ACL Tear Treatment
Diagnosis & Recovery from ACL Tear Surgery
It is common for people who are active and play physical sports to tear their anterior cruciate ligament (ACL). Getting in touch with Krescent Healthcare near you today is the best way to get the most effective ACL reconstruction treatment. ACL tears do not heal on their own and need immediate treatment.
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ACL Tear Treatment
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What is ACL Tear?
As the name implies, anterior cruciate ligament (ACL) injuries occur when the ligament on the inside of the knee is torn or sprained. Typically, an ACL injury occurs in people who participate in sports such as football, basketball, soccer, etc. Often, individuals hear or feel a popping sensation in their knee when an ACL injury occurs.
Severe ACL tears usually don't heal on their own, so prompt treatment is required to relieve constant pain and discomfort. The treatment procedure depends on the type and severity of the injury. During minor ACL tears, rest and rehabilitation exercises can help you regain strength and stability.
Treatment Options
The following are different treatment options for ACL reconstruction surgery:
Surgical treatment option:
Knee ligament repair: In knee ligament repair, a surgeon replaces the degenerated ligament with a healthy tendon. This procedure is performed under anaesthesia. The recovery period for knee ligament repair is fairly short.
Knee arthroscopy: Arthroscopic surgery is a minimally-invasive procedure commonly used for diagnosing and repairing the anterior cruciate ligament. This technique involves inserting a thin, camera-equipped tube into the joint through a small incision on the skin. By providing a clear view of the inside of the knee, the camera aids in assessing the extent of damage. The surgeon then proceeds to address any torn tissues, damaged bone or cartilage, and inflamed or damaged tissues. Finally, the incision is closed with stitches or bandages and the knee is wrapped with a larger dressing.
Non-surgical treatment options:
1. Wrap or bandage the knee to compress it.
2. For faster recovery, take anti-inflammatory drugs such as ibuprofen.
3. Take a few weeks off from activity.
4. Raise the knee above the level of the heart.
5. Several times a day, apply ice to the knee.
Diagnosis
It is important for a doctor to perform a physical exam to assess the swelling and tenderness in the knee. The doctor also moves the knee into various positions to determine its range of motion and overall function. In addition, a doctor may suggest a variety of imaging tests to rule out other causes and assess the severity of an injury. These tests may include:
Ultrasound: This test uses sound waves to visualise internal structures, and ultrasound may be used to detect ligament, tendon, and muscle injuries.
X-rays: An X-ray is usually taken to rule out a fracture, but it does not reveal soft tissues, such as ligaments and tendons.
Magnetic resonance imaging (MRI): Radio waves and a strong magnetic field are used to create images of both hard and soft tissues in your body. An MRI can reveal signs of cartilage damage as well as the extent of ACL injuries.
Benefits of Surgery
Among the benefits of arthroscopic ACL reconstruction surgery are:
Cost-effective: Physical therapy, bracing, and other non-surgical treatments are not as cost-effective as surgery.
Restoration of knee function: Surgical ACL repair is the best option for restoring knee stability and function effectively. The surgery addresses the root cause of the problem by repairing the ACL. This procedure restores stability to the knee and allows the patient to resume normal activities after the torn ACL has been permanently repaired.
Significant symptom relief: ACL tears can cause a number of symptoms, including moderate to severe pain, inability to function, swelling, and weakness. Non-surgical treatment options are effective only in reducing the symptoms. Through them, the torn ACL is not healed. The pain, swelling, and limitations in the affected knee joint can be significantly reduced with arthroscopic ACL reconstruction surgery.
Restoration of knee function: An ACL tear significantly impairs the function of the knee. ACL repair surgery restores knee stability and function effectively by addressing the underlying cause of the tear. ACL reconstruction permanently repairs the torn ACL, restoring stability to the knee and allowing the patient to resume normal activities.
Prevention of further damage: Repairing the ACL protects the cartilage and surrounding knee structures from damage. ACL repair surgery stabilises the knee and prevents strain and possible injury.
ACL Surgery Graft Types: What are They?
As there are many variations of ACL reconstruction, each aims to give the patient the best functioning knee. The variations are determined by the type of graft used. In general, there are three main options:
Allograft
Allografts come from cadaver donors, and they are commonly used for ACL reconstruction. Allografts are not as strong as patient tissues. For a non-competitive athlete, an allograft can function very well and allow a patient to return to their preferred sports and activities. The most important advantages of allografts include decreased operative time, less postoperative pain, and no harvesting incisions.
It is important to note that using tissue from another person carries a small risk of disease transmission. Nonetheless, new screening and sterilisation techniques have greatly reduced this risk. Additionally, these grafts are carefully cleansed and contain minimal protein antigens, minimising the chances of tissue rejection. For those who fall into categories such as casual athletes, those over 40, individuals undergoing repeat or revision ACL surgery, or those seeking minimally invasive procedures, allografts can be a beneficial choice.
Hamstring Autograft
In hamstring autografting, two of these tendons are removed from the back of the thigh and bundled together with sutures to create a tissue graft. Hamstring autografts are commonly obtained from the leg undergoing ACL reconstruction. The major advantage of this method is that it requires a very small incision to harvest the tendons.
It is quite unlikely that you will develop patellofemoral pain or rupture of your patellar tendon. Although the hamstring graft does not have as strong a fixation as the patellar tendon graft, it is still very strong, and fixation methods are constantly improving. Hamstring tendons can also regenerate, just like the patellar tendon.
Patellar tendon autograft
This procedure involves harvesting the central one-third of the patellar tendon from the injured knee. In order to harvest a bone-tendon-bone graft, a small piece of bone from the patella and the tibia is taken when the graft is harvested.
An ACL graft is inserted into the knee using screws, and eventually the graft fused with the surrounding bones of the femur and the tibia. The advantage of a patellar tendon graft is its strong initial fixation. The patellar tendon eventually regenerates in the donor's knee.