ACL Tear Injury Treatment Recovery
ACL Tear Injury Treatment Recovery
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12000+ Successful
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Knee & Shoulder Surgeon
About Dr. S.K. Gupta
M.S. (Ortho.) Mumbai,
M.R.C.S., F.I.A.S. (Japan),
F.A.P.O.A. (Singapore),
- Arthroscopy,
- Joint Reconstruction,
- Sport Injury Surgery.
Dr. S.K. Gupta: Contribution In ACL
- Faculty International Arthroscopy Academy Jun 2024 Mumbai performed live revision ACL BTB and won two debates
- Faculty Master case series knee March 2024 Delhi talk on revision ACL reconstruction
- Faculty KASS Knee 360 Kolkata Feb 2024 performed live ACL surgery and talk on meniscus repair
- Faculty Chandigarh Arthroscopy course April 2023 performed knee ligament reconstruction and talk on ACL
- Faculty knee 360 and London Osteotomy course at Kolkata, delivered talk on arthroscopic ACL and internal bracing Jan 2023
- Faculty 1st SAARC Sports medicine meet March 2022
Read More -
All About ACL
ACL reconstruction, or anterior cruciate ligament surgery, is a procedure performed on people who have damaged their ACL due to accidents or sports. It is particularly helpful for athletes and other physically active individuals who require full range of motion and strength of the knee. (video -what is acl) According to Dr. S. K. Gupta, this procedure is recommended to allow people to stay active and prevent the deterioration of the knee. (Vid – only sports persons need acl recontruction)
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Dr. S.K. Gupta is a renowned surgical orthopedic doctor practising in India.
ACL Tear Treatment
The ACL is an important ligament in the knees, which helps keep the joint of the knees stable and prevents excessive movement. (vid – ghutne ke ligament kya hote hai ).A torn ACL causes severe pain and a lack of stability while walking and doing other activities. In such cases, ACL surgery is required to treat or reconstruct the affected ligament and is the only way out of extreme pain and discomfort.
ACL surgery is a best option for those who have completely torn ACLs and are highly involved in sports or any other activities.
It is also a good option for those having partial tear but suffering from acute pain and instability. The foremost reason for the ACL surgery is to repair the injured ligament for the proper working of the knees.
The surgery is usually performed with the help of arthroscopy. (arthroscopy kya hia – new video) It involves minimum invasion techniques hence small incisions and a camera to get a complete view of the situation inside the knee. The surgery takes about an hour to complete, and the patients can go home on the very next day. After the surgery, patients are given braces and crutches for few weeks. This is to reduce pressure on the knee so that the knee heals perfectly. Physical therapy is required after the surgery as the operated knee needs to get strength and the ability to function normally.
In this way, ACL surgery will be a proper treatment for all those patients who suffer from a ruptured ACL ligament or their ACL ligaments are completely damaged. The surgery will help them recover their high-intensity activities usually to their pre injury level, such as sports, etc. It helps minimize the pain and discomfort that has resulted from the broken ligament while making sure that returning to all activities is possible. In addition, ensure that you only go for the surgical procedure once all non-surgical procedures and treatments have been tried and were not successful. To get a complete idea of whether you should undergo the procedure, it is best to consult an orthopaedic surgeon who would assess your situation and suggest it accordingly.
Why Consult Dr. S.K. Gupta for ACL Surgery
Dr. Sheetal Kumar Gupta is an arthroscopy and sports injury specialist heading the arthroscopy and joint reconstruction unit at Galaxy hospital, Bhopal, India. He has been a consultant for sports medicine, Sports Authority of India & to the players of State Sports Academy and has been serving National level teams of various disciplines like Hockey, Judo, Kabbadi, Water Sports, Wushu Taikwando etc.
He has done his fellowship in Arthroscopy and Sports medicine from Japan and was trained at various international surgical centres. With an experience of more than 21 years, he has performed over 12,000 knee and shoulder surgeries including complex ligament surgeries and surgeries of around more than 8000 National/International level players of various disciplines. He is National and International level faculty for various seminars, conferences and workshops.
Notable Achievements:
- Trained at Japan, Germany, UK, Singapore, Malaysia and Thailand.
- Visiting sports medicine specialist Sports Authority of India (SAI).
- Ex Sports injury specialist to Indian senior Women National Hockey team.
- Ex-Dope control officer, National Anti-doping Agency (NADA).
- National faculty for advance knee and shoulder arthroscopy workshop and conferences.
- Performed more than 12,000 arthroscopies independently including knee, shoulder, ankle and hip arthroscopies.
- Successfully treated over 10000 players, many of whom are back in sports and have won national and international medals after their surgeries.
- Internationally trained and more than 21 years of experience.
- Has treated National and International level players of various sports. To name of few, from Hockey like Sardar Singh, Shivendra, Sandeep Singh, Dilip Tirkey, Sameer Dad ; Olympic champion Ankit Sharma, Commonwealth Karate champion Supriya Jatav, world champions of Judo like Sanathoi, Kalpana Devi, Navjot to name a few and boxing legends like M.C. Mary Kom & Sarita devi.
Types Of Treatments Offered By Galaxy Hospital
Dr. S.K. Gupta specializes in problems of shoulder, hip and knee. These are the following types of treatments that the doctor provides.
Knee Surgery
Shoulder Surgery
- Shoulder Dislocation
- Rotator Cuff Repair
- Shoulder Impingement Surgery
- Shoulder Arthroscopy
- Shoulder Replacement
- AC Joint Reconstruction
- Biceps Tenodesis or Tenotomy
- Frozen Shoulder Release
- SLAP Repair
- Subacromial Decompression
- Capsular Release
- Bankart Repair
- Latarjet Procedure
- Reverse Total Shoulder Replacement
- Labral Repair
- Labrum Repair
What Happens When You Have an ACL Tear?
An ACL tear is an injury to the anterior cruciate ligament (ACL), located in the center of the knee. This tear can be either partial or complete and may cause the following symptoms:
- A distinct popping sound at the moment of injury
- Swelling
- Intense pain
- Tenderness
- Inability to continue the activity
- Restricted range of motion in the knee
- Discomfort while walking
- Knee instability or difficulty bearing weight on the affected leg
What is a BTB Graft ACL Reconstruction?
The Bone-Patellar Tendon-Bone (BTB) graft is an autograft commonly used for reconstructing or repairing a torn anterior cruciate ligament (ACL).
This procedure involves removing a section of soft tissue from the central portion of the patient’s own patellar tendon, which connects the kneecap (patella) to the upper part of the shinbone (tibia).
The harvested tissue includes bone blocks at both ends—one from the lower end of the patella and the other from the upper portion of the tibia. ( video -new)
When the BTB graft is used to repair the ACL, these bone plugs are securely positioned within bone sockets on either side of the reconstructed ligament in the knee.
Does ACL Need Surgery?
ACL reconstructive surgery is often advised to repair an ACL tear and restore movement and stability to the knee joint. ( video- kya acl lig tear me surgery zaruri hai )
However, not all ACL tears require surgical intervention. Surgery is typically recommended for individuals who are highly physically active or for those who experience persistent pain despite trying non-surgical treatments such as medication, rest, ice application, elevation, and compression wraps.
ACL reconstruction surgery is generally recommended in the following scenarios:
- Young and active individuals
- Persistent knee pain that does not improve with conservative treatments
- Knee instability, such as buckling during everyday activities like walking
- Athletes aiming to maintain a physically active lifestyle
- Concurrent injuries to other ligaments or the knee’s fibrous cartilage (meniscus)
Does ACL Reconstruction Lead to Knee Replacement?
ACL reconstruction surgery does not directly lead to the need for knee replacement surgery. ACL reconstruction is performed to repair or reconstruct damaged knee ligaments, whereas knee replacement surgery is typically recommended for cases of bone damage within the knee joint. This is often due to arthritis, where the cartilage cushioning the knee bones wears away over time. Common forms of arthritis treated with knee replacement include osteoarthritis, rheumatoid arthritis, and psoriatic arthritis. (video- new)
While ACL surgery focuses on repairing or reconstructing the torn ligament, knee replacement surgery involves replacing the damaged knee joint with an artificial prosthesis.
ACL Tear Repair by Home Remedies
Certain home remedies can help alleviate pain and swelling immediately after a knee injury. These home-care tips may assist in managing the symptoms of an ACL tear: ( video – new, what home remedies to do when you get an ACL tear?)
- Rest: Adequate rest supports healing and reduces weight-bearing stress on the knee.
- Ice Application: Applying ice to the affected knee every two hours for about 20 minutes at a time during waking hours can help reduce swelling.
- Compression: Wrapping the knee joint with a compression wrap or elastic bandage can help minimize pain and swelling.
- Elevation: Keeping the knee elevated by placing the lower leg on a few pillows while lying down can help decrease swelling.
Physiotherapy to Treat ACL Tear
A physiotherapist will guide the patient through specific exercises designed to reduce knee pain and swelling while restoring the full range of motion in the knee joint.
The patient may also be advised to wear a brace for knee stabilization and use crutches to assist with walking, preventing weight-bearing on the affected knee. ( video- can ACL complete tear be healed with physiotherapy)
Physiotherapy is an effective treatment for ACL tears in individuals who are less physically active, engage in mild to moderate exercise or recreational activities, or participate in low-impact sports that place minimal stress on the knee joint.
Surgery for ACL Tear Treatment
Surgery is typically advised in the following situations: ( vid- can ACL ligament tear heal without surgery)
- An athlete intending to remain physically active
- Damage involving multiple ligaments or fibrous cartilage in the knee joint
- An injury causing knee instability or buckling during everyday activities
ACL reconstruction surgery involves removing the damaged ligament and replacing it with a graft—a tendon segment that connects bone to muscle. This graft may be taken from another part of the patient’s body.
Following surgery, physiotherapy is essential to restore the knee’s function and stability.
Post-Operative Protocol for ACL Surgery
Most patients are discharged on the next day as their ACL reconstruction surgery. The following post-operative guidelines can help ensure a smooth and speedy recovery: ( video- ACL rehab phases )
- Ankle Movement: Patients are advised to move their ankles up and down at least 10 times every 30 minutes for the first two to three days after surgery to prevent blood clots.
- Dressing Removal: The knee dressing is usually removed the day after surgery.
- Rest and Hygiene: Adequate rest is crucial, and the incision area must be kept clean and dry.
- Suture Removal: Stitches are typically removed one to two weeks post-surgery.
- Pain Management: Some discomfort and pain are normal in the initial days. Painkillers prescribed by the doctor can help manage this.
- Leg Elevation: Keeping the operated leg elevated for the first three to five days helps reduce swelling.
- Ice Packs: Applying ice packs can alleviate pain and swelling in the days following surgery.
- Avoid Pressure on the Operated Leg: Refrain from placing any weight or strain on the leg during recovery.
- Follow-Up Appointments: Regular check-ups are scheduled a few weeks post-surgery to monitor progress and rule out complications.
- Knee Brace: A knee brace should be worn for at least 3 week post-surgery.
- Crutch Use: Patients will need to use crutches or another walking aid for at least six weeks.
- Physical Therapy: Rehabilitation exercises are essential to restore knee function and mobility. Most patients regain full range of motion within a few weeks.
- Return to Sports: Athletes may need six to twelve months to fully resume sports activities.(
Risks and Complications Associated with ACL Surgery
ACL reconstruction surgery is highly successful and carries a low risk of complications.
ACL Surgery Cost in India
The cost of ACL surgery can vary depending on several factors, including:
- Type of Treatment: Surgical treatments tend to be more expensive than non-surgical options.
- Extent of Knee Damage: Severe damage to ligaments or tendons may require more complex and costly treatment.
- Graft Type: The cost varies as per autograft or neo ligament.
- Hospital Choice: Treatment costs can be higher in corporate hospitals compared to dedicated centers for arthroscopy.
- Insurance Coverage: The cost will depend on the patient’s insurance coverage and what it includes for ACL ligament surgery.
- Surgeon’s Expertise: Experienced surgeon’s charges are often higher than novice surgeons.
- Diagnostic Tests: Pre-surgical diagnostic tests such as MRIs, X-rays, or ultrasounds contribute to the total cost.
- Anesthesia and Medications: The cost of anesthesia, medications, and necessary surgical equipment is included in the overall price.
- Physiotherapy Sessions: Post-surgery rehabilitation and physiotherapy sessions are an additional cost.
- Follow-Up Appointments: Regular follow-up visits to monitor recovery also add to the overall treatment cost.
Qualities of a Top ACL Surgeon in India
In India, ACL (Anterior Cruciate Ligament) treatment is performed by an orthopedic surgeon specializing in knee arthroscopy surgeries. A skilled ACL surgeon typically possesses the following qualities:
- Proper Certification and Specialization: post graduate degree in orthopedics and higher trainings as fellowships in arthroscopy.
- Experience: Experienced in treating ACL injuries and familiar with a wide range of related conditions.
- Reputable Practice: Associated with well-established hospitals or clinics known for high-quality orthopedic care.
- Insurance Acceptance: Works with insurance providers to accommodate patients with coverage for ACL surgery.
- Patient Comfort: Creates a comfortable and reassuring environment for patients, addressing all questions and concerns.
- Compassion and Bedside Manner: Demonstrates empathy, strong communication skills, and a caring attitude toward patients.
- Leadership Skills: Capable of leading a multidisciplinary medical team to ensure optimal treatment outcomes.
- Flexible Treatment Approach: Tailors treatment plans to meet the unique needs of each patient based on their specific injury and lifestyle.
- Realistic Perspective: Provides clear, honest expectations regarding recovery time and surgical outcomes.
- Commitment to Learning: Stays updated with the latest advancements, techniques, and technologies in ACL treatment to provide the best care possible.
How to Choose the Best ACL Surgeon in India
Choosing the right orthopedic surgeon for ACL treatment in India is a key step towards ensuring successful recovery. With several skilled surgeons and medical centers across the country, it’s important to follow certain steps to find the best one for your needs. Here are some tips for selecting an ACL specialist in India:
Seek guidance: Start by asking your family, friends, or healthcare providers for recommendations. Also, check with local sports clubs or physiotherapists who may have experience with ACL injuries.
Check Online Reviews: Look for online reviews, ratings, and patient testimonials that provide insight into the surgeon’s expertise, approach, and success rates in ACL treatment.
Verify Credentials: Make sure the surgeon is certified, particularly in orthopedic surgery, and has no history of malpractice. You can also verify their qualifications with medical boards in India like the Medical Council of India (MCI).
Evaluate Experience: It is essential to choose a surgeon with substantial experience in ACL surgeries. An experienced surgeon is more likely to offer successful treatment outcomes and handle complications effectively.
Assess Hospital Reputation: Research hospitals or clinics where the surgeon practices. Choose well-established institutions with excellent ratings for orthopedic treatments, advanced technology, and patient care.
Schedule a Consultation: Meet with the surgeon for a consultation. This will give you a chance to discuss your condition, treatment options, and ask questions about the surgeon’s experience with ACL surgery. It’s also an opportunity to assess the surgeon’s communication skills and approach.
Insurance Coverage: Ensure the surgeon is covered by your health insurance plan, if applicable, to help minimize out-of-pocket expenses.
By following these steps, you can find a highly skilled orthopedic surgeon for your ACL injury treatment in India, ensuring the best possible outcome for your recovery.
Why Choose Us for ACL Surgery
Why choose our "surgeon"?
- Our surgeon Dr S.K Gupta is a world renowned knee and shoulder surgeon with extensive experience of ACL and meniscus surgeries.
- He has over 21 years of focused work-experience in knee and shoulder arthroscopy and12000 + successful surgeries.
- He has experience of successful treatment of hundreds of International and national sports persons.
- His highest level of qualifications and mastery in his work, is the reason of making him first choice for ACL Meniscus treatment by patients from across the country.
Why Choose Us?
- The hospital is dedicated Arthroscopy Centre with highest number of ACL and meniscus surgeries.
- This makes every member of the team in your service, highly competent and experienced for ACL and Meniscus surgery pre-op, intra-op, post-op and rehabilitation management.
- The hospital is well known for affordable cost and cashless facility with combination of best surgeon, best equipments, best implants, and specially trained team for knee and shoulder surgery care.
Why does "surgeon's experience" matter?
- The successful result of surgery depends very much on the detailed and focused expertise of surgeon and his team.
- Experience and skills of your surgeon is the most important factor for successful result.
- You must research well about it, as the primary surgery is the most important chance.
Why choose our "operation theatre" and OT team?
- Hi-Tech modular operation theatres, high precision International equipments for arthroscopy, world class OT machinery specific for knee and shoulder surgery
- Protocol based and highly skilled OT team with focussed work in knee and shoulder arthroscopy plays a vital role in surgical success.
- All our operation theatres are well equipped with planum with HEPA filters. High efficiency HEPA filters can remove 99.97 to 99.99% of airborne particles including smallest bacteria to the size of 0.3 microns. This helps to safeguard our patient from infections.
- The hospital has well defined “infection control guidelines” to be followed by all team members. This helps in reducing the infection rate to less than 0.1%.
- “Triple Level checks” for sterility and disinfection of implants and OT support materials is strictly followed.
- “WHO surgical Safety protocol” for Sign-IN, Time-Out, Sign-Out is adhered to In 100% patients.
- “High pressure autoclave with Pre-Vac” and “ETO sterilization” procedures are used.
- Wheeling in, Wheeling out and anaesthesia safety protocols are strictly followed. One Way Traffic protocol is followed.
- Central Medical gases oxygen and nitrous supply And central suction systems are in place.
- Pressure Dampeners are active to maintain OR pressures. Humidity Checks are done to maintain evidence based recommended guidelines.
Why "post-op care" matters?
KPI (Key Performance Indicators) are being regularly caught, audited and analyzed. Team Galaxy takes utmost care and as a result the captured para are between 0 to 0.13%. This practice is one of the central reasons for our very high success rate. The para captured and assessments done are like-
- CAUTI
- PVC IR
- SSIR
- BTRI
- Med EI
- Fall Risk assessment
- Vulnerability Score
- Pain Score
- Pressure Sore vulnerability Assessment
- Patient Satisfaction Index
Post Op care team is regularly following Care Bundles like-
- PVC insertion Care Bundle
- PVR Daily Care Bundle
- Catheter Insertion Care Bundle
- Catheter Daily Care Bundle
- SS care Bundle
- WHO Hand Hygiene Protocol
- Universal Precautions
Patient Safety Protocols being followed are like-
- “7 Level Check” for Side identification
- Pre-Operative Checklist
- BT prep and safety protocol
- Belongings and Material Handover Protocol
- Surgical Site Marking Protocol
- Patient Identification Protocol
- Admission and Discharge Protocol
- Checklist for shifting from OR to Recovery SICU
- Checklist for shifting from SICU to Ward
- The finest details of immediate post-op depends on the expertise of medical, nursing and rehabilitation team.
- Since our hospital serves only for these surgeries, every member is extensively trained, as compared to any other general Orthopaedic Hospital serving many types of surgeries.
Why does our "rehabilitation team results" excel?
- The team follows “Surgical age-based assessments and reassessments” to formulate the customized care.
- Rehab is planned “One-O-One as per the milestones achieved” by the patient till visit date.
- Phases of Rehab are scientifically based on division into Macrocycle, Mesocycle and Microcycles of care, the Pre-Injury level of activity, the Surgical details of patient as per the surgeon; and “not one size fits all” method.
- The “5-Staged Plan of Care” of post op rehabilitation is followed for holistic recovery of patients –
- Protection & Activation
- Recovery of Range
- Strength Development
- Functional Integration Inclusion
- RTS If Sports Person
- Sports-Persons’ prolonged follow up to Return To Sports after RTS Testing is followed.
- Regular skill upgrade training of team is done as per new international guidelines.
- Our Physiotherapy team serves large number of ACL and meniscus surgery post operative patients, with close follow up, for return to normal and return to Sports.
- This huge experience in knee and shoulder surgery rehabilitation is the reason for their best results.
- Our successful results are the reason, why our old patients send other patients for similar results.
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- Mumbai
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