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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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.

Get Rid of the Shoulder Pain with Arthroscopy: Planning, Procedure and Recovery

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This article is especially composed for patients who want to get rid of the shoulder pain with the most effective surgical procedure Arthroscopy. Here we will share the requisite information for planning, preparation, risks and prognosis (opinion) of Arthroscopy.

What is Arthroscopy?

You are not alone if your physician recommended you the surgical procedure to Get Rid Of The Shoulder Pain. Arthroscopy in India is the minimally invasive surgical procedure that repairs the joint problems and patients with poorly organized shoulder movement often find it beneficial.

Arthroscopy is performed when a lighted scope and miniature surgical instruments are inserted in the body and the symptoms of debilitating pain get repaired. It is the most sophisticated surgical technique, in which the surgeons perform the entire procedure with help of a camera, thus the size of incision gets smaller with advancements in the size of the camera and surgical instruments.

Who Needs Shoulder Arthroscopy?

Patients suffering from excruciating joint pains often get recommended to undergo an arthroscopy. And, when it comes to unbearable shoulder pain, the problems to be diagnosed and treated will include:

·         Early shoulder arthritis

·         Frozen shoulder

·         Unbearable pain in lifting arm

·         Frequent arm dislocations

·         Rotator cuff tears

·         Biceps tendon problems

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With help of technological advancements patients with less common problems such as fracture repair and nerve release can also be recommended for a shoulder arthroscopy.

How To Plan For Shoulder Arthroscopy?

·         Prior planning for arthroscopy blood tests and electrocardiogram are suggested to ensure that you are not suffering from any medical problem.

·         Patients with certain health risks such as allergic reaction to mediations or breathing problems are suggested for deepened evaluation for supplements and optional medicines.

·         Patients are expected to stay overnight hence you get adequate time to follow the instructions to stop eating and drinking.

·         Usually patients get discharged the following day of surgery and you will be in a sling for next few weeks.

What happens during Shoulder Arthroscopy?

You can Get Rid of the Shoulder Pain with the minimally invasive surgical procedure called arthroscopy. The procedure lasts from 30 minutes to 2 hours and it includes the following steps:

·         Options for anesthesia are chosen from local, regional and general, where patients get partially numb or put completely to sleep.

·         Surgeons make small puncture in the shoulder to insert arthroscope that projects clear view on the video screen to diagnose the damage.

·         After inspecting the arthroscopic view of the shoulder joint, very thin surgical instruments are inserted through 2 to 3 small incisions.

·         Depending on the severity of damaged tissues and surgical facets there can be up to 6 incisions.

·         After the repair, the cuts are closed with stitches and the patient will be provided with a special immobilizer to hold the shoulder in absolute position.

·         Post operative procedure requires your responsiveness to the procedure and pain medications, and you will be discharged after close monitoring until next morning of surgery.

What to expect when recovering from Shoulder Arthroscopy?

Just an hour in the operating room and you will Get Rid Of The Shoulder Pain for lifetime. Shoulder Arthroscopy is the technique of treating joint problems with tiny camera and miniature surgical instruments, thus the time of recovery automatically gets shortened. However, depending on the nature of the diagnosed problem, it may take a little longer to get back to the physical activities.

After surgery patients will be scheduled for a follow up appointment and often recommended to see a physical therapist to follow an exercise regimen. With proper care and regular exercise the discomfort will be gone in first few weeks and the full strength will be regained within 3 to 6 months.

Summary

The best way to Get Rid Of The Shoulder Pain is Arthroscopy that requires only a couple of hours in the hospital followed by an exercise regime.

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Email: contact@jointclinic.in

Most Effective Way to Overcome the Nagging Shoulder Pain: Arthroscopy

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If physiotherapies and pain relief medications failed to overcome the shoulder pain then it’s high time to look for an alternative. Facts say, at an average over 20% of the population breaks down the soft tissues in their shoulder once in a lifetime, and as we get older the chances of severe damage are higher.

Even if you are not an athlete or a computer operator, you might consider looking at the most advanced techniques to overcome the shoulder pain. Here we are going to describe that you need to know about the excruciating pain and the most effective remedy everybody is talking about.

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Symptoms of Severity

People who are suffering from shoulder pain often describe the hurting as:

·         Disharmony of arm movement due to an accident;

·         Sudden occurrence of pain during lifting the arm or whilst doing bench press at the gym;

·         Sharp pain when the arm bone frequently pops out of the shoulder socket even after lesser physical activity ;

·         Stiffen joint tissues causing frozen shoulder;

·         Or the unwanted shoulder arthritis which limits the range of motion in the rotator cuff

The unbearable pain in your arms and joint area at the shoulder can be classified in different categories. And according to the modern science the particular painful conditions can be sign of some severe medical condition.

Get Rid of the Pain with Surgery

Advancements in technology reduced the size of surgical devices and the method of shoulder repair becomes minimally invasive. The most common treatment procedures include:

·         Fracture Repair

·         Shoulder Replacement

·         Arthroscopy

Fractures can be repaired by positioning the bones in place with help of some hardware and shoulder replacement is the only procedure recommended to patients suffering from arthritis. Though, the most effective and safest method to overcome the shoulder pain is Arthroscopy.  It is considered as a non surgical treatment where tools can be inserted only through a small incision and surgeons can diagnose and repair the problems to restore mobility of arms.

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Joint Clinic is doing this at a very large scale and in a very successful way. Shoulder pain treatment in India is done by Joint Clinic.

Effectiveness of Arthroscopy

Reports suggest that the success rate for arthroscopy is approximately 70% to 90%, and from the past few years the chances of success rates are rising to 100%. Arthroscopy is the most trusted procedure for problems in joints, and the most frequently diagnosed joints are in the shoulders.

Thanks to technology, surgeons don’t need to open the entire joint. A small camera named arthroscope, along with extremely thin surgical instruments, is inserted from a small incision at the shoulder joint. Surgeons will inspect the problem and perform the surgery within an hour. As a result, the patient will feel:

·         Lesser pain;

·         Lesser chances of complications;

·         Lesser risk of injury; and

·         Faster recovery

Whenever we go through a surgical procedure our body needs times to heal, however with Arthroscopy the repair time gets short and patients can get back to their regular activities within a shorter period. The chances of infection are equal to zero and the recovery time has also got shortened, and it’s the most effective way to overcome the shoulder pain with less complications. So what are you waiting for? Get your shoulder repaired before the excruciating pain affects your daily regime.

Summary

The most effective way to Overcome The Shoulder Pain is Arthroscopy which is the advanced procedure to inspect, diagnose and repair joint problems with a small incision and assurance of faster recovery.

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.

Contact No- 1800 3000 8111

 Email Id- contact@jointclinic.in