ACL Services

Overview

 

ACL Is one of the four vital ligament in the knee of the sportsmen. It is a commonly injured during sports leading to instability. Others do get this injury after a fall from two wheeler or slip while dancing or physical activity. Most of the young population will need to undergo surgery to ensure they can return to their sports and other physical activities which they love to do.

 

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Are you candidate of ACL. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation

Eligibility

 

A physically active person with good functioning knee before injury is a good candidate for ACL surgery irrespective of age. Generally people below 50 are more likely to be eligible for the reconstruction to prevent the future complications – specially persistent instability leading to injury to other structures like meniscus of the knee which in turn could bring in early degenerative Osteoarthritis.

Are you candidate of ACL. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation

The Procedure

 

The ligament needs to be reconstructed using bodies own tissue. There are two well established technique.

 

BTB (Bone tendon bone) –also available in allograft. Here the graft is taken from the front of the knee – bone with attached tendon of Patella. There is a small operative scar in front of the knee which often is thought to cause mild PF pain.

 

The other very popular option is Quadrupled hamstring graft – most commonly used technique for all players athletes and active people. The graft is taken from the Hamstring on the inner side of the knee. Small scar of 15mm on the inner aspect of the upper leg which prevents any problem arsing from scar in sports and is cosmetically more acceptable.

Are you candidate of ACL. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation

Fixation Material

 

Many types of fixation material and techniques are available but gold standard is Bio –absorbable Hydoxy apetite (Bone material) material which dissolves/ostro integrates with time in surrounding bone.

 

Hospital stay is generally 24 hours or less.

Are you candidate of ACL. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation

After Care

 

Immediate – Non weight bearing to partial weight bearing mobilisation with brace and crutches is allowed.

 

Static quads & ankle pumps started day one after the surgery a small stamp sized water proof dressing is put which allow bathing.

Are you candidate of ACL. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation

Recovery

 

Accelerated supervised rehab is practised by our specialist team for early return to sports.

  • Few Progressions
  • Normal walking – 2 weeks
  • Stairs Climbing -3-4 weeks
  • Driving 4 wheeler -6 weeks
  • Gentle Jogging – 8 -10 weeks
  • Running 12-14 weeks
  • Sports specific maneuver 20-22 weeks
  • Noncompetitive sports – 25-30 weeks
  • Return to full sports – 36 weeks
Are you candidate of ACL. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation

ACL Facts

  • Acl is the most commonly injured knee ligament.
  • Acl is located between the femur and tibia in the knee joint. It prevents tibia from sliding too far ahead from femur and provides rotational stability.
  • The most common sports in which Acl injuries occur include football, basketball, rugby and more.
    Young women are 2-8 times more likely than young men to injury Acl.
  • The human body does not regenerate the torn Acl. Therefore, a proper medical treatment depending on the grade of injury should be considered to repair the Acl. If the Acl is diagnosed as completely torn, the best treatment consist of Acl reconstruction surgery.
  • Up to 70% of the all injuries are actually none-contact (the athlete plants their foot, pivots to change direction etc.
 
Are you candidate of ACL. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation