LCL Tear Injury Treatment Recovery
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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 LCL
Dr. S.K. Gupta has treated many LCL injuries and has done considerable work in the arthroscopic field. He is an experienced person in sports medicine and joint reconstruction, and with his vast experience, he has developed minimally invasive techniques for the repair and reconstruction of the LCL. Dr. Gupta has treated various types of LCL injuries from minimal sprains to complete tears with advanced surgical methods to achieve stabilization of the knee along with return of function. This has especially benefited athletes to go back to sports with improved results and quicker recoveries.
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All About LCL
Lateral Collateral Ligament surgery is a surgical intervention to reconstruct or repair an injured LCL. The cause of injury is most commonly due to trauma, sports injuries, or accidents. An LCL plays a very significant role in the stabilization of the outer aspect of the knee. Dr. S.K. Gupta advises patients, especially athletes and active people, to have an LCL surgery so that they can get their optimal knee strength, stability, and range of motion for resuming their daily activities. The surgery helps prevent further knee instability, improves joint functionality, and ensures a quicker, more effective recovery.
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Google Reviews
EXCELLENT Based on 779 reviews Parsottam Kachhi2024-12-24Trustindex verifies that the original source of the review is Google. Nice facility and best doctor in Bhopal KALPNA SAIYAM2024-12-24Trustindex verifies that the original source of the review is Google. Best Hospital and best doctor 🏥 In bhopal thank you sir for my surgery Daksha Mangal2024-12-21Trustindex verifies that the original source of the review is Google. The hospital was neat and clean also the rooms were in proper condition with well maintained staff and security aur all thw things were available easily and the staff was also very kind and helpful. Amit Sen2024-12-17Trustindex verifies that the original source of the review is Google. Best orthopaedic Surgeon By Dr. S. K. Gupta sir thank you sir and thank you team galaxy Aman Shrivastava2024-12-17Trustindex verifies that the original source of the review is Google. All nursing staff and doctors are supportive and well trained. The hospital maintains professionalism and cleanliness and follows all the necessary medical protocols.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
Patient Success Stories
Our Experience in Numbers
Dr. S.K. Gupta is a renowned surgical orthopedic doctor practising in India.
LCL Tear Treatment
The LCL is one of the essential ligaments along the outside aspect of the knee, giving the knee stability as well as preventing lateral movement of too much a distance. Tears of the LCL can be particularly painful, very swollen, and unstable. Sometimes, surgery has to be carried out on an LCL, repairing or reconstructing it, thereby getting relief from the pain and knee stability. (vid new- What is LCL knee ligamant?)
It is indicated in the case of a complete tear, especially in an athlete or high-active person doing sports. The patients who experience partial LCL tears with serious pain and knee instability are suggested for this surgical intervention. Therefore, the general objective of surgery is to have the ligament repaired so that normal knee function and stability are restored.
LCL surgeries are normally done through arthroscopy, so a small incision with cameras to enlarge the inside of the knee is done before evaluation and correct surgical repair with such precision for perfect results, a procedure done usually in just about an hours of surgery to go home for a patient on the next day as operation. After surgery, the patient is equipped with braces and crutches to avoid direct pressure on the knee during the healing process. The patient should also undergo a session of physical therapy to recover the strength, flexibility, and mobility of the knee.
LCL surgery is the best course of treatment for patients with a completely torn or significantly damaged lateral collateral ligament. These are the patients who desire to resume strenuous activities like sports. It provides relief from the pain, makes the knee stable, and gives back the normal functioning of the knee. It should be done after the completion of all the other treatments and therapy possible. To understand the need for the surgery correctly, it is sensible to approach an experienced orthopedic surgeon to decide what best suits your medical condition.
Why Consult Dr. S.K. Gupta for LCL Surgery
Dr. Sheetal Kumar Gupta is an arthroscopy and sports injury specialist heading the arthroscopy and joint reconstruction unit at Galaxy hospital, Bhopal. He has been a consultant for sports medicine, Sports Authority of India & State Sports Academy and is 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 12000 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 8000 arthroscopies independently including knee, shoulder, ankle and hip arthroscopies.
- Successfully operated over 2000 players who are back in sports and have won national and international medals after their surgeries.
- Successfully treated more than 10000 sports players of various disciplines.
- Internationally trained and more than 18 years of experience.
- Has treated National and International level players of 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 LCL Tear?
An LCL tear is an injury to the lateral collateral ligament (LCL), which is located on the outer side of the knee. This type of tear can be partial or complete and may result in the following symptoms:
- A popping or snapping sensation at the time of injury
- Swelling along the outer side of the knee
- Sharp or persistent pain on the outer knee
- Tenderness when pressing the affected area
- Difficulty or inability to bear weight on the leg
- Instability or a feeling of the knee giving out
- Limited range of motion, particularly in side-to-side movements
What is an LCL Reconstruction?
LCL reconstruction is a surgical procedure that is used to repair or reconstruct a torn LCL, which stabilizes the outer side of the knee joint. (vid new- treatment options for LCL tear)
This procedure usually involves the use of a graft, often an autograft from the patient’s own body or an allograft from a donor, to replace the damaged ligament.
The surgeon makes small tunnels in the femur and fibula during surgery to anchor the graft. The graft is placed securely within these tunnels to replicate the natural ligament’s function.
The reconstruction of LCL aims at restoring knee stability, reducing pain, and allowing the patient to return to normal activities. Rehabilitation following surgery is crucial for successful recovery.
Does LCL Need Surgery?
LCL reconstructive surgery is often recommended to repair a torn LCL and restore stability and function to the knee joint.
However, not all LCL injuries require surgery. Surgical intervention is typically suggested for individuals with severe tears or those who experience ongoing instability or pain despite non-surgical treatments such as rest, physical therapy, medication, and the use of braces.
LCL reconstruction surgery is usually advised in the following situations:
- Young and physically active individuals
- Persistent knee instability or buckling during routine activities
- Severe pain or limited function that does not improve with conservative management
- Athletes who need full knee stability to return to their sport
- Combined injuries involving other knee ligaments or structures, such as the anterior cruciate ligament (ACL) or meniscus
What Are the Symptoms of LCL Tear?
An LCL tear may cause the following symptoms:
- A popping or snapping sensation at the time of the injury
- Pain and tenderness along the outer side of the knee
- Swelling that develops shortly after the injury and may persist for days to weeks
- Limited range of motion in the knee, especially in side-to-side movements
- Discomfort or difficulty while walking or bending the knee
- A feeling of instability or the knee giving out during movement
- Difficulty bearing weight on the affected leg
- Inability to continue the activity during which the injury occurred
Does LCL Reconstruction Lead to Knee Replacement?
LCL reconstruction surgery does not directly lead to the need for knee replacement surgery. However, individuals with a history of LCL reconstruction may face a higher risk of requiring knee replacement surgery later in life compared to the general population.
LCL reconstruction is a surgical procedure to facilitate the restoration of stability and function through the repair or reconstruction of the torn ligament on the lateral knee side. Knee replacement surgery is generally indicated in cases of advanced joint wear and tear resulting from conditions such as arthritis. Arthritis causes the gradual wearing away of cartilage that cushions the bones in the knee joint. The most common forms of arthritis requiring knee replacement are osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis.
While LCL reconstruction aims at achieving ligament reconstruction or repair, knee replacement surgical procedure involves actually replacing the bad knee joint itself with an artificial prosthesis to eliminate such pain and attain mobility.
Treatment Procedure for LCL Surgery
The treatment for LCL tears varies based on the severity of the injury, the individual’s overall health, and their activity level. The various treatment options for an LCL tear include:
LCL Tear Repair : Home Remedies
Certain home remedies can help relieve pain and swelling after an LCL injury. These home-care tips may assist in managing the symptoms of an LCL tear:
- Rest: Avoid activities that put stress on the injured knee to allow healing and reduce strain on the ligament.
- Ice Application: Apply ice to the outer side of the knee every two hours for about 20 minutes at a time to reduce swelling and discomfort.
- Compression: Use a compression bandage or elastic wrap around the knee to provide support and minimize swelling.
- Elevation: Elevate the knee by placing the leg on pillows while lying down to help reduce swelling and improve blood circulation.
Physiotherapy to Treat LCL Tear
A physiotherapist will guide the patient through targeted exercises aimed at reducing knee pain and swelling while improving the range of motion and strength in the knee joint.
The patient may also be recommended to wear a brace for added knee stabilization and use crutches to avoid putting weight on the injured leg during walking.
Physiotherapy is an effective treatment for LCL tears, particularly for individuals who lead less physically demanding lifestyles, engage in mild to moderate exercise or recreational activities, or participate in low-impact sports that place minimal stress on the outer side of the knee joint.
Surgery for LCL Tear Treatment
Surgery is generally recommended in the following situations:
- An athlete aiming to return to a physically active lifestyle
- Severe damage involving multiple knee ligaments or the fibrous cartilage (meniscus)
- Persistent knee instability or buckling during routine activities
LCL reconstruction surgery involves replacing the damaged ligament with a graft, which is typically a tendon segment connecting muscle to bone. The graft may be sourced from another part of the patient’s body or from a donor.
Post-surgery, physiotherapy plays a crucial role in restoring knee stability, strength, and function.
Preparation for LCL Treatment
Before undergoing LCL treatment, the doctor will recommend several tests and evaluations, including:
- Physical Examination: To assess pain, swelling, range of motion, and the overall function of the knee joint.
- X-rays: To rule out the possibility of any bone fractures in the knee.
- MRI Scans: To determine the extent of the LCL injury and check for damage to surrounding structures such as ligaments, cartilage, and muscles.
- Ultrasounds: To detect injuries or tears in the tendons, ligaments, and muscles around the knee joint.
Preparatory Steps for LCL Tear Treatment
The following steps are typically advised by the doctor before LCL treatment or surgery:
- Discuss Treatment Options: The patient should go over available treatment options with the doctor and address any questions or concerns regarding the procedure.
- Fasting Before Surgery: The patient should refrain from eating or drinking after midnight the night before LCL reconstruction surgery.
- Medication Disclosure: The patient should inform the doctor about any medications, vitamins, or supplements they are taking. Certain medications, such as blood thinners or anti-inflammatory drugs, may need to be adjusted or stopped before surgery to reduce the risk of bleeding.
- Avoid Smoking and Alcohol: The doctor will recommend avoiding smoking and alcohol for several days prior to the surgery to promote better healing and reduce risks.
- Physiotherapy: Pre-surgery physiotherapy may be recommended to reduce knee swelling, strengthen surrounding muscles, and improve range of motion in the knee joint.
- Practice Using Crutches: The patient may be advised to practice walking with crutches to prepare for post-surgery mobility and avoid putting weight on the affected leg.
Post-Operative Protocol for LCL Surgery
Most patients are discharged on the next day as their LCL reconstruction surgery. The following post-operative guidelines can help ensure a smooth and speedy recovery:
- Ankle Movement: Patients are advised to move their ankles up and down at least 10 times every 3o minutes for the first two to three days after surgery to prevent blood clots.
- Dressing Removal: The knee dressing is typically removed the day after surgery.
- Rest and Hygiene: Adequate rest is essential, and the incision area should be kept clean and dry to avoid infection.
- Suture Removal: Stitches are usually removed one to two weeks post-surgery.
- Pain Management: Mild discomfort and pain are common in the first few days. Painkillers prescribed by the doctor can help manage these symptoms.
- Leg Elevation: Elevating the leg for the first three to five days helps minimize swelling.
- Ice Packs: Applying ice packs can reduce pain and swelling during the initial recovery phase.
- Avoid Pressure on the Operated Leg: Patients should avoid putting any weight or strain on the operated leg during the recovery period.
- Follow-Up Appointments: Regular follow-up visits are scheduled a few weeks post-surgery to monitor healing and detect any complications.
- Knee Brace: A knee brace should be worn for at least three week following surgery for stability and protection.
- Crutch Use: Crutches or another walking aid should be used for at least six weeks to avoid placing weight on the affected leg.
- Physical Therapy: Rehabilitation exercises are critical to restore knee function and mobility. Most patients regain full range of motion within a few weeks.
- Return to Sports: Athletes typically require six to twelve months to fully resume sports and high-impact activities.
Risks and Complications Associated with LCL Surgery
LCL Repair reconstruction surgery is highly successful and carries a low risk of complications. However it is important to discuss the same with your doctor before proceeding to surgery.
LCL Surgery Cost in India
The cost of LCL 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 and implant chosen.
- 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 LCL 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 LCL Surgeon in India
In India, LCL (Lateral Collateral Ligament) treatment is performed by an orthopedic surgeon specializing in knee injuries. A skilled LCL surgeon typically possesses the following qualities:
- Board Certification and Specialization: Certified and specialized in knee ligament surgeries, particularly LCL reconstruction.
- Experience: Experienced in treating patients with similar LCL injuries and complex knee conditions.
- Reputable Practice: Affiliated with a well-established clinic or hospital known for orthopedic treatments.
- Insurance Acceptance: Accepts patients with various types of medical insurance coverage.
- Patient Comfort: Creates a comfortable environment, addressing all patient concerns and ensuring clarity in the treatment process.
- Compassion and Bedside Manner: Demonstrates empathy, understanding, and excellent communication skills with patients.
- Leadership Skills: Effectively leads a multidisciplinary medical team for optimal treatment outcomes.
- Flexible Treatment Approach: Tailors treatment plans to meet the specific needs and preferences of individual patients.
- Realistic Perspective: Provides honest, practical insights into the recovery process, potential challenges, and outcomes.
- Commitment to Learning: Continuously updates knowledge and skills by staying current with the latest advancements and techniques in LCL treatment.
How to Choose the Best LCL Surgeon in India
- Seek Guidance Ask family, friends, and healthcare providers for recommendations. Compare reviews and experiences of different surgeons to find the best fit for your needs.
- Check Online Reviews: Look for ratings, reviews, and patient testimonials about the surgeon’s expertise, professionalism, and the quality of care provided.
- Verify Credentials: Ensure the surgeon is board-certified and has no history of malpractice or professional issues.
- Evaluate Experience: Surgeons with extensive experience in LCL surgery are more likely to achieve successful outcomes and manage complications effectively.
- Assess Hospital Reputation: Research the hospital or clinic where the surgeon practices. Opt for reputable facilities with high patient satisfaction rates and a focus on quality care.
- Schedule a Consultation: Meet with the surgeon to ask questions, discuss treatment options, and assess your comfort level with their approach and communication style.
- Insurance Coverage: Choose a surgeon who accepts your insurance plan to ensure that your treatment is covered and minimize out-of-pocket expenses.
Choosing the right orthopedic surgeon is crucial for achieving the best results in LCL tear treatment. India has several skilled orthopedic surgeons specializing in knee injuries. Here are some tips to help you select the best one:
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 LCL 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 LCL by patients from across the country.
Why Choose Us?
- The hospital is dedicated Arthroscopy Centre with highest number of LCL surgeries.
- This makes every member of the team in your service, highly competent and experienced for LCL 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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