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Anterior Cruciate Ligament (ACL) Surgery

ACL Surgery Meaning

ACL surgery is a surgical procedure to repair or reconstruct the anterior cruciate ligament (ACL), a ligament in the knee that helps to keep the knee joint stable. The ACL is one of four ligaments that connect the femur (thighbone) to the tibia (shinbone). It is located in the center of the knee joint and helps to prevent the tibia from sliding forward on the femur.

ACL tears are common among athletes, especially those who participate in sports that involve sudden changes in direction or twisting movements, such as basketball, football, and skiing. ACL injuries can also occur in people who do not participate in sports, but they are less common.

ACL Surgery Types

The type of ACL surgery that is best for a particular patient will depend on a number of factors, including the patient's age, activity level, and other medical conditions.

  • Autograft surgery is the most common type of ACL surgery. It is generally considered to be the strongest and most durable option. However, it is also the most invasive type of surgery, and it can cause some pain and discomfort at the donor site.

  • Allograft surgery is a good option for patients who do not want to have a tendon removed from their own body, or who are not good candidates for autograft surgery due to other medical conditions. Allograft surgery is less invasive than autograft surgery, but it is associated with a higher risk of re-injury.

  • Synthetic graft surgery is the least common type of ACL surgery. It is a good option for patients who are not good candidates for autograft or allograft surgery, such as patients with allergies or infections. However, synthetic grafts are not as strong or durable as autograft or allograft tendons, and they are associated with a higher risk of re-injury.

ACL Surgery Procedure

ACL (anterior cruciate ligament) surgery is a complex procedure performed to repair or reconstruct a torn ACL in the knee. Here is a general overview of the steps involved in ACL surgery:

Pre-Surgery Preparation:

  • Evaluation: The surgeon evaluates the patient's medical history, conducts a physical examination, and may order imaging tests like MRI to assess the extent of the ACL injury.

  • Anesthesia: The patient is administered either general anesthesia, which puts the patient to sleep during the surgery, or regional anesthesia, which numbs the lower part of the body.

ACL Reconstruction Surgery:

1. Incisions:

  • Small incisions are made around the knee to insert an arthroscope (a thin, flexible tube with a camera) and surgical instruments.

  • The arthroscope allows the surgeon to visualize the inside of the knee on a monitor.

2. ACL Removal (if necessary): If the ACL is completely torn, the damaged ligament is removed.

3. Graft Harvesting (if using autograft): If ACL reconstruction is planned using the patient's own tissue (autograft), the surgeon makes an additional incision to harvest the graft (often from the patellar tendon, hamstring tendon, or quadriceps tendon).

4. Tunnels Creation: The surgeon drills small tunnels into the tibia (shinbone) and femur (thighbone) at the original ACL attachment points.

5. Graft Insertion and Fixation: The harvested graft or allograft is threaded through the tunnels and secured with screws, buttons, or other fixation devices. The graft is positioned to replicate the natural ACL's function.
6. Closure: The incisions are closed with sutures or surgical staples, and sterile dressings are applied.

ACL Surgery Benefits

ACL surgery can provide a number of benefits, including:

  • Improved knee stability

  • Reduced risk of further injury

  • Increased ability to participate in sports and other activities

  • Improved quality of life

ACL Surgery Risks

ACL surgery is a safe and effective procedure, but there are some side effects associated with all surgery. These risks include:

  • Infection

  • Bleeding

  • Blood clots

  • Nerve damage

  • Pain

  • Swelling

  • Stiffness

  • Failure of the graft

Additional Risks of ACL Surgery

In addition to the general risks of surgery, ACL surgery also has some specific side effects, such as:

  • Patellar tendonitis (inflammation of the patellar tendon)

  • Hamstring weakness

  • Graft rupture

  • Meniscus injury

  • Knee arthritis

ACL Surgery Recovery

ACL surgery recovery typically takes 6 to 8 months. During this time, patients will need to work with a physical therapist to regain strength and range of motion in the knee. They will also need to wear a brace and crutches for several weeks.

Most patients are able to return to normal activities within 6 to 8 months after surgery. However, it is important to note that recovery time varies from person to person. Some people may need more time to fully recover, while others may be able to return to activities sooner

Here is a general overview of the ACL surgery recovery timeline:

  • Weeks 1-3: The main focus during this time is on reducing pain and swelling. Patients will also begin to work on regaining range of motion in the knee.

  • Weeks 4-6: Patients will continue to work on regaining range of motion and strength in the knee. They may also be able to begin weight-bearing exercises.

  • Weeks 7-12: Patients will continue to work on strength and range of motion. They may also be able to begin light activities, such as walking and biking.

  • Months 4-6: Patients will continue to work on strength and range of motion. They may also be able to begin more rigorous activities, such as jogging and swimming.

  • Months 7-8: Patients should be able to return to all normal activities, including sports. However, it is important to continue to listen to your body and rest when you need to.

Here are some tips for a successful ACL surgery recovery:

  • Follow your doctor's instructions carefully.

  • Attend all of your physical therapy appointments.

  • Be patient and don't rush your recovery.

  • Listen to your body and rest when you need to.

  • Eat a healthy diet and get enough sleep.

  • Avoid activities that could put stress on your knee, such as running and jumping, until you are cleared by your doctor.

ACL Surgery Cost in Delhi

ACL Surgery Cost in Delhi

ACL Surgery Type Cost
Autograft surgery ₹1,40,000 to ₹2,00,000
Allograft surgery ₹2,00,000 to ₹3,00,000
Autograft Synthetic graft surgery ₹1,80,000 to ₹2,80,000

Note: The cost of ACL surgery in Delhi can vary depending on the individual's overall health, the extent of the surgery, and the presence of any complications. It is important to talk to your doctor about the specific costs of your surgery.

Here are some additional factors that can affect the cost of ACL surgery in Delhi:
  • The type of anesthesia used: General anesthesia is typically used for ACL surgery, and this can add to the cost of the procedure.

  • The need for additional procedures: If you need any additional procedures, such as a meniscectomy, this will also add to the cost of your surgery.

  • Post-operative care: The cost of post-operative care, such as physical therapy, can also vary depending on your individual needs.


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Frequently Asked Questions

Frequently Asked Questions