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Orthopedics (Bone Diseases)

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ACL / PCL Reconstruction Surgery

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Heritage Hospitals is one of the best advisable choices for ACL/PCL Reconstruction Surgery in Varanasi. With the most technically advanced diagnostic aids available, our panel of highly skilled doctors are always happy to serve you the best recovery. We are committed to assisting patients in restoring knee functionality and getting back to an active lifestyle.

 

Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL) injuries are the most common orthopedic problems, often resulting from sports-related activities, accidents, or other traumatic events. Our board-certified orthopedic surgeons and doctors are dedicated to providing the highest level of care using the latest surgical equipment and technology to ensure the best outcomes for our patients.

 

We follow patient-centric care, and all the doctors in our orthopedics department provide a tailored treatment approach after conducting a comprehensive evaluation, including physical examination and diagnostic reports. We utilize state-of-the-art surgical facilities, like advanced arthroscopy equipment, that enable minimally invasive surgery to assist in faster recovery and reduced postoperative pain.

 

Why Choose Heritage Hospitals For Ligament Reconstruction Surgeries?

 

At Heritage Hospitals, our panel of doctors in the Orthopaedics department are packed with doctors and the best ligament surgeon in Varanasi with over a few decades of experience in dealing with highly complicated cases of ligament injuries. Our specialities include:

 

  • 24x7 emergency consultation and admission.


  • A panel of highly skilled and trained doctors dedicated to your earliest recovery


  • High-end infrastructural facilities and technically advanced operation theaters.


  • Post-operative care facilities and rehabilitation services at their best.


  • Easy access to advanced imaging facilities for appropriate diagnosis.


  • Advanced critical care center to manage intraoperative or postoperative emergencies.


  • Access to high-tech technologies to maintain a sterile environment to reduce the chances of infections.

 

Diagnostic Facilities For ACL/PCL Reconstruction Surgery

 

Heritage Hospitals provides the best diagnostic aids for our patients to plan the right treatment at the right time. A few of the diagnostic facilities available at Heritage Hospital for patients undergoing ACL/PCL Reconstruction Surgery in Varanasi:

 

  • 3 Tesla MRI


  • X-Ray


  • Routine Urine and Blood tests.


  • Physical stress tests, like the Lachman test, Anterior Drawer test, and Posterior Drawer test


  • Diagnostic arthroscopy

 

When is ACL/PCL Reconstruction Surgery Required?

 

The anterior cruciate ligament (ACL), situated in the middle of the knee, is one of the most stabilizing ligaments of the knee. Together with the posterior cruciate ligament surgery, they create a central pivot arranged in a cruciate (cross) pattern. The posterior cruciate ligament (PCL) runs opposite the ACL and joins the femur and tibia. The PCL is the principal stabilizer of the knee and controls the sliding of the tibia beneath the femur in the rear. Excessive sliding of the tibia can result in tearing of PCL and requiring PCL Reconstruction Surgery in Varanasi.

 

Common signs one may experience on ACL/PCL injury:

 

  • Experience a "pop" when the ligament tears.


  • The knee joint might swell over time.


  • Maintaining balance of the knee becomes challenging.


  • Abrupt buckling.


  • The sensation of instability and a severe limp when walking immediately after the incident.

 

Long-term untreated injuries reduce the patient's capability to walk, and the knees' stability is seriously affected. As per our best ligament surgeon in Varanasi, if left untreated for a long time, ACL injury may not cause pain initially, but later, it can result in permanent structural deformity, leading to severe pain.

 

The Procedure for Ligament Reconstruction Surgery

 

The reconstructive surgery is minimally invasive surgery using arthroscopic techniques, along with the usage of fiber optics through minor incisions. A slit tunnel is made, through which the graft is pulled and fixed upon to the bone. A graft of about 70mm is usually opted for the surgery.

 

During the ACL/PCL reconstruction surgery in Varanasi, the primary aim is to replace the torn ligament with a graft ligament and bring about normal joint functioning. A graft is used as a biological replacement to regain the lost activity. The choice of the graft depends on myriad factors, like the patient's age, activity level, and surgeon's preference. There are three types of graft options our surgeons prefer to choose from:

 

  • Autograft - A tissue harvested from a patient's body from a nearby tendon.


  • Allograft - Allograft is a tissue that is harvested from a human donor. The grafts harvested are carefully screened, processed, and stored to minimize the risk of disease transmission.


  • Synthetic Graft - Although less commonly used, synthetic grafts are made from carbon fiber, polyester, or other biocompatible materials.

 

Ligament injuries often result in reduced mobility and stability or related limbs. It can restrict several of the patient's normal routine movements. Post a ligament injury, patients find difficulty in involving themselves in athletic activities. Carrying out a reconstruction surgery in Varanasi of the ligaments can help ease the difficulties in walking. The surgeries can also help to prevent contralateral tear of the ligament to a further extent. The surgery also ensures the preservation of the knee's natural anatomy without further or future deformity involvement.

 

Heritage Hospital's doctors are always available with the best technological and diagnostic techniques for your fastest recovery. Our commitment goes beyond the surgery, as our multi-disciplinary approach ensures the patients get essential post-operative care, proper rehabilitation and physical therapy to regain the strength and flexibility for their knee functions.

Dr. Shwetabh Rai

(MS (Ortho), DNB, MCh)

Designation:  

Senior Consultant Orthopaedics

Category:  

Orthopedics (Bone Diseases)

Specialization:  

Orthopedics

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FAQ’s

When you get injured in the knee, and the physiotherapy is not helping you, you must get your knee checked and undergo ACL / PCL Reconstruction Surgery. It is mainly done for painful and unstable knees.
Arthroscopy surgery is also known as the keyhole technique as it is the least invasive technique for fast recovery. Using the keyhole technique, a small incision is made in your knee area, and an arthroscope is inserted, illuminating your knee joint for better viewing and understanding. Then, the diseased or injured ligament/meniscus/cartilage is repaired, removed, or reconstructed as needed.
Artificial materials to restore or fix ligaments to their original anatomy used in this surgery include the Endobutton system used as a fixation device, Bioscrews are used to provide mechanical fixation at the interval before the graft is fixed, and anchors used for attaching soft tissues.
For ACL/PCL Reconstruction surgery Regional Anaesthesia is used. It is an Anaesthesia injected in the lower spine so the patient doesn’t feel anything below the umbilicus.
The patient is awake throughout the surgery. He can also watch his surgery on the television monitor if he wishes to.
ACL/PCL is a ligament repair surgery and doesn’t take more than 45 to 90 minutes.
Usually No, Ligament Reconstruction surgery patient doesn’t need any ICU care afterwards. However, he might have to stay overnight in the hospital for observation.
There are hardly any complications observed in this surgery. At most, the patient may feel knee stiffness for several days or weeks. In rare cases, chances of infection may arise.
After one hour of the surgery, the patient can take liquid sips. He can move to take something semi-solid on the day of the surgery itself. However, he is advised to avoid any hard or fatty food.
Yes, a person who has been worked up completely on an OPD basis can opt for this. OPD is an outpatient department that discharges the patient if the payment is cleared and there is no longer a need to keep the patient.
The ACL Surgery Cost in Varanasi is about 1-1.50 lacs, but this is not fixed and depends on several variables.
Paying the total surgery cost at once is unnecessary, but the patient must pay at least 80% before the surgery. The rest of the remaining payment can be settled later on at the time of discharge.
Yes, the cost of the surgery can be covered through insurance. Heritage Hospital is empanelled with leading insurance companies. To know more about the same, you can visit our page https://heritagehospitals.com/insurance/3
ACL/PCL Reconstruction Surgery is one in which the patient needs to be observed to monitor if the ligament recovery is happening fine. Thus, a patient must stay at the hospital for at least 2-3 days.
The patient is made for walking the next day after the surgery. However, the patient must wait 4-6 weeks before completely resuming everyday work. However, the recovery period depends on factors like the patient's age, nutrition, pre-existing conditions, etc.
The patient must pay regular follow-up visits 6-9 months after ACL/PCL Reconstruction Surgery. If need be, he might also need to take follow-up visits for a year.