PCL 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 PCL
- Balloon Catheter Technique for Prevention of Vascular Injuries During Arthroscopic Posterior Cruciate Ligament Reconstruction: Dr SK Gupta, Knee & Shoulder Surgeon
- Arthroscopy Techniques 2023-03 Journal article DOI: 1016/j.eats.2022.11.009
- At Gunma sports medicine research centre Japan, with exposure in PLC reconstruction and Revision reconstruction. Worked with Dr Masashi Kimura, Gunma sports medicine research centre, Japan, with exposure in arthroscopy and sports injury.
- Faculty PKC ROC Jan 2024 talk on PCL reconstruction
- Faculty Chandigarh Arthroscopy course April 2023 performed live PCL reconstruction
- Faculty international master course on complex knee injury at GOA, FEB 2019.
- Invited speaker and presented on PCL Avulsion at CLASS meeting Thailand
2015
Publication-
Balloon Catheter Technique for Prevention of Vascular Injuries During Arthroscopic
Posterior Cruciate Ligament Reconstruction
Arthroscopy Techniques 2023-03 Journal article DOI: 10.1016/j.eats.2022.11.009
Read More -
All About PCL
Posterior cruciate ligament surgery, simply put as PCL reconstruction, is performed in people who may have suffered some sort of injuries from accidents or sporting events to their posterior cruciate ligaments. This benefits active sports athletes in maintaining and improving strength or stability of their knees during their work out activities. As noted by Dr. S. K. Gupta, PCL reconstruction would help a person stay active so as not to deteriorate anymore.
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Dr. S.K. Gupta is a renowned surgical orthopedic doctor practising in India.
PCL Tear Treatment
It is one of the crucial ligaments in the knee, which maintains stability and stops excessive backward movement of the tibia or shinbone. In this case, a PCL tear can be very painful and swollen with a tendency to instability, making even the simplest activity or sports activity challenging. ( vid new- What is PCL?)
In the case of a more serious or complete tear of PCL, surgery might be required to reconstruct or repair the ligament. This is, however, always recommended for active lifestyle and other high-impact sport activities practitioners.
For partial tears of the PCL, if the conservative treatments have failed to eliminate their persistent pain and instability, they may have a chance at surgical intervention. Restoration of normal knee function and stability is the ultimate goal of any PCL surgical procedure, aimed at allowing such patients to go back to their routine without any discomfort.
Arthroscopic minimally invasive surgery with small incisions and seeing inside the knee by the camera are the common PCL surgeries. It usually takes an hours for the surgery to be completed. Most patients go back home the next day after the surgery.
However, the patient is often discharged to outpatient care for a few weeks after surgery, during which he or she is instructed to use braces or crutches to relieve pressure from the knee to ensure proper healing. Furthermore, rehabilitation also involves physical therapy to recover strength, range of motion, and stability over the operated knee.
In general, this procedure is provided for patients who have a completely or partially injured PCL. Surgery reduces the pain and facilitates ease of pain to enable such individuals to participate in such highly intensive sports activities.
Consider surgery after trying all other nonsurgical treatment options without being successful. Look for an orthopedic surgeon who can effectively assess your condition and come up with a suitable recommendation if PCL surgery is the correct treatment for you.
Why Consult Dr. S.K. Gupta for PCL 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 18 years, he has performed over 8000 knee and shoulder surgeries including complex ligament surgeries and surgeries of around more than 2000 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 PCL Tear?
A PCL tear is an injury to the posterior cruciate ligament (PCL), located at the back of the knee. This tear can be either partial or complete and may result in the following symptoms: (Vid new- symptoms of PCL tear)
- A feeling of instability in the knee
- Swelling around the knee joint
- Moderate to severe pain, especially at the back of the knee
- Tenderness in the affected area
- Difficulty or inability to continue the activity after the injury
- Reduced range of motion in the knee
- Discomfort or pain while walking or bending the knee
- Difficulty bearing weight on the affected leg
If you suspect a PCL tear, it is essential to consult an orthopedic specialist promptly for proper diagnosis and treatment. Early intervention can help prevent further complications and aid in effective recovery.
What is PCL Tear Arthroscopy surgery?
The surgery of PCL reconstruction is done with the minimal invasive equipment s called as arthroscope. A graft from patient body is an autograft often used in the reconstruction or repair of a torn posterior cruciate ligament (PCL).
This involves harvesting a segment of soft tissue from the patient’s own tissue. This graft is secured with the help of implants, in place of the torn PCL.
Does every PCL injury needs Surgery?
PCL reconstructive surgery is commonly recommended to repair a torn posterior cruciate ligament (PCL) and restore stability and movement to the knee joint.
However, not all PCL tears require surgical intervention. Surgery is typically advised for individuals with severe or complete tears, or for those who continue to experience pain and instability despite attempting non-surgical treatments such as medication, rest, ice application, compression, and elevation. ( vid new- Do all PCL tears need surgery?)
PCL reconstruction surgery is generally recommended in the following cases:
- Active individuals who require full knee stability for their daily or recreational activities
- Chronic knee instability that affects walking, standing, or other everyday tasks
- Severe pain or dysfunction that does not improve with conservative management
- Athletes who need to regain the stability necessary for high-impact sports
- Combined injuries involving other ligaments, cartilage, or the meniscus in the knee
Consulting an experienced orthopedic specialist can help determine if PCL surgery is the right course of action based on the severity of the tear and your lifestyle needs.
Does PCL Reconstruction Lead to Knee Replacement?
PCL reconstruction surgery itself does not directly lead to a need for knee replacement surgery. (vid new- Can PCL tear lead to knee replacement if ignored?)
PCL reconstruction is done to replace or reconstruct the damaged posterior cruciate ligament that stabilizes the knee joint. Knee replacement surgery is usually considered for cases of severe bone or joint damage, which is most commonly caused by advanced arthritis. Arthritis develops when the cartilage cushioning the knee joint wears away over time. Some of the most common types of arthritis treated with knee replacement include osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
While PCL surgery focuses on restoring the ligament’s function and stability, knee replacement involves replacing the damaged joint surfaces with artificial implants. Both procedures address different issues and serve distinct purposes in knee health management.
PCL Tear: Home Remedies
Here are a few home-care tips to help manage pain and swelling after a knee injury, particularly an ACL tear: (What to do immediately after a PCL tear?)
Rest: Allow your knee to recover by avoiding activities that may strain it. Rest helps reduce stress on the joint and promotes healing.
Cold Therapy: Apply a cold pack to your knee for 15-20 minutes every few hours. This helps decrease inflammation and numbs the area to relieve pain.
Compression: Use an elastic bandage or compression wrap to stabilize the knee and reduce swelling. Be careful not to wrap it too tightly, as it may affect circulation.
Elevation: Raise your leg above heart level by propping it up on pillows. Elevation helps drain excess fluid and reduces swelling around the knee.
Physiotherapy to Treat PCL Tear
A physiotherapist can create a rehabilitation exercise program suited to the requirements of the client to help mitigate knee pain and swelling, improving the range of motion and overall strength of the knee. (Vid-new- Role of physiotherapy in PCL injury)
Patients may be suggested to wear knee braces for proper support and even use crutches to avoid standing on the involved knee, leading to proper healing.
Physiotherapy is even very useful for low grade PCL tear, less physically active people, light to moderate exercising people, or low-impact sporting individuals who cause the least pressure on the knee.
Surgery for PCL Tear Treatment
Surgery is generally recommended for the following conditions: (flyer new- baloon cath vid tech skg)
- Athletes seeking to return to high-intensity physical activities or competitive sports
- Injuries involving multiple ligaments or damage to the meniscus in the knee
- Ongoing knee instability or frequent episodes of the knee giving way during daily activities
Posterior cruciate ligament (PCL) reconstruction surgery involves replacing the damaged ligament with a graft, which can be taken from the patient’s own tissue. This procedure restores the stability and function of the knee joint.
Post-surgical rehabilitation, including physiotherapy, is essential to regain strength, mobility, and full range of motion in the knee.
Post-Operative Protocol for PCL Surgery
Risks and Complications Associated with PCL Surgery
PCL reconstruction surgery is generally successful, but like any surgical procedure, it carries certain risks. It is crucial to discuss these potential complications with your doctor before proceeding.
PCL Surgery Cost
The cost of PCL surgery in Bhopal, India depends on various factors, such as:
Type of Treatment: Surgical procedures, especially those involving advanced techniques, tend to be more expensive than non-surgical options.
Severity of Knee Injury: The extent of ligament or cartilage damage can increase the complexity and cost of the surgery.
Implant Type: Depending on the implant choosen the cost will vary.
Hospital Selection: Treatment costs can be higher in corporate hospitals compared to dedicated centers for arthroscopy.
Insurance Coverage: Costs may vary significantly based on the patient’s insurance plan and its coverage for surgical procedures and rehabilitation.
Surgeon’s Expertise: Experienced surgeon’s charges are often higher than novice surgeons.
Pre-Surgical Diagnostic Tests: Expenses for X-rays, MRIs, and other tests are included in the total cost.
Anesthesia and Medications: Charges for anesthesia, surgical supplies, and prescribed medications are factored into the surgery cost.
Post-Surgery Physiotherapy: Rehabilitation sessions to restore knee function add to the overall expense.
Follow-Up Appointments: Regular follow-up consultations with the surgeon are necessary and contribute to the total cost.
Understanding these factors and discussing them with your doctor can help you plan your treatment budget effectively.
Qualities of a Top PCL Surgeon in India
A skilled PCL (Posterior Cruciate Ligament) surgeon possesses the following attributes:
- Proper Certification and Specialization: post graduate degree in orthopedics and higher trainings as fellowships in arthroscopy.
Extensive Experience: Proficient in treating PCL injuries, including complex cases, ensuring high success rates.
Reputable Affiliation: Associated with a renowned hospital or clinic known for advanced orthopedic care.
Insurance Compatibility: Works with a variety of insurance providers to make treatment accessible and affordable for patients.
Patient-Centered Care: Builds a trusting relationship by addressing patient concerns and ensuring a comfortable, supportive environment.
Empathy and Communication: Demonstrates compassion and maintains clear, patient-friendly communication to explain procedures and recovery expectations.
Team Leadership: Efficiently leads a multidisciplinary medical team to deliver seamless care and optimal surgical outcomes.
Customized Treatment Plans: Tailors treatment strategies to meet the unique needs and goals of each patient, ensuring personalized care.
Transparent and Realistic Guidance: Provides honest, achievable expectations about recovery timelines, physical therapy, and long-term outcomes.
Continuous Learning: Regularly updates skills and knowledge by staying informed about the latest advancements, techniques, and technologies in PCL treatment.
How to Choose the Best PCL Surgeon in India
Selecting the right orthopedic surgeon is crucial for successful PCL treatment. Here are some tips to help you choose the best surgeon in India:
Seek Guidance: Ask for recommendations from family, friends, or healthcare providers. Patient reviews and referrals from trusted sources can help identify skilled surgeons with a track record of success.
Check Online Reviews: Look for ratings, reviews, and patient testimonials on platforms like Google, Social Media, YouTube or other healthcare websites to assess the surgeon’s expertise and patient satisfaction.
Verify Credentials: Ensure the surgeon is board-certified in orthopedic surgery and has no history of malpractice. Confirm their experience in PCL surgery or knee ligament treatments.
Evaluate Experience: Experienced orthopedic surgeons are more likely to deliver successful outcomes. Consider how many PCL surgeries they have performed and the complexity of cases they handle.
Assess Hospital Reputation: Research the reputation of the hospital or clinic where the surgeon practices. Choose facilities with a strong reputation for high-quality care, advanced technologies, and positive patient experiences.
Schedule a Consultation: Meeting with the surgeon gives you the opportunity to discuss your concerns, ask about the procedure, and evaluate their approach to care. Pay attention to how well they listen to you and answer your questions.
Check Insurance Coverage: Make sure the surgeon is part of the network of your insurance provider, which can help reduce out-of-pocket costs and ensure you receive maximum coverage.
By following these steps, you can find a qualified PCL surgeon in India who meets your needs and provides top-quality care.
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 PCL 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 PCL Meniscus treatment by patients from across the country.
Why Choose Us?
- The hospital is dedicated Arthroscopy Centre with highest number of PCL and meniscus surgeries.
- This makes every member of the team in your service, highly competent and experienced for PCL 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.
Happy to Serve Pt. From Various Cities
- Mumbai
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