Anterior Cruciate Ligament (ACL) Reconstruction Surgery

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What is Anterior Cruciate Ligament Surgery?

Anterior cruciate ligament reconstruction surgery is an arthroscopic surgical procedure done to repair a tear in ligament of the knee called the anterior cruciate ligament.

The thigh and leg bones (femur and tibia, respectively) that contribute to the knee are held together with bands of tissue called ligaments with surrounding capsule and muscles supporting them. Considering the amount of movement at the knee that takes place against gravity, these ligaments have to be very strong to withstand the stress that they are subjected to. A total of four ligaments support the knee joints. Two ligaments, the anterior cruciate ligament (ACL) and the posterior cruciate ligament are cross-shaped ligaments present within the knee joint. Two other ligaments, the medial and lateral collateral ligaments are located on either side of the knee.

The femur and tibia have two eminences at their surface of contact with each other. The eminences on the inner aspect of the knee are called the medial condyles, while those at the outer aspect are called lateral condyles. The part between the medial and lateral condyles is called the intercondylar region.

The anterior cruciate ligament is attached to the intercondylar region of the tibia, more towards the front of the joint. It extends upwards and is attached to the inner aspect of the lateral condyle of the femur, more towards the back of the joint. It consists of two bundles – the anteromedial and posterolateral bundles. A third bundle called intermediate bundle may also be present. When the knee is bent, the anteromedial bundle becomes tight while the posterolateral bundle relaxes. The opposite happens when the knee is straightened.

An injury to the anterior cruciate ligament may make the knee unstable and warrant surgery. A torn anterior cruciate ligament is usually a consequence of sports injuries. It may be noted some patients who are born with weak ligaments, like Ehlers-Danlos syndrome. Though not all patients require surgery, reconstruction of the ligament is particularly recommended for patients who are very active, especially athletes involved in contact sports. Surgery can make the knee close to normal, and permit them to return to professional sports.

When Should the Surgery be done?

Joint Clinic- Though the opinions vary among centers, surgery is often advised between 3 weeks and a year following the injury. If the surgery is carried out before 3 weeks, there is a chance that the patient may suffer from a condition called arthrofibrosis, where excess of fibrous tissue forms within the joint. If the surgery is delayed beyond a year, the patient may develop damage to other structures of the knee like menisci and ligaments, which can result in osteoarthritis.

What are the Tests Required before Knee Surgery?

Before an ACL reconstruction surgery is carried out, diagnosis of knee ligament injury is confirmed based on:

·         History obtained from the patient to find out the type of injury sustained.

·         Physical examination of the patient to look at the instability of the knee.

·         An MRI test, which can detect injuries to ligaments and other soft tissues. During an MRI procedure, the patient is placed inside a narrow tube, which can make them claustrophobic if they have a fear of enclosed spaces. Few centers do offer special more open MRI machines, but the drawback is that the pictures may not be as clear. The MRI machine makes a loud clicking noises and it is advisable to ask for earplugs to help block these noises out.

Knee Replacement in India

Other tests had done include routine tests necessary before any arthroscopic surgery. These include chest x-ray, ECG, blood tests to detect your hemoglobin level, presence of infection, blood group and urine tests.

Some hospitals may want to do test for hepatitis and HIV/ AIDS, however if the patient is not comfortable, they should discuss it with the doctor.

What is the Postoperative Care Required following ACL Repair?

Following ACL repair, the patient is observed for a few hours in the hospital, after which they are discharged. A knee brace may be used to support the knee, and the patient may be given crutches to avoid putting direct weight on the knee. Physiotherapy is started after a few days to strengthen the knee. Skin stitches are removed in around a week. Full recovery may take around 6 months, after which the patient may even be able to get back to competitive sports.

Possible complications of the procedure include:

·         Failure of graft or other devices like screws

·         Inflammation of the synovial tissue of the joint, called synovitis

·         Infection

·         Pain in the joint

·         Stiffness of the knee

·         Injury to a blood vessel or a nerve during the surgery

·         Complications associated with anesthesia

Knee Pain Treatment in India

What is the Role of Platelet-Rich Plasma in Healing of Ligament Injuries of Knee?

Platelet-rich plasma has been used to regenerate injured tissues. It contains a high concentration of growth factors, which help in tissue healing. It can be injected or placed as a gel in the knee joint following ACL reconstruction surgery. However, the results from various clinical studies indicate a variable response, and therefore its use currently cannot be definitely recommended.

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How to cure Knee Ligament Injury- Joint Clinic

What is Knee Ligament Injury Treatment in India?

It is related to Knee Arthritis Treatment in India. Basically it is an arthroscopic surgical procedure done to repair a tear in ligament of the knee called the anterior cruciate ligament.

A total of four ligaments support the knee joints. Two ligaments, the anterior cruciate ligament (ACL) and the posterior cruciate ligament are cross-shaped ligaments present within the knee joint. Two other ligaments, the medial and lateral collateral ligaments are located on either side of the knee.

When Should the Surgery be done?

Though the opinions vary among centers, surgery is often advised between 3 weeks and a year following the injury. If the surgery is carried out before 3 weeks, there is a chance that the patient may suffer from a condition called arthrofibrosis, where excess of fibrous tissue forms within the joint. If the surgery is delayed beyond a year, the patient may develop damage to other structures of the knee like menisci and ligaments, which can result in osteoarthritis.

What is the Surgical Procedure for Repair of Anterior Cruciate Ligament?

Before the surgery, the doctor may advise the patient to stop taking certain medications. The patient may have to come to the hospital in a fasting state. The surgery is done under general anesthesia or spinal anesthesia. In general anesthesia, the patient is unconscious, while in spinal anesthesia, the patient is awake but does not have any sensations from the lower back downwards.

Anterior cruciate ligament surgery is performed with the help of an instrument called an Arthroscopy Treatment. An arthroscopy is a small metallic tube with a camera and a light source at its end. It is inserted into the knee joint through a small incision. Live images taken by the camera are projected on a screen. Additional incisions are made around the joint to introduce various instruments required for the surgery. During the procedure, the joint is irrigated with fluid.

Why the Procedure is Performed

If you do not have your ACL reconstructed, your knee may continue to be unstable. This increases the chance you may have a meniscus tear. ACL reconstruction may be used for these knee problems.

Before surgery, talk to your health care provider about the time and effort you will need to recover. You will need to follow a rehabilitation program for 4 to 6 months. Your ability to return to full activity will depend on how well you follow the program.

branches in India- Mumbai, Kolkata, Hyderabad, Jalandhar.

Latest Technology Used for Knee Pain Treatment in India- Joint Clinic is doing all the treatments of Knee. It uses all the latest technology which is very effective and also affordable for the patients. We are best in this field from a very long time and having 4

Here we can include-

Knee ligament Injuries Treatment in India

Knee Arthritis in India

Knee injury Treatment in India

Knee pain treatment in India

Today latest technology is 3-D motion analysis. In a recent study designed to assess lower extremity biomechanics during lateral shuffle and side-step cutting in recreationally active children and adolescents, researchers used 3-D motion analysis to determine differences in biomechanics during lateral shuffle versus cutting tasks. One of the goals of the study was to find out if a technique used to monitor recovery and rehabilitation after injury or surgery could be used as a tool to predict risk of injury. The study is published online by the journal Gait & Posture.

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SPORTS NEED LOOK AFTER YOUR BODY

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People play cricket in India at various levels of competition starting from schools to colleges to national and international levels. Injuries are common during cricket and especially common if adequate care is not taken. The commonest mistake is to ignore a small injury and to continue playing. This will aggravate a small problem to a bigger one, before one stops playing at competitive level. Shoulder injuries are very common among sports professionals and especially among cricket players. Injuries are the commonest reason people give up playing competitive sports. If you are looking to play competitive cricket or even for social entertainment, looking after your shoulders is important to avoid future damage.

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Technique

Cricketers use their shoulder & Knee extensively during bowling and long distance throwing. Getting the basics of bowling and throwing is very important Knee Injury and Knee arthritis are some of the injuries. They can occur due to poor technique or inadequate exercises. In spite of best available care, international cricketers like Sachin Tendulkar, Sehwag, Dravid etc have sustained injuries and were successfully treated.

Knee replacement in India

Muscle Imbalance

Imbalance in the knee muscles can lead to various injuries. Most people also make the mistake of only exercising the muscles in the front. This causes an imbalance between the muscles in the front and back of the Knee. On the long run, this imbalance can cause pain. It is very important to warm up adequately before playing and to stretch the muscles after playing. Joint Clinic is best for Knee Arthritis in India. Here all the treatment is done with best results. Meniscus tear Treatment in India is also done here.

Posture

Body posture is the key to avoid long term pains. Sitting posture while studying for students, while working on computers for professionals or even bike riding are all extremely important to avoid neck and shoulder problems. Down sloping of the shoulder blades is the commonest reason of shoulder pain among Tennis and Cricket players. Postural advice should be taken from your physiotherapist and regularly followed.

If in doubt, you must consult sports injury specialist.  But now with increasing technical advances and sports injury specialists available in the city, advanced sports injury care is a reality.

Summary

Sport is very great for health but it requires some precautions. If we do not take care about right thinks which is important to play, than it will create big problem in future. We all love to play but we all have to take care about the right posture and the techniques.

Joint Clinic is best for Knee pain Treatment in India.

Best Knee Arthritis Treatment in India

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We are best for Knee Arthritis in India . Knee Arthritis is a form of joint disorder that involves inflammation in one or more joints. The most common form of arthritis is osteoarthritis, a result of trauma to the joint, infection of the joint, or age.

The major complaint by individuals who have arthritis is joint pain. Pain is often constant, and may be localized to the joint affected. The pain from arthritis is due to inflammation that occurs around the joint.

As the disease worsens, the pain makes even walking on level ground difficult, and people may notice a bend or bow in their knees at this stage.

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Symptoms observed are

- Painful joint(s), stiffness of the joints

- Difficulty in getting up after sitting in one place for a long time, difficulty/pain while climbing stairs

- Swelling of the joint(s), slight noises observed in the joint and

 

To overcome from this Joint Clinic is the best option in India. We have a team of best and experienced surgeons who work on it.  

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Early stages can be treated with pain killers, exercises. In more advanced cases need surgery. But more often the surgery of choice is a Total Knee Replacement.  Knee replacement  in India, Joint Clinic is the right choice. We specialize in cruciate retaining knee replacements.

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Best Ankle Surgery in India - Joint Clinic

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 An ankle sprain is an injury to the ligaments that support the ankle. A sprained ankle is a very common injury. A sprained ankle can happen to athletes and non-athletes, children and adults. It can happen when you take part in sports and physical fitness activities. It can also happen when you simply step on an uneven surface, or step down at an angle.

With most sprains, you feel pain right away at the site of the tear. The ankle area is usually tender to touch, and it hurts to move it. In more severe sprains, you may hear and/or feel something tear, along with a pop or snap. You will probably have extreme pain at first and will not be able to walk. In that case should go to doctor and consult with them.

Joint Clinic is Best for Ankle surgery  in India. Here Dr Kaustubh Durve(Mumbai), Dr Gaurav Gupta(Kolkata), Dr Manish Bansal(Jalandhar), Dr Nithin Kumar.B(Hyderabad) are the experts in this field. All the consultants have been trained by world renowned surgeons from United Kingdom and Australia and have excellent surgical experience.

 

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Ankle arthroscopy is performed for the surgical evaluation and treatment of a variety of ankle conditions. Arthroscopic surgery can have a quicker recovery and less scarring, less pain than traditional open surgery.

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Knee Replacement Surgery in India- Joint Clinic

                                     

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The knee is made up of the lower end of the thigh bone (femur), which rotates on the upper end of the shin bone (tibia), and the knee cap (patella), which slides in a groove on the lower end of the femur. Large ligaments attach to the femur and tibia to provide stability. The long thigh muscles (quadriceps) give strength to the knee.

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Knee pains are common enough with osteoarthritis of the knee, or after sports injuries or other unusual causes like gout rheumatoid arthritis etc. Osteoarthritis, sometimes called degenerative joint disease. Osteoarthritis can affect any joint in your body, though it most commonly affects joints in the hands, hips, knees and spine.

Difficulty in climbing down the stairs and later up the stairs 
Difficulty in standing
Difficulty in walking
Difficulty in squatting 
Difficulty in performing prayers, sitting cross legged, etc

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Surgery for Knee Replacement-

Joint Clinic is best in Knee arthritis in India, specializes in the treatment of Knee related every kind of problems. It is best for Meniscus tear Treatment in India, Knee replacement in India etc. The Centre is manned by experienced and highly skilled orthopedic surgeons that offer Joint Clinic for Total Knee Replacement, Shoulder Pain Treatment etc.

Joint Clinic is performed any kind of surgery in complicated cases like obesity, night pain, severe deformity, difficulty in performing daily activities, difficult cases and failed producer done elsewhere.

Our treatments involve minimally invasive surgeries for trauma recovery or even bone restructuring. Our team is here to make your recovery smooth and rapid. To know more about Joint Clinic and their treatment visit www.jointclinic.in.