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What is an ACL Tear?

A tear in the anterior cruciate ligament is known as ACL tear. It is one of the major ligaments in the knee. Athletes and women who wear high heels for long hours are likely to suffer from an ACL tear often. ACL tear is commonly witnessed in players related to soccer, football, cricket, basketball etc where sudden jumping, landing and other such body movements are required. The surgery to reconstruct a torn or injured ACL is known as ACL Reconstruction.

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Overview

ACL Tear
ACL Reconstruction Recovery
  • Surgery healing takes 4 to 8 weeks.
  • Full recovery usually takes 4 to 9 months
Swelling after ACL Reconstruction
  • Swelling typically persists for 4 to 6 weeks.
  • Elevate your leg and apply ice packs to the knee, for 20-30 minutes every 2 hours.
Most common choices of graft for ACL reconstruction
  • Patellar tendon autograft
  • Patellar tendon allograft
  • Hamstring autograft
  • Quadriceps tendon autograft
Return to sports after ACL Reconstruction
  • Athletes can return to pivoting sports after 4 to 8 weeks
  • Athletes can return to regular sports after about 8 months. Make sure to take your orthopedic surgeon’s approval before returning to sports.
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ACL Tear Treatment in Delhi

Diagnosis of a Torn ACL

The orthopedic doctor will begin the diagnosis with a physical examination to check the swelling in the knee. The ACL tear doctor will also recommend diagnostic tests like X-rays, MRI scans and arthroscopy for a detailed and thorough diagnosis and to rule out any fractures. Additionally, your ACL tear doctor may also perform the Lachman’s test and a pivot to check if the ACL is still intact or to assess ACL tears.

ACL Reconstruction Surgery

The surgery to repair a torn ACL is known as ACL reconstruction. Pristyn Care’s ACL tear surgeons in Delhi perform the surgery with the minimally invasive arthroscopic approach. During the arthroscopic ACL tear surgery in Delhi, the surgeon will make small incisions around the knee, usually 2 or 3 instead of one large incision used in the open surgery.

Most ACL tear surgeons in Delhi use arthroscopic approach to perform ACL tear surgery rather than open surgery because-

  • It is easy to view and access the knee structures.
  • Uses smaller incisions instead of one long incision.
  • It can be performed at the same time as the diagnostic arthroscopy.
  • It involves fewer risks and promotes faster recovery.

If you would like to have additional information on the diagnosis and treatment of ACL tear or if you want to speak to an ACL tear doctor in Gurgaon, please contact us by calling us or using the book your appointment form on the top.

You can visit our best Knee Surgeons in Gurgaon and nearby cities such as GurgaonNoidaFaridabad and Ghaziabad.

In Our Doctor's Word

Dr. Ashish Taneja

MBBS, MS - Orthopaedics

17 Years Experience

"ACL tear is one of the common orthopedic conditions among teenagers and sports player. And yet a common fear I encounter is, 'If I will be able to play sports again?'. Well yes, you absolutely will. All my patients have. The only four pointers are- 1.) Early diagnosis, 2.)Timely treatment, 3.) A little rest, 4.)Basic physiotherapy. Once all four are met, you will be absolutely fine and fit to return to sports again. "

Frequently Asked Questions

Can an ACL tear heal without surgery?

Very minor tears or sprains may heal with non-surgical treatments, lifestyle changes and medication or therapy. But severe or full ACL tears require surgery.

What are the types of ACL injuries?
  • Grade 1- Mild damage to the ACL and the ligament has been slightly stretched but can keep the knee joint stable.
  • Grade 2: This type of ACL injury is often called a partial tear of the ligament in which the ACL stretches and becomes loose.
  • Grade 3: Commonly referred to as a complete ACL tear, the ligament is split into two pieces and the knee joint becomes unstable.
When is it safe to return to sport after ACL tear surgery?

The best time to return to sports after ACL tear surgery is when your knee feels normal and you feel confident and okay. It is a good thing to get the approval from your ACL tear doctor before returning to sports after your surgery.

How does an ACL injury feel?

If you have an injured or torn ACL, you might hear a loud “pop” sound and feel a knee buckle. A few hours after the ACL injury, the knee may have swelling due to bleeding from vessels in the torn ACL. Your knee may also feel unstable or feel like your knee is giving away. If you have symptoms of an ACL tear or injury, book your appointment with our ACL tear doctors for the best ACL tear treatment in Delhi.

How long does it take to recover from ACL surgery in Delhi?

The patient can walk the very next day after ACL surgery. Full recovery along with physiotherapy will take 2-3 months post ACL surgery in Delhi.

Is ACL surgery in Delhi performed under anesthesia?

ACL surgery in Delhi is carried out under the influence of general anesthesia or local anesthesia, depending on the specific procedure.

Can you ride a bike with a torn ACL?

After diagnosis, an orthopedic doctor can provide the best answer for this. In the case of a severe ACL tear, the doctor would suggest you to completely avoid strenuous activities that may cause knee pain. Consult the best orthopedic doctors for an ACL tear in Delhi at Pristyn Care.

What tests are needed for the diagnosis of ACL tear?

The doctor may ask you to take a few more tests such as X-ray and MRI. You can now consult the most trusted orthopedic doctors in Delhi for ACL tear at Pristyn Care.

Which is the best doctor for ACL surgery in Delhi?

Consult the best orthopedic doctors for ACL surgery in Delhi at Pristyn Care.

What is the ACL?

The knee joint is composed of three major parts: the tibia, the patella, and the femur. The anterior cruciate ligament is responsible for connecting the femur to the tibia and keeping the knee joint stable during movements. The stability and balance provided by the ACL are crucial for movements that involve cutting and pivoting motions in several sports activities.

What does the anterior cruciate ligament do?

The ACL keeps the knee joint stable and aligned by not allowing the shin bone from sliding out of its position. The ligament also helps prevent extreme twisting or rotation of the joint.

How would I know that I have torn my anterior cruciate ligament?

Only a proper diagnosis can help confirm a tear in the anterior cruciate ligament. The diagnosis is done with a physical examination and diagnostic scans including X-rays and MRI scans.

Why do I need ACL reconstruction surgery?

In the case of minor injuries in the knee, when there is a partial tear or an extreme sprain in the anterior cruciate ligament, nonsurgical treatment methods may prove to be effective. However, in more serious injuries when there is a total tear in the anterior cruciate ligament, ACL reconstruction surgery is the only way to properly address the condition. You would be a viable candidate for an ACL reconstruction surgery if:

  • You have an active lifestyle.
  • You are an athlete and wish to return to sports after recovery.
  • The injury is affecting your routine life.
  • The ACL tear is accompanied by another knee injury, like a meniscus tear.
Can I delay my ACL Reconstruction surgery?

It’s not advisable to delay ACL reconstruction surgery as it risks worsening the damage to the knee. After diagnosis, you should discuss your treatment options with your doctor, and try to start the treatment as soon as possible.

How long does the ACL Reconstruction surgery take?

Minimally invasive reconstruction surgery takes about one to one and a half-hour. However, you may be asked to stay in the hospital for a day for observation after the surgery.

What happens after an ACL reconstruction surgery?

Post-surgery, your rehabilitation plan will be started, which will go on for about 6 to 8 months. During the rehabilitation period, you would be taught several exercises and stretches by a trained physiotherapist. These exercises will help strengthen the graft and surrounding muscles.

For how long would I need to use crutches after an ACL reconstruction surgery?

Crutches are used to provide additional support while walking and standing and should be used according to one’s requirement. However, in most cases, patients can walk and stand without support within a week.

How to treat medial collateral ligament or MCL injury?

Most MCL injuries can be treated at home with RICE treatment (rest, ice, compress and elevate)and anti-inflammatory medicine. The orthopedic doctor may suggest the patient use crutches and wear a knee brace/ knee cap that protects the knee but also allows for some movement of the knee. The patient might need to reduce the activity for a few weeks until the MCL injury heals.

What is meniscal repair?

Meniscal repair is an outpatient surgical procedure to repair a torn meniscus using minimally invasive keyhole surgery.

Can ligament injury heal itself?

Some ligament injuries can heal with use of medication, exercise, physiotherapy , rest and RICE treatment. Grade 1 and grade 2 ligament injuries can heal on their own but it may take time. The patient would need proper care and an orthopedic specialist’s supervision for proper and quick healing.

Grade 3 ligament injury is a complete tear of the ligament and typically requires surgical treatment.

What are the 4 major ligaments in the knee?

The 4 major ligaments in the knee are-

  • Anterior cruciate ligament (ACL)
  • Posterior cruciate ligament (PCL)
  • Medial collateral ligament (MCL)
  • Lateral collateral ligament (LCL)
What to do in ligament injury?

Standard medical treatment for knee ligament injury typically includes-

  • Rest
  • Ice pack application (to reduce swelling that occurs within hours of the injury)
  • Compression (from an knee brace or elastic bandage)
  • Elevate the affected leg
  • Prescribed pain relievers

Proper diagnosis and examination by an orthopedic doctor is important after a ligament injury. Consult the best knee doctor in Delhi at your nearest Pristyn Care clinic.

What is the treatment for complete tear of anterior cruciate ligament?

Complete tear of the anterior cruciate ligament (ACL) typically requires ACL reconstruction.

Is knee cap for ligament injury effective?

Wearing a knee cap after ligament injury can help to stabilize the knee and prevent sideways movements that may increase damage to the ligament.

What is ligament repair?

Ligament repair or reconstruction is the procedure to replace or repair a damaged ligament.

What to do in case of a ligament injury at home?
  • Ice the injured knee for 20-30 minutes every 3 to 4 hours to reduce the pain and swelling.
  • Compress the knee.
  • Raise the knee on a pillow while sitting or lying down.
  • Wear a knee brace or knee cap to stabilize the knee and prevent further injury.
  • Take prescribed painkillers.
Can an ACL tear heal on its own?

Partial ACL tear or a sprained ACL can heal with the use of physiotherapy, RICE treatment, rest and pain medication (to manage pain). A complete ACL tear cannot heal on its own as there is no blood supply to the injured ligament. Surgical reconstruction or repair is usually required for a completely torn ACL.

Are braces for MCL tears useful?

A knee brace or knee cap can help to prevent sideways movement of the knee joint and further protects the MCL from instability, strain and pressure. If an MCL tear is severe, the orthopedic doctor may recommend surgery.

Can you walk with a complete acl tear?

It might be possible to walk with a complete ACL tear. However, the person might have a lot of pain and knee instability and a risk of further knee injuries.

When can I go swimming after ACL reconstruction?

It is advised to avoid swimming for 2 to 4 months after surgery. You should get your doctor’s approval before resuming such activities after ACL surgery.

What is the treatment for high grade anterior cruciate ligament tear?

ACL reconstruction or repair surgery is the best treatment for high grade anterior cruciate ligament tear.

What is the success rate of ACL repair?

ACL reconstruction has been a successful procedure, with satisfactory outcomes in 75%- 97% of patients.

What will happen after your ACL reconstruction?

The rehabilitation program begins immediately after the surgery. A physiotherapist will teach you some exercises that will help strengthen your leg and the operated knee. You will also be given some instructions by your surgeon for a proper recovery. These instructions involve ample rest, avoiding sports activities for 4 to 6 months after the surgery, regularly attending the follow-up appointments, and diligently following through with the physiotherapy plan.

Most advanced and less invasive ACL tear surgery in Delhi at Pristyn Care

ACL tear surgery or ACL reconstruction is a commonly performed orthopedic procedure. With recent advances in orthopedic surgery, ACL tear surgery can now be performed with minimal incision and low complications with the arthroscopic approach. The arthroscopic ACL tear surgery makes it easy for the surgeons to view and access the knee structures through smaller incisions. The repair of the torn ACL can be carried out at the same time as the diagnostic arthroscopy with smaller incisions.

ACL tear surgery can be performed as an outpatient procedure, which means that the patient will be discharged from the hospital on the same day after the procedure. However, some patients might be advised to stay overnight at the hospital and are discharged the next day after the surgery. If you are seeking the best ACL tear treatment in Delhi, contact us to book an appointment with our expert ACL tear surgeons in Delhi.

ACL Reconstruction or ACL tear surgery cost in Delhi

  • Minimum cost of ACL tear surgery in Delhi- INR 90,000
  • Maximum cost of ACL tear surgery in Delhi- INR 1,80,000

There are several factors that can influence the cost of your ACL surgery, including the type of implant used, general fee of the surgeon performing the surgery, type of anesthesia used for the surgery and if the patient has any other injuries such as PCL (posterior cruciate ligament). You can get in touch with our team to get an estimated cost of ACL tear surgery for your case.

How can arthroscopic ACL tear surgery benefit you?

Arthroscopic ACL tear surgery can cure the condition and significantly diminish the symptoms so that the individual can lead an active, normal and pain- free life. Successful ACL reconstruction surgery performed by a highly skilled orthopedic surgeon will restore the individual’s knee strength and stability. After undergoing ACL reconstruction surgery in Delhi from Pristyn Care, most people feel more comfortable returning to work and regular life and enjoy pain free movements.

Common Myths and Facts about ACL injury and surgery

Myth- The surgeon needs to cut the knee open to perform ACL reconstruction.

Fact- Unlike the open surgery, arthroscopic ACL reconstruction surgery uses very small incisions.

 

Myth- An ACL can only tear during contact sports from a blunt trauma.

Fact- An ACL injury can happen at any point in your life but commonly occurs during sports or accidents.

 

Myth– You can never play sports again after an ACL tear.

Fact- After your recovery from ACL injury, you will be able to return to sports with the help of regular exercises and physiotherapy. .

 

Myth- ACL injury occurs more commonly in men than women

Fact- Women are two to four times more likely than men to tear the ACL.

 

Interesting Facts about ACL reconstruction surgery and ACL injuries

  • ACL reconstructions are among the most common sports medicine procedures performed in the United States, numbering about 100,000 each year.

Source- <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037119/>

  • In the United States, approximately 200,000 ACL ruptures occur annually.ACL reconstruction is an effective surgery with 75% to 90% of patients reporting good or excellent outcomes. Yet, a significant number of patients (10% to 15%) will require a revision.

Source- <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628627/>

  • A landmark study reported that women were more likely than men to sustain an anterior cruciate ligament (ACL) injury in sex-comparable collegiate sports.Despite intensive research efforts to address ACL injuries among high-risk females, the incidence of ACL reconstruction among 13- through 17-year-old females has continued to increase. Anterior cruciate ligament reconstruction rates for 13- through 17-year-old males are also rising.

Source- <https://jamanetwork.com/journals/jamapediatrics/fullarticle/2631764>

  • The incidence of ACL reconstructions in Australia is the highest in the world, and is increasing. At greatest risk are men aged 20–24 years and women aged 15–19 years

Source- <https://www.mja.com.au/journal/2018/208/8/increasing-rates-anterior-cruciate-ligament-reconstruction-young-australians>

  • Waiting more than 12 months between ACL injury and reconstruction surgery is a risk factor for a tear of the medial meniscus.

Source- <https://www.jospt.org/doi/10.2519/jospt.2013.4295>

How to book an appointment at Pristyn Care, the best clinic for ACL tear surgery in Delhi?

To visit Pristyn Care clinic for your ACL tear treatment or surgery in Delhi, give us a call or schedule your appointment from the “book your appointment form”. Meet with our expert orthopedic doctors in Delhi and discuss the most suitable treatment for your ACL tear. If you cannot visit the clinic for consultation with the doctor, you can also book an online consultation and consult the ACL tear doctor from your home.

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