Dr. Barik's Orthocare Clinic

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Dr. Sanjay Barik

Knee & Shoulder Surgeon

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Dr. Sanjay Barik

Knee & Shoulder Surgeon

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Did you know that 7 out of 10 anterior cruciate ligament (ACL) tears can heal without surgery? And for those who do need surgery, Dr. Sanjay Barik’s advanced ACL procedure allows you to return to sports and running within just three months.

Best ACL Repair/Reconstruction Surgery

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  • Do you experience instability, pain, loss of confidence, locking, or clicking in your knee?
  • Is your knee trouble preventing you from enjoying daily activities like running, dancing, trekking, and sports?
  • Has your inability to exercise due to knee issues led to weight gain?
  • Before considering any treatment, make sure you read these important facts about ACL injuries.
Discover proven methods to get back into running and sports within three months after an anterior cruciate ligament (ACL) injury, even if you’re currently dealing with instability, pain, or knee locking.

We Have Solution for Your Problems

After reviewing your MRI films and conducting a knee examination, Dr. Sanajy Barik will recommend the best treatment for your injury.

1. Percutaneous ACL repair without surgery

Seventy percent of ACL tears can heal without surgery. Our goal is to save your ACL, not replace it. The percutaneous ACL repair procedure is ideal for those considering surgery due to a partial or complete non-retracted ACL tear. Orthobiologics treatments harness your body’s natural healing agents to regenerate and repair the ACL by targeting the injury site precisely. This approach promotes natural, effective healing without the need for surgery.

2. All Inside ACL Reconstruction With Fiber Tape Internal Brace

In most cases, ACL reconstruction is necessary due to the nature of the tear. The hamstring tendon is used to create a new ACL, with a sleeve of the original ACL tissue left intact to preserve proprioceptive nerve endings. The tendon is then fixed to the bones using various implants. One common technique is fixation with bio screws, but medical research and clinical studies have shown a 30% failure rate with bio screw fixation, and the recovery can be painful, taking 8 to 9 months to return to sports and running.

Dr. Sanjay Barik specializes in All-Inside ACL Reconstruction with a Fiber Tape Internal Brace. In this technique, screws are not used. Instead, the tendon is fixed to the bone using TightRope RT, TightRope loop, and a Conical Button . An internal brace is created with Fiber Tape, which prevents postoperative ligament laxity, loosening, and graft failure, resulting in a painless and rapid recovery with a 99.2% success rate.

Advantage of All Inside ACL Reconstruction with Fiber Tape

Internal Brace technique over conventional bio screw fixation of ACL:

  • Pin-sized holes are made in the bones instead of larger holes typically required for bio screws.
  • Only one hamstring tendon is harvested, compared to the two needed for bio screw techniques.
  • The Fiber Tape Internal Brace acts like a seatbelt, supporting the hamstring tendon graft and preventing postoperative stretching, loosening, and failure.
  • This results in a more stable and stronger ACL, with a recovery that is faster, painless, and complete.

Get back into sports faster & stronger to win the game and get medals.

  • Experience painless walking without support and achieve 100-degree knee bending just ONE DAY after surgery, compared to the typical one-month recovery time with bio screw procedures.
  • Resume squats and lunges within ONE week post-surgery.
  • Jogging can be resumed after just one month, instead of the usual three months required with bio screw techniques.
  • Get back to running and sports within a mere 3 months following surgery, rather than the extended recovery period of over 8 months associated with bio screw methods.

Ready to get back into sports faster & stronger?

Follow These Simple Steps

Cost Calculator

Click to Whatsapp Your MRI at 7507306684

STEP 1 : WHATSAPP YOUR MRI AT 7507306684

STEP 2 : GET FREE ONLINE CONSULTATION

STEP 3 : FIX APPOINTMENT & MEET DR SANJAY BARIK

STEP 4 : CONFIRM THE DIAGNOSIS AND TREATMENT PLAN

STEP 5 : GET ACL REPAIR

STEP 6 : GET BACK TO SPORTS AND RUNNING IN 3 MONTHS

3. ACL Tear Repair With Fiber Tape Internal Brace

In traditional ACL reconstruction, surgeons often remove all remaining ACL tissue, leading to the loss of crucial proprioception nerve endings vital for knee stability and arthritis prevention. However, our approach involves ACL repair, where no ACL tissue is removed; instead, the torn ACL is repaired and safeguarded by a fiber tape internal brace. This allows us to restore your own ACL without sacrificing any original tissue, resulting in optimal recovery. Athletes can return to sports and running within three months post-surgery, feeling more confident with their knee knowing their own ACL is repaired and preserved.

ACL tears can be effectively repaired, particularly if the avulsion occurs from the femoral end and treatment is sought within a few weeks of the injury. By preserving the original ACL and its proprioception nerve endings, recovery is both complete and swift. The fiber tape internal brace aids in quicker rehabilitation and prevents failure, ensuring a successful outcome.

Early attempts at ACL repair were disappointing due to inadequate technology and the need for prolonged knee immobilization to protect the repaired ligament, often resulting in severe knee stiffness and poor outcomes.

The focus has been on removing the torn ACL and reconstructing it with hamstring tendons or other tissues harvested from different parts of the body. However, with advancements in biological understanding and cellular function, we’ve recognized the crucial role of mechanoreceptor nerve cells in the anterior cruciate ligament. These receptors detect ACL stretch and reflexively activate the hamstrings to protect the ligament from injury. Unfortunately, during traditional ACL reconstruction, these mechanoreceptors are surgically removed, leading to a permanent loss of this reflex, which increases the risk of ACL re-injury and knee arthritis.

With the Fiber Tape Internal Brace, it is now possible to repair the torn ACL. This internal brace protects the repaired ACL during its healing period, allowing for immediate knee mobilization post-surgery. Unlike synthetic ligaments, the Fiber Tape Internal Brace, which is only 2 mm thick, does not replace the original ACL but supports it during healing, preserving the original tissue and mechanoreceptors. This results in better outcomes and quicker returns to sports and work. Patients and athletes experience less pain, swelling, and muscle wasting, and witness improved recovery. The risk of re-injury and future arthritis is significantly reduced, allowing a return to sports within three months post-surgery.

ACL repair with an internal brace differs significantly from ACL reconstruction. It is less traumatic for the knee joint, does not involve harvesting hamstring tendons or drilling large bone tunnels, and allows for quicker recovery with a more confident knee.

4. Anterolateral Ligament (ALL) Internal Brace

The anterior lateral ligament (ALL) is a thin, 4 cm ligament located on the lateral side outside the knee joint. This ligament is crucial for knee stability and is often injured alongside the anterior cruciate ligament (ACL). Studies have shown that if the ALL is damaged during an ACL tear and not repaired during ACL reconstruction or repair, there is a higher risk of ACL surgery failure or re-tear.

The Fiber Tape Internal Brace for the ALL is a minimally invasive percutaneous procedure added during ACL reconstruction or repair. This step significantly improves surgical outcomes by enhancing knee stability and reducing stress on the new or repaired ACL. Patients and athletes experience greater confidence in their knee stability, and the risk of ACL re-tear and surgical failure is significantly reduced with the addition of the ALL Fiber Tape Internal Brace.

While the widespread adoption of InternalBrace technology is revolutionizing ligament injury treatment, it is not the only significant clinical advance in this field. One particular technique, when used in conjunction with the InternalBrace, is proving to be especially effective.

5. ACL Avulsion Repair

Arthroscopic minimally invasive ACL avulsion repair surgery is designed for ACL avulsion with a tibial spine fracture. Our goal is to preserve your original ACL rather than reconstruct it. The tibial spine avulsion, along with the ACL, is fixed to the tibial plateau using a Fiber Tape Internal Brace and TightRope RT. This advanced fracture fixation technique facilitates early mobilization, allowing athletes to return to sports and running within three months post-surgery.

What will happen if you don't take any treatment for your ACL injury?

Partial ACL tear { grade1, 2, sprain }

Delaying treatment can lead to a complete ACL tear, eliminating the possibility of healing without surgery. In that case, you would need to undergo arthroscopic all-inside ACL reconstruction with a Fiber Tape Internal Brace.

Complete ACL tear {grade 3, near complete}

Delaying treatment for several months can result in degeneration of the knee cartilage, meniscus, and thigh muscles. A torn anterior cruciate ligament causes rapid knee degeneration, leading to early onset secondary osteoarthritis and potentially necessitating total knee replacement surgery. Timely treatment is crucial to prevent osteoarthritis, maintain an active lifestyle, and avoid total knee replacement. Following all-inside anterior cruciate ligament reconstruction with a Fiber Tape Internal Brace, patients can resume running and sports within three months post-surgery.

What is the average cost of anterior cruciate ligament ACL reconstruction \ repair in India?

All Inside ACL Reconstruction With Fiber Tape Internal Brace
  • The cost of ACL surgery depends on various factors, including the quality of the hospital, the healthcare facility you choose, the surgical technique, the quality of ACL implants, the expertise of the doctor, and the pre-evaluation of the patient's overall health. India is one of the countries where you can access the best and most advanced ACL reconstruction or repair at a significantly lower cost .
  • Doctors in India are highly professional and expert in their field. The number of ACL/PCL reconstructions performed in India is estimated to exceed 5 million.
  • Our package cost of all inside Anterior cruciate ligament ACL reconstruction with Fiber tape internal brace is 160000 to 300000 , Depending upon which room category you choose in the Our hospital and the quality of the implant.
  • Dr. Sanjay Barik consistently achieves a 100% recovery rate using the advanced arthroscopic Fiber Tape Internal Brace technique, surpassing the traditional bio screw method. This method has shown excellent outcomes in ACL reconstruction, allowing patients to begin jogging within a month and return to sports or running activities within three months. We offer competitive pricing for this procedure in India, with costs varying depending on the chosen hospital room category and the quality of the implant used.
  • Price of ACL reconstruction with bio screw technique is lower as compared to the Fiber tape internal brace technique because of the low price of bioscrew.
  • Additional costs include rehabilitation and surgery of other associated knee injuries like meniscus, PCL, MCL, LCL etc. No ACL surgery can get the best recovery and result without physical therapy, and physical therapy costs are excluded from the surgery amount.

What is ACL?

The ACL, or anterior cruciate ligament, is a critical component deep within the knee joint, which is comprised of three main bones: the femur (thigh bone), the tibia (shin bone), and the patella (knee cap). Along with bones, the proper functioning of the knee involves various other structures such as muscles, other ligaments, cartilage, and bursae.

Ligaments are vital for joint stability, and the ACL is especially crucial because it connects the femur to the tibia. Made predominantly of Type I collagen, which is also found throughout the body’s bones and soft tissues, the ACL is structured to safeguard the knee across its full range of motion. It consists of two bundles: the anteromedial bundle and the posterolateral bundle. The anteromedial bundle tightens when the knee is bent, helping to prevent excessive movement, while the posterolateral bundle tightens as the knee extends. This dual-bundle structure allows the ACL to stabilize the knee during rotation and other movements.

The ACL is particularly susceptible to injury due to its central location in the knee. Since it sits at the pivotal point of the knee, any sudden or twisted force can lead to an ACL injury. These injuries are common in athletic activities but are not limited to athletes; they can occur in anyone and typically happen through similar mechanisms.

In terms of non-contact ACL injuries, these occur without any external impact or forceful contact with another object or person. These injuries often happen during activities that involve sudden stops, rapid changes in direction, or awkward landings, which place intense strain on the ACL without any direct trauma to the knee.

Non-contact ACL injuries occur without any physical fall or collision with objects or other people.

  • Non-contact ACL injuries typically occur during actions such as cutting, pivoting, jumping, or when an athlete steps incorrectly or lands awkwardly from a jump, causing the knee to twist.
  • This type of injury occurs when a person shifts their weight and simultaneously twists the hip, generating considerable torque at the knee joint. This is referred to as a dynamic mechanism of injury.

contact ACL injuries result from a direct hit or blow to the knee, either from an object or another person.

  • This kind of force can often involve other structures of the knee joint due to the external pressure exerted.

Symptoms of ACL injury

Athletes often describe their experiences with ACL injuries, noting key moments like planting their foot, feeling a sudden twist in the knee, and sometimes even hearing a popping sound, followed by an inability to continue playing.

Occasionally, though less commonly, individuals may sustain an ACL injury during play but manage to continue until later when symptoms become more pronounced. These delayed presentations may include symptoms like worsening knee pain, difficulty moving the leg, and noticeable swelling. Some may notice instability in the knee, especially when walking on uneven or inclined surfaces, describing a sensation as if the knee is giving way beneath them.

The pain associated with an ACL injury is typically intense and sharp, often debilitating and hindering leg movement.

Swelling is a common immediate response to the injury, with some cases seeing swelling progressively increase over the next day, persisting for up to a week.

The feeling of the knee giving way can greatly impact confidence during activities such as walking, running, or navigating uneven terrain.

  • Laxity in the knee joint.
  • Feeling of shin bone moving excessively forward.
  • In common words the feeling of dislocation of the knee can happen if I walk or run. Painful weight bearing.

What are the types of ACL injuries?

There are three grade

  • Grade 1: In this stage, the ligament fibers are stretched, but there is no tear. Despite this, the ligament is still able to maintain stability in the knee joint.
  • Grade 2: This involves partial tearing of the anterior cruciate ligament, where roughly half of the fibers are torn or there's an incomplete tear accompanied by bleeding. The knee's stability is compromised as the ACL cannot provide full support. The prognosis for a grade 2 partial ACL tear is generally poor, often necessitating surgery.
  • Grade 3: This is the most severe type of ACL injury, where the ligament fibers are completely torn, resulting in the ligament being split into two parts. Grade 3 injuries are the most common and lead to significant instability in the knee joint.

Manual test to confirm ACL tear

  • Anterior Draw Test: The patient lies supine with the knee flexed at about 90 degrees. The examiner stabilizes by sitting on the toes of the testing leg. Grasping the proximal tibia just below the knee joint, the examiner attempts to move the tibia forward. A positive test is indicated by either a lack of a distinct endpoint or excessive anterior movement compared to the unaffected leg.
  • Lachman Test: With the patient supine, the testing leg is flexed to 20 to 30 degrees. The examiner's hand is positioned behind the tibia, with the thumb on the tibial tuberosity, while the other hand rests on the patient's thigh. Applying anterior force to the tibia, the examiner feels for anterior translation with a soft endpoint. A positive test is suggested by more than 2mm of anterior translation compared to the uninvolved knee.
  • Pivot Shift Test: The patient lies supine with the leg relaxed. The examiner grips the heel of the involved leg while placing the opposite hand laterally on the proximal tibia just below the knee. By applying a valgus force and axial load while internally rotating the tibia as the knee transitions from full extension to flexion, subluxation of the tibia indicates a positive test, accompanied by external rotation of the femur.

Management of ACL injuries

Injuries to the ACL often occur alongside other related injuries, and the presence and severity of these additional injuries can influence the management approach for the ACL injury. A definitive diagnosis is typically confirmed through MRI imaging and a comprehensive physical assessment, providing the most accurate evaluation of the ACL and any associated injuries.

The decision between surgical and non-surgical management of an ACL tear is informed by a thorough analysis of the above diagnostic findings and assessments.

Prevention of ACL injuries

Females exhibit a higher susceptibility to ACL tears compared to males due to several anatomical and hormonal factors. These include a wider pelvis, reduced ACL circumference, increased Q-angle, and smaller intercondylar notch width. Hormonal fluctuations during the pre-ovulatory phase of the menstrual cycle also contribute to this increased risk.

Fortunately, many muscular and neuromuscular risk factors are modifiable. Techniques such as gait correction, knee valgus correction, and activation of quadriceps and hamstring muscles, along with agility and plyometric training, can effectively decrease the likelihood of ACL injuries.

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What is the ACL?

The anterior cruciate ligament (ACL) is located at the center of the knee and serves as the primary stabilizer of the joint. It is a robust ligament connecting the upper thigh bone (femur) to the lower shinbone (tibia), preventing the tibia from moving forward relative to the femur. The ACL ensures smooth, pain-free movement of the knee and prevents instability.

How does acl injury occur?

An ACL tear is one of the most common ligament injuries in the knee. It can occur due to non-contact trauma or a direct hit to the leg. Specific non-contact scenarios where the risk of ACL injury is high include jumping and landing with the knee collapsing inward, pivoting and cutting movements, and sudden twisting and turning.

What is the age group in which ACL tears occur the most?

Research has shown that the most common age group for ACL injuries in males is between 19 and 25 years. In females, ACL injuries are more prevalent between the ages of 14 and 18.

An ACL injury is more common in females?

Female athletes face an eight times higher risk of ACL injury compared to their male counterparts. This heightened risk is attributed to differences in leg alignment and the increased elasticity of their tissues.

What are the signs and symptoms of an ACL tear?

During the injury, you might hear a loud pop and experience immediate pain and swelling in the knee. While running or walking, the knee may feel unstable and give way. Additionally, you might notice symptoms such as knee locking and clicking.

What should I do if I think I have injured my ACL?

After an ACL injury, it is crucial to stop playing sports or running and take a rest. You should follow the PRICE therapy protocol: Protection, Rest, Ice packs, Compression, and Elevation. It is important to see your physician for further evaluation and management.

How will my doctor diagnose an ACL tear?

Your doctor will perform a thorough physical examination of your knee, including important tests such as the Lachman test, anterior drawer test, and pivot shift test, to assess for an ACL tear. An accurate diagnosis of an ACL tear can often be made based on your medical history and the results of these physical examinations. Additionally, your doctor may recommend further imaging tests, such as X-rays and MRI, to identify any associated injuries. This comprehensive approach ensures that all injuries are properly diagnosed and treated.

Can an anterior cruciate ligament tear Heal without surgery?

Yes, if the anterior cruciate ligament tear is grade 1 or there is a sprain in your ligament it can be very well healed with orthobiologics.

What are my treatment options if I have anterior cruciate ligament injury?

If you have a grade 1 or 2 anterior cruciate ligament (ACL) sprain or tear, the injury can be healed using orthobiologics. However, if an MRI reveals a grade 3 tear or a completely torn ACL, keyhole arthroscopic ACL reconstruction is required. This procedure involves creating a new ACL using your hamstring tendon.

For the fastest recovery, the all-inside ACL reconstruction with a FiberTape internal brace is highly effective. After this surgery, patients can walk without pain or support the next day and bend their knee up to 90 degrees without pain. Patients typically resume jogging one month post-surgery and return to running and sports after three months. The success rate of all-inside ACL reconstruction with a FiberTape internal brace is over 99%.

Conversely, if ACL reconstruction is performed using bio screws, recovery time is longer, taking 6 to 7 months to resume running and sports, and research has shown a 30% failure rate with this method.

Can I have reconstruction if I am still growing / in children?

Thanks to advancements in technology and implants, ACL reconstruction can now be performed without interfering with the growth plate. Additionally, if a patient seeks treatment within a few weeks of the injury, ACL repair is a viable option. This procedure involves repairing the torn ACL without the need for replacement or reconstruction, ensuring that the growth plate remains unharmed.

Is ACL surgery worth it? or Are there risks to delaying my Acl reconstruction?

The anterior cruciate ligament (ACL) serves as the primary stabilizer of the knee, ensuring its stability during various movements. When the ACL is torn, the knee loses stability, resulting in a sensation of instability and making activities like sports and running challenging. Delaying treatment can exacerbate the condition, leading to degeneration of knee cartilage, meniscus, and thigh muscles. A torn ACL accelerates knee degeneration, often leading to early-onset secondary osteoarthritis.

Timely treatment is crucial to prevent osteoarthritis and maintain an active lifestyle. All-inside ACL reconstruction with FiberTape internal bracing offers a promising solution. With this procedure, patients can typically resume running and sports activities within three months post-surgery, facilitating a quicker return to an active lifestyle.

What are some techniques to reduce ACL injury risk?

Engaging in ACL injury prevention exercises can substantially lower the risk of ACL injuries. These exercises target core strengthening, balance enhancement, proprioception refinement, and techniques for cutting and pivoting. You can find demonstrations of these exercises on my YouTube channel under the name Dr. Barik’s Orthocare Clinic.

How painful is the anterior cruciate ligament surgery?

ACL surgery using the bio-screw technique, patients commonly experience pain for a few weeks, with bending the knee being particularly uncomfortable. Full knee bending typically requires around 2 months to achieve.

In contrast, with all-inside ACL reconstruction using Fiber Tape internal bracing, postoperative pain is minimal. Patients can comfortably bend their knees up to 100 degrees starting from the day after surgery and walk without support or pain. Complete knee bending is usually attained within 2 to 3 weeks.

How painful is the anterior cruciate ligament surgery?

ACL surgery using the bio-screw technique, patients commonly experience pain for a few weeks, with bending the knee being particularly uncomfortable. Full knee bending typically requires around 2 months to achieve.

In contrast, with all-inside ACL reconstruction using Fiber Tape internal bracing, postoperative pain is minimal. Patients can comfortably bend their knees up to 100 degrees starting from the day after surgery and walk without support or pain. Complete knee bending is usually attained within 2 to 3 weeks.

What is the fastest way to recover from anterior cruciate ligament surgery?

The all-inside ACL reconstruction with FiberTape internal brace surgery boasts the swiftest recovery period. Patients undergoing this procedure can typically begin jogging again within one month post-surgery and resume running and sports activities within three months.

Do they use screws in the anterior cruciate ligament surgery?

Many surgeons opt for bio or titanium screws in ACL reconstruction surgery. However, research worldwide has indicated a concerning 30% failure rate associated with screw-based procedures. For athletes seeking a rapid recovery with minimal risk of failure, the All-inside ACL reconstruction with Fiber TAPE INTERNAL brace presents an appealing option.

This innovative surgery utilizes small adjustable button loops for ligament fixation, providing enhanced stability. Surgeons like Dr. Sanjay Barik employ techniques involving tightrope and Fiber tape by Arthrex to optimize outcomes. Following the procedure, patients can typically resume running and sports activities within a remarkably short timeframe of just 3 months.

How long I will be on crutches after anterior cruciate ligament surgery?

Following an all-inside anterior cruciate ligament (ACL) reconstruction with Fiber tape internal brace, patients typically do not need crutches for walking. They can walk comfortably and without pain as soon as one day after surgery. In contrast, with ACL reconstruction using bio or other types of screws, the need for crutches depends on the level of pain experienced by the patient. Typically, patients undergoing bio screw surgery may require crutches for two to three weeks post-operation.

Is walking good for anterior cruciate ligament surgery recovery?

After undergoing ACL reconstruction surgery, patients are encouraged to engage in all their daily activities, including walking, starting as early as the day following the procedure. Walking plays a crucial role in facilitating a speedy recovery post-surgery. With the innovative approach of all-inside ACL reconstruction utilizing Fiber tape internal brace, patients can typically resume walking without pain and without the need for support within just one day of the surgery.

How long do you wear a brace after anterior cruciate ligament surgery?

Following surgery, a knee extension brace is prescribed for a duration of 3 weeks. During exercises, patients are instructed to remove the brace.

How long will I be off work after anterior cruciate ligament surgery?

With all-inside anterior cruciate ligament reconstruction utilizing Fiber tape internal brace, patients typically resume work within 7 to 10 days post-surgery due to the rapid and relatively pain-free recovery. However, for procedures involving alternative methods such as bio or Titanium screws without internal bracing, patients may require an extended period at home before returning to work, often ranging from 45 to 60 days.

How long does anterior cruciate ligament surgery take?

It takes 30 to 40 minutes.

Why is ACL surgery recovery so long?

In ACL reconstruction, a new ACL is fashioned from the patient’s own hamstring tendon, which is then affixed to the bone using either a bio screw or an adjustable loop button. The recovery timeline hinges on the type of fixation device employed. Typically, with bio screw fixation, recovery spans 6 to 7 months before patients can safely resume running and sports activities. Conversely, the all-inside ACL reconstruction with Fiber tape internal brace offers a swifter recovery. With this method, patients can often return to running and sports within just 3 months post-surgery. When hamstring tendon is utilized as the ACL, it generally takes around 6 months for the tendon to fully revascularize and regain strength. However, the Fiber tape internal brace in the all-inside ACL reconstruction alleviates stress from the healing tissue, enabling earlier resumption of physical activities. This approach significantly reduces the risk of graft lengthening and re-tear.

Is it bad to wait for ACL surgery?

The majority of patients opt for surgery within one or two months following the injury. Delaying beyond this timeframe can result in degeneration of knee cartilage, meniscus, and thigh muscles. Ideally, patients should wait for 1 to 2 weeks to allow inflammation and swelling to subside before undergoing surgery. If the patient presents within 3 to 4 weeks of injury, ACL repair with Fiber tape internal brace emerges as a favorable option over ACL reconstruction in certain cases.

Can you walk with a torn anterior cruciate ligament?

An anterior cruciate ligament tear, you may initially experience pain and swelling, which typically subside after a few days. Despite the tear, you might find that you can still walk, albeit with some discomfort.

How serious is torn anterior cruciate ligament?

In general, individuals with an ACL tear can typically carry out their daily activities, such as walking, but may struggle with more strenuous activities like running and participating in sports due to knee instability. However, opting out of ACL treatment can lead to degeneration of the knee, potentially resulting in osteoarthritis within 10 to 15 years following the tear.

Is anterior cruciate ligament surgery a major surgery?

Arthroscopic surgery is the preferred method for anterior cruciate ligament (ACL) reconstruction, characterized by its minimally invasive nature. This pinhole surgery offers rapid recovery, minimal discomfort, and negligible blood loss.

Can I Climb stairs after the anterior cruciate ligament surgery?

With All-inside ACL reconstruction using Fiber tape internal brace, patients often find they can manage stairs as soon as one day post-surgery.

What happens if ACL injury is not treated?

Without treatment for a torn anterior cruciate ligament, the patient’s ability to engage in daily activities such as running, dancing, and playing sports may be severely compromised. Over time, the thigh muscles may undergo degeneration and atrophy, resulting in a loss of strength and function. Additionally, the persistent instability of the knee can accelerate degeneration of the cartilage and other structures within the joint. Ultimately, this can lead to the development of secondary osteoarthritis in the knee within a few years.

How do you tell if an ACL is torn or sprained?

A complete tear of the anterior cruciate ligament often leads to knee instability, making it challenging for the patient to engage in active sports and running. Additionally, they may experience frequent episodes of knee twisting.

What is worse: ACL or MCL tear?

Both the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL) play pivotal roles in maintaining knee stability. Complete tears of either ligament typically necessitate surgical reconstruction to restore function and stability to the knee.

How do you tell if you Retore your ACL?

If your anterior cruciate ligament tears again, you’ll likely experience familiar symptoms such as knee instability and a loss of confidence in the joint’s stability.

What does a torn ACL feel like after a week?

After approximately a week from the injury, the pain and swelling in the knee typically diminish. However, if the anterior cruciate ligament is completely torn, you may begin to notice instability in your knee. This instability can lead to a loss of confidence in activities such as running and playing sports.

Can I live without an ACL?

Living without an anterior cruciate ligament (ACL) can significantly impact your ability to engage in activities like running, dancing, and sports. Over time, the absence of the ACL can lead to the development of osteoarthritis in the knee joint, typically within 10 to 15 years. Eventually, this may necessitate undergoing total knee replacement surgery in the future.

How do you strengthen your ACL?

Engaging in exercises specifically designed to prevent anterior cruciate ligament injuries can significantly reduce the risk of experiencing such an injury for athletes.

What exercises will strengthen my ACL?

Strength training, encompassing eccentric exercises, along with balance training, proprioception exercises, and functional drills, serves as a preventive measure against anterior cruciate ligament injuries.

Does a Grade 1 ACL tear need surgery?

A Grade 1 anterior cruciate ligament tear can often heal fully with orthobiologics treatment, eliminating the necessity for surgery.

How much does ACL surgery cost?

The cost of arthroscopic all-inside anterior cruciate reconstruction with a Fiber tape internal brace ranges from 1.7 lakh to 3.5 lakh rupees, depending on factors such as the specific implant chosen and the room category selected at the hospital.

How successful is ACL surgery?

Arthroscopic anterior cruciate ligament reconstruction, particularly with the all-inside technique using Fiber tape internal brace, boasts an impressive success rate of 99.9%. With this approach, patients often regain the ability to run and participate in sports within a mere 3 months post-surgery. In contrast, traditional arthroscopic ACL reconstruction utilizing bio screws achieves a success rate of around 70%.

Is surgery always needed for a torn ACL?

For a young patient with an anterior cruciate ligament tear and no signs of advanced osteoarthritis, surgical treatment is recommended. This proactive approach helps prevent the accelerated onset of secondary knee osteoarthritis.

Why do ACL reconstructions fail?

The success of anterior cruciate ligament reconstruction surgery depends on several factors, including the precision of the procedure, the stability of fixation devices like screws, the effectiveness of rehabilitation, and the prevention of complications such as infections. With traditional bio screw surgery, there is a notable 30% failure rate. However, in all-inside ACL reconstruction with Fiber tape internal brace, the failure rate is practically negligible. This is because the Fiber tape functions like a seat belt for the new ACL, providing robust support against graft failure, loosening, and stretching.

What can go wrong with ACL surgery?

Precise positioning of the femoral and tibial tunnels is crucial for the success of anterior cruciate ligament surgery. If the tunnel placement during surgery is not accurate, it could increase the risk of future failure of the ACL reconstruction.

Is second ACL surgery easier?

Performing a second anterior cruciate ligament (ACL) surgery presents challenges, especially when there’s an existing implant in the tibia and femur, whether it’s a screw or an adjustable loop button. Revision ACL surgery using screw fixation poses a higher risk of failure due to potential tunnel widening and graft looseness. In contrast, opting for an all-inside anterior cruciate ligament reconstruction with Fiber tape internal brace proves advantageous for revision ACL surgeries. This approach doesn’t rely on the condition of the intramedullary bone and tunnel. Instead, fixation occurs on the cortex, offering more stability and reducing the risk of failure associated with tunnel-related issues.

Is ACL surgery safe?

Yes ACL surgery is safe.

Can an ACL tear heal without surgery?

In cases where the anterior cruciate ligament tear is classified as grade 1 or involves a ligament sprain, orthobiologics can often facilitate effective healing.

How soon can you walk after ACL surgery?

With all-inside anterior cruciate ligament reconstruction using a Fiber tape internal brace, patients can often resume walking without assistance and experience minimal pain within just one day after surgery.

What is the fastest way to recover from ACL surgery?

The all-inside ACL reconstruction with Fiber tape Internal brace surgery offers the quickest recovery period. Patients undergoing this procedure can typically resume jogging within one month and return to running and sports activities within just 3 months post-surgery. For those experiencing knee pain or mobility issues, Dr. Sanjay Barik provides comprehensive exams and evaluations. Our clinic accepts various forms of insurance for your convenience. Please don’t hesitate to reach out to schedule an appointment.

Ready to get back into sports faster & stronger?

Follow These Simple Steps

Cost Calculator

Click the button below to get the cost now
Click to Whatsapp Your MRI at 7507306684

STEP 1 : WHATSAPP YOUR MRI AT 7507306684

STEP 2 : GET FREE ONLINE CONSULTATION

STEP 3 : FIX APPOINTMENT & MEET DR SANJAY BARIK

STEP 4 : CONFIRM THE DIAGNOSIS AND TREATMENT PLAN

STEP 5 : GET ACL REPAIR

STEP 6 : GET BACK TO SPORTS AND RUNNING IN 3 MONTHS

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Dr Sanjay Barik - Sports Injury, Arthroscopy & ACL EXPERT | Orthopedic Surgeon : Nagpur

WhatsApp Us : 09021924036

Phone : 08788453092

Dr. Barik’s Orthocare Clinic, Central Bazar Road, Opposite Lokmat building, Lokmat Square, Ramdaspeth, Nagpur, Maharashtra 440012