Arthroscopic ACL surgical treatment is done to repair a slightly or completely torn anterior cruciate ligament(ACL). ACL wounds explain about 40% of all sporting injuries and can rule to long-term pain and instability. There are two types of ACL knee surgery commonly performed depending on the severity of the damage, ACL repair surgery or an ACL reconstruction.
In most situations, ACL knee surgery is performed arthroscopically these days. by Small holes, a special camera and Surgical tools are inserted into the knee in this Arthroscopic surgical course of action.
It is usually referred to as “keyhole surgery”. The big advantage is that the surgeon can estimate the joint and repair any injuries without fully opening the joint. This speeds up recovery due to less trauma to the knee.
What Is An ACL Injury?
Arthroscopic ACL surgery is recommended when there is meaningful damage to the ACL. The ACL (anterior cruciate ligament) is one of a pair of ligaments in the mid of the knee joint, responsible to provide stability. It is a very strong ligament but if it gets overstressed, the fibres start to tear. With enough force, it can burst completely.
ACL injuries are generally caused by:
1) Sudden, awkward movements of the knee e.g. winding the knee or overextending it
2) Direct blow: to the outside of the knee when the foot is fixed to the ground e.g. in sportsmen wearing studs
3 grades of ACL injury:
Grade 1: The ligament is overstretched and less than 10% of the fibres are torn. Should heal naturally in a few weeks.
Grade 2: Ligaments are intact when most of the fibres are torn. May heal with a rehab programme or may require arthroscopic ACL surgery.
Grade 3: The ligament is completely ruptured i.e. torn in two. Usually requires arthroscopic knee surgery.
Types of Arthroscopic ACL Surgery
Arthroscopic ACL surgery is performed to begin again the stability of the knees.
2 types of Operation to treat ACL injuries and both are done arthroscopically.
1) ACL Repair Surgery:
Arthroscopic ACL repair surgery is performed when the muscle is broken off from the bone (called as an avulsion). The ligament is reattached to the bone and held in place. Repair is sometimes done if the ligament is slightly torn. The surgeon sews the ligament back together in order to heal. However, there is a high failure rate so in most situations, it is better to go for a reconstruction than repair.
2) ACL Reconstruction:
If there is more meaningful damage or current problems with pain and instability, the torn muscle is removed and replaced with an implant, generally taken from your hamstring or patellar tendon.
A reconstruction is much more shared than a repair.
Preparing for Surgery
Performing Operation too quickly is coupled with an increased failure rate due to re-burst of the new transplant. Your Physician will probably want you to wait until:
1) The swelling is reduced
2) You regain complete range of movement at the knee
3) You build up the strength of the quadriceps and hamstring muscles
They may refer you to physio before your operation to urge you started a rehab programme. This will also have a positive impact on the recovery course of action.
What Happens During Surgery?
With both forms of arthroscopic ACL surgery, 2 or 3 small slits are made at the side of the knee. A special camera (known as an arthroscope) is inserted by one hole so that the surgeon can see the level of the damage. Special tools (such as scissors or lasers) are then inserted by the other hole and used to repair or replace any damaged tissue.
What Happens After Surgery?
Arthroscopic ACL surgery is not a fast fix. Both procedures require a few months of rehab to make up the strength and stability of the knee.
Do I Need Surgery?
Many people retrieve from ACL injuries without any need for arthroscopic ACL surgery, already some people with the completely ruptured ligament. It essentially comes down to 2 things, how severely the stability of the knee has been affected and what activities the affected individual does to become normal.
Arthroscopic ACL surgery is consequently indicated in individuals who:
a) want to return to pivoting sports e.g. football, skiing, tennis, rugby, boxing or hockey
b) suffer problems of instability with their knee giving way during their everyday activities
Alternatives to Surgery
Not everybody whose ligament ruptures goes for an arthroscopic ACL surgery. Exercise rehabilitation for fully or a slightly torn ACL appears to make up the strength of the knee ligaments so that they can supply enough stability and sustain for the knee to compensate for the torn ACL. It additionally helps aim the muscles and other ligaments to supply proprioceptive feedback to gain more stability. It typically takes a few months of rehab to completely retrieve from a torn ACL.
Wearing an ACL knee brace might ease sustain and protection to stop the knee from giving way.