before choosing to have this surgery, you should understand the time and effort it will take for you to recover. Although you will be able to walk and climb stairs within 2 days after surgery, you will need to stick to a program for 2-3 months before you can return to full activity.

 

You can return to light work in 3 weeks after surgery and can drive a car in 6 weeks. The success of the surgery depends on how well you co-operate with your rehabilitation program.

 

Now, improvements in the surgical technique and rehabilitation methods provide much better results. These improvements include less pain and stiffness, less hospitalisation, and faster recovery time. You will have a stable knee that does not give way after ACL reconstruction.

 

Cost of surgery can vary from Rs. 75,000/- upto Rs. 1,50,000/-