What is ACL?

The anterior cruciate ligament (ACL) is a band of dense connective tissue that runs from the femur to the tibia. The ACL is a crucial part of the knee joint because it resists translational and rotational loads on the anterior tibia

The two components of the ACL are the smaller anteromedial bundle (AMB) and the larger posterolateral bundle (PLB). The places where the bundles insert into the tibial plateau are the source of their names.

The anteromedial bundle is tight in flexion, and the posterolateral bundle is tight in extension. The two bundles are parallel as well; In flexion, the anteromedial bundle tightens while the posterolateral bundle loosens, and the femoral insertion site of the posterolateral bundle moves anteriorly.

During the Lachman's Test when the knee is extended, the bulky posterolateral bundle prevents the tibia from moving in the opposite direction when it is positioned anteriorly. During the Anterior Drawer Test when the knee is flexed, the anterior medial bundle prevents the tibia from translating anteriorly.

A rupture of the posterolateral bundle results in increases in hyperextension, anterior translation (extended knee), external and internal rotation (knee extended), and external rotation with the knee in mid-flexion. A rupture of the anteromedial bundle causes anteriorolateral instability, which results in minimal hyperextension, minimal rotational instability, and an increase in anterior translation in flexion.

How are ligaments utilized?

Four structures in the knee that resemble ropes or ligaments hold the thigh bone and leg bone in place and prevent them from slipping

Medial collateral ligament (MCL) surgeon Navi Mumbai/kharghar with the highest level of success: This originates on the thigh bone and attaches to the leg bone inside the knee. The purpose of it is to prevent the knee from moving too far to the side

The lateral collateral ligament (LCL): This comes from the thigh bone and attaches to the leg bone. It prevents the knee from turning sideways

The anterior cruciate ligament, or ACL: It prevents excessive rotation and front-to-back movement by inserting into the leg bone from the thigh bone

The posterior cruciate ligament, or PCL, is: whose goal is to stop the knee from moving in the opposite direction

• While moving
• Descending the stairs
• Landing ungracefully from a leap
• Ending out of nowhere
• By direct disaster for the thigh or knee district

The aforementioned mechanisms can be sparked by sports like football, kabaddi, kho-kho, and cricket, among others. accidents involving automobiles or even activities that are part of everyday life

What Happens when the ACL is torn?

Our knee joint is made up of three bones: the thigh bone (femur),the shin bone (tibia), and the kneecap (patella).A Network of tendons and ligaments keeps this structure intact.The insurance and the cruciate tendons play a significant role among them.

The medical collateral ligament is located inside the joint and the lateral collateral ligament is located outside of it. They limit and control knee movement in the direction of the side.

The cruciate ligament, or ACL, is located in the middle of the joint. It is in charge of controlling and limiting the forward and backward knee movements. It has two sections that run diagonally, joining the femur and tibia to keep them in place and creating an "X." Our knee joint is made up of three bones: the thigh bone (femur), the shin bone (tibia), and the kneecap (patella). A network of tendons and ligaments keeps this structure intact. The insurance and the cruciate tendons play a significant role among them.

• Knee flexion restriction

What's a meniscus?

Between the thigh and leg bones in your knee is a cushion of soft cartilage. It acts as a cushion for impact. There are two menisci in each knee: the medial meniscus, which is the inner one, and the lateral meniscus, which is the outer one.

Why To choose Best ACL/Meniscus Repair surgeon in kharghar, Navi Mumbai

The severity of the tear, age, symptoms, and level of activity will all play a role in the course of treatment.If You are looking For the safe and faster recovery from Meniscus Repair Surgery .Dr Sarang aptki is the Best othopedic Doctor in kharghar,Navi Mumbai

Most importantly, the type, size, and location of the injury will be emphasized.

The meniscus's outer third receives ample blood supply. A tear in this "red-red" or the next "red-white" zone may heal on its own (if it is small and stable) or require surgery as a form of repair (if it is large and causes symptomatic locking). However, the overall chance of healing is fairly good.

The inner two-thirds of the meniscus, on the other hand, lack blood supply.This "white" area's poor tear healing is caused by the limited blood supply's lack of healing nutrients. Since the pieces can't recover together, suggestive tears from this zone that have neglected to mend by non-careful administration are generally managed precisely (meniscectomy) - for example Evacuation of simply the piece of meniscus which has not recuperated.

Meniscus root ear deserves special mention:

Degenerative tear patterns are typically seen in middle-aged people. The meniscus is uprooted from its attachment to the leg bone (tibia), typically in the back of the knee, in this type.

The patients feel a lot of pain as a result, which causes:

Having no meniscus at all is the same as having a meniscal root tear. It is incapable of self-healing. As a result, it typically necessitates surgical debridement or repair. The repair option is best for young people who don't have much arthritis before.

• Inability to squat or sit cross-legged; painful weight bearing; restricted and painful knee bending; Treatment:
• Locking (while straightening the knee, it becomes temporarily stuck)
• Even normal jogging becomes difficult to initiate and maintain, despite the fact that normal pace walking is acceptable. The knee feels loose and unsupported.

How can it be diagnosed?

Your orthopaedic surgeon will initially suspect it during a clinical examination and will request an MRI scan to confirm the diagnosis and rule out any associated injuries. A straightforward x-ray cannot show it. despite the fact that x-rays are typically taken first to rule out bony injuries)

There are three grades of ACL injury:

• Grade 1:
  Less than 10% of the ligament's fibers are torn, and the ligament is stretched too much. should recover on its own within a few weeks.
• Grade 2:
  The ligament is still intact, despite the additional tears in the fibers. may recover with a rehabilitation program or need arthroscopic ACL surgery.
• Grade 3:
  The ligament has been completely torn in two. Usually requires knee arthroscopy

How Surgery is performed?

Best ACL / Meniscus repair surgeon in kharghar/ Navi Mumbai uses keyhole surgery to prepare a torn meniscus. It is extremely minimally invasive and can be performed as an outpatient procedure. The success of the procedure is influenced by the patient's age, the location, pattern, and injuries associated with the tear. The primary functions of the menisci are to distribute pressure across the knee during weight bearing for shock retention, to serve as an optional joint stabilizer, to provide articular ligament nourishment and grease, to aid in jointing coasting, to prevent hyperextension, and to ensure the safety of the joints' edges.Get the Better treatment from Dr Sarang patki is the Best Arthroscopy Doctor In kharghar,Navi Mumbai

ACL Surgery Procedure

The femoral condyles glide on the tibial plateau when the knee is flexed and the tibia is in internal rotation. This translation prevents the femur from contracting in the posterior margin of the tibial plateau. There are three zones on the meniscus:

The zones are separated into red, white, and red by vesselization and the possibility of healing. The red red zone is a periphery area of the meniscus. Furthermore, the extraordinary red room has a high pace of recuperating and is very much vascularized. The average and parallel meniscus vascularization of the patients ranges from 20 to 30 to 10 to 25 percent width. The red light zone, located in the middle third, is less vascularized than the red red zone but can occasionally result in heels. It cannot heel because there are no blood capillaries in the white white zone.

The indication for the procedure is that meniscal tears in young athletes or young people can be successfully treated without surgery, but open meniscal repair is required. In younger patients, meniscal lesion repair should be seriously considered if the tear is confirmed to be longitudinal and involves concurrent ACL reconstruction. Complex or degenerative tears, central tears, and knee tears that are unstable have a lower chance of healing. Meniscal tears amiable to fix incorporate unsound years which are under 1 cm long and conveying in the external 20% to 30% to on the outskirts in the purported red zone.

How long will you be in the hospital?

The following day, patients are typically instructed to walk with crutches or a walker. Even though this procedure is often thought to be done in a day care center, we recommend that the patient spend at least two days in the hospital until he or she can safely go out on his own.

Within two weeks, they will be able to walk on their own.

The majority of people can return to their office jobs after the fourth week. Within 5 to 6 weeks, the knee can be fully bent.

By 7-8 weeks, people can drive

Within four months, you can begin simple jogging.

Within nine to twelve months, most athletes can return to their sports.

Best ACL / Meniscus repair surgeon in kharghar/ Navi MumbaiSurgical techniques.Meniscal repair can be performed by open inside, out inside and all inside techniques. But not all the meniscal tears have the ability to heal and the meniscal tear pattern and the presence of adequate vascularity are both key. When meniscus repair is carried out under arthroscopic visualisation in the same manner as the inside out, the outside in and the all inside technique some common steps which are independent of the techniques have to be followed.For the best outcome, the patient can consult with an orthopedic surgeon online For Emergency casescall us at - +91 8369224048

Risks of ACL Surgery:

ACL surgery carries risks just like any other kind of surgery. Generally, surgery may result in:

• Bleeding at the wound
• Infection
• Shock
• Blood clots
• Breathing issues/thrombo-embolism
• Reaction to anaesthesia

With ACL surgery in particular, the risks include:

• Knee pain
• Arthro-fibrosis is knee stiffness.
• Grafts that don't heal
• New graft tear-off
• Complications of the wound: sterile serous discharge at the bio-screw site