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Anterior Cruciate Ligament (ACL)

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Overview

ACL Hospital in Mumbai 

At DR L H Hiranandani Hospital, we provide expert ACL injury treatment in Mumbai, widely recognized for ACL therapy and recovery. We are committed to helping you regain stability and mobility in your knees, with the help of a multidisciplinary team of experts, state-of-the-art technology, and a commitment to excellence.

Our team of ACL surgeons in Mumbai is aware that there are non-surgical options for treating ACL injuries. For this reason, we provide a thorough care pathway that considers every facet of your recuperation process. We support you at every stage, from pre-operative consultations and individualized treatment plans to post-operative rehabilitation and continuous aftercare.

 

What Is an Anterior Cruciate Ligament (ACL) Injury?

An anterior cruciate ligament (ACL) injury is an overstretching or rupture of the knee's anterior cruciate ligament. A tear might be either partial or complete. The thigh bone and shin bone are connected by four primary ligaments:

The medial collateral ligament (MCL) runs along the inside of the knee and keeps the knee from bending inward. The lateral collateral ligament (LCL) runs along the outside of the knee and keeps the knee from bending outward. An experienced ACL surgeon in Mumbai will help you get treated properly.

The anterior cruciate ligament, or ACL, is in the middle of the knee. It prevents the shin bone from sliding in front of the thigh bone. The ACL and the posterior cruciate ligament (PCL) work together. The PCL prevents the shin bone from sliding backward under the femur. To receive treatment for an ACL injury, you must find a reputable hospital. Dr L H Hiranandani Hospital performs expert ACL surgery in Mumbai.

 

How Does the ACL Get Injured?

It is well recognised that sports-related knee injuries can result in an ACL tear. However, it can also tear in domestic mishaps, such as knee jerks or twisting injuries. ACL tears are also frequently the outcome of auto accidents, though in those cases they are more often linked to multiple ligament injuries. 

 

You may suffer an ACL injury if you:

  • Receive a severe blow to the side of the knee, such as during a football tackle
  • Stretch your knee joint too far
  • Abruptly change direction while running, landing after a leap, or turning

In cases of an ACL injury, one needs to look for an experienced ACL reconstruction surgeon in Mumbai, who will help you get back to normal.

Basketball, football, soccer, and skiing are among the sports where ACL tears are commonly seen. ACL tears often occur in conjunction with other injuries. For example, in addition to the ACL, the MCL and the knee's shock-absorbing cartilage (meniscus) are commonly torn.

The majority of ACL injuries happen in the middle of the ligament or when the ligament separates from the thigh bone. These tears leave a gap between the torn edges and do not heal on their own. In such cases, Dr L H Hiranandani Hospital is here to help you. We provide expert ACL surgery in Mumbai.

 

What Are the Symptoms of an ACL Tear?

Early indications:

  • A "popping" sound during the injury
  • Clear knee swelling within six hours of the injury
  • Pain in the injured limb, especially when you try to put weight on it
  • Trouble continuing your sport
  • A feeling of unease

Even those with minor injuries may experience instability or a "giving way" sensation when using their knee. One may hear a "pop" as the ligament tears at the scene of the accident. The knee may swell over time. It can be challenging to maintain balance over the knee, and when one stands or pivots on it, it "gives way" abruptly (buckles). Immediately after an injury, there is a sensation of instability and a severe limp when walking. During such tough times, an experienced ACL surgeon in Mumbai can help you.

 Long-term untreated injuries may cause a person to feel weaker and less confident on the affected side compared to the opposite normal knee. It is challenging to return to sports that require knee twisting and rotation.

When the ACL has been injured for a very long time, the knee may no longer hurt. An experienced ACL surgeon in Mumbai will help you get treated and get back to normal. Dr L H Hiranandani Hospital’s Centre is an advanced set-up in the city of Mumbai that helps in early detection of conditions.

 

How Is an ACL Tear Diagnosed?

The surgeon reviews the patient's medical history and injury history. The laxity of the knee is examined and tested, and any further injuries that may be present are also looked for.

Correlating the clinical diagnosis with X-ray and MRI scan results yields a detailed and accurate diagnosis. It's important to remember that associated injuries within the joint may also need to be treated. If associated conditions are disregarded or ignored, an ACL reconstruction may eventually fail.

 

Our ACL reconstruction surgeon in Mumbai will examine your knee during the physical exam and compare your injured and unaffected knees for swelling and discomfort. To evaluate the joint's range of motion and general health, he or she might also move your knee into several other positions.

The physical exam is frequently enough to make the diagnosis, but testing may be necessary to exclude other causes and assess the degree of the injury. These tests could include:

  • X-rays: To rule out a bone fracture, X-rays might be required. However, soft structures like ligaments and tendons are not visible on X-rays.
  • Magnetic resonance imaging (MRI): An MRI uses a powerful magnetic field and radio waves to produce images of your body's soft and hard structures. An MRI can reveal the full extent of an ACL tear as well as signs of cartilage damage and other knee tissue deterioration.
  • Ultrasound: Ultrasound, which uses sound waves to see within the body, can be used to look for damage to the knee's ligaments, tendons, and muscles.

 

What Is the Treatment for an ACL Tear?

It is advisable to follow the P.R.I.C.E.R. principle right after an injury. A rigid long knee brace and ice are sufficient for initial immobilisation. To confirm the extent of the injury, a proper assessment must be performed at this critical point. Missing this ideal window for early diagnosis could mean overlooking some associated injuries, which, if addressed later, may lead to poorer long-term outcomes. For expert ACL surgery in Mumbai, contact DR L H Hiranandani Hospital.

Not all ACL injuries require surgery to repair. Injuries that need surgery can be treated with specialized arthroscopic procedures, such as arthroscopic ACL surgery (keyhole surgery). If the injury is detected early enough and is repairable, restoring the ligament to its natural position can preserve the native ACL. This is especially true for ACL injuries that cause avulsion of the bone.

ACL reconstruction: Not every ACL injury can be repaired, and the ACL then needs to be rebuilt. The patient's own tissue (hamstring tendon) is extracted and transformed into a ligament during this treatment. Using a special surgical technique, it is then secured into the knee with tiny titanium buttons.

 

Latest, Advanced Technique for Arthroscopic ACL Reconstruction

In the traditional older method of ACL reconstruction, the graft is taken from the front of the knee, so surgical scars are visible on the front of the knee. It also carries some risks, such as concerns about graft quality and potential nerve damage.

Rehabilitation following arthroscopic ACL reconstruction

Three days in the hospital are needed after the procedure for postoperative care, medicines, initial physical therapy, and mobilisation training.

  • A rigid, long knee brace for three weeks
  • A hinged knee brace for 6–9 months
  • Walking is allowed the day after surgery. There is no required duration of bed rest.
  • Crutches or a walker may be used for up to a week, after which one may walk unaided.
  • Knee range-of-motion exercises and physical rehabilitation begin the day after surgery.
  • One can anticipate complete range of motion within one and a half months after surgery.
  • The physiotherapist provides instruction for these exercises during the patient's hospital stay.
  • An exercise program is tailored for sports-specific training.

Return to everyday activities

  • After suture removal (about 10 days), one can resume regular daily activities.
  • Return to athletics is possible 6 to 9 months after surgery, depending on each person's recovery status and the sport they play.

If any further procedures are carried out in addition to an ACL reconstruction, the rehabilitation regimen and recovery time may change. An experienced ACL surgeon in Mumbai will help you deal with this.

 

Why Choose Dr L H Hiranandani Hospital for ACL Surgery in Mumbai? 

DR L H Hiranandani Hospital is a Public Charitable Trust Hospital, founded in honour of the legend, Padma Bhushan Dr L H Hiranandani, and came into existence in February 2004. We are equipped with medical equipment purchased from the foremost vendors in the world. We have a team of expert ACL surgeons in Mumbai who will make sure that you are treated with utmost care.

As a multi-specialty tertiary and quaternary care hospital, we are proud to identify ourselves as a frontline provider of comprehensive healthcare. Within a short span of time from 2004, we have grown from a 130-bed hospital to a formidable 244-bed facility. The expansion not only added beds but also newer service modalities. The hospital was modernized, and we are now in the same league as leading hospitals in the world.

 

Patient Testimonial

  • Mr Melwin Sequeira
    This email is to share my feedback with you on the hospital services availed for my mother's treatment (Shoulder Arthroscopy Surgery).
    She was admitted from Dec 20th to Dec 22nd 2023 under the treatment of Dr Aditya Sai Kadavkolan.
    We are happy with the treatment provided by the doctor. He explained the procedure well and followed up post surgery to ensure everything is fine. 
    We are equally happy with the overall care shown by the hospital staff. 
    I want to make a special mention of Mr Arun Ingavale who helped us with Insurance related TPA paper work which really helped in smooth admission and overall settlement process.

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