“An ACL can never be repaired once it has been torn. 40% of people can maintain their sedentary lifestyles with occasional sports without surgery. Still, if someone wishes to run/jog, play, or have a sensation of instability and discomfort, surgery is indicated “Dr. Sandeep Singh, a Bhubaneswar ligament surgery expert, noted.

Dr. Sandeep Singh, an orthopaedic surgeon in Bhubaneswar who specialises in joint replacement and sports injuries, is a well-known figure in the city. He has a plethora of experience and is the surgeon of choice for the majority of his patients, who come to him from all over Odisha. He is regularly sought out by patients with complex problems or those who require revision surgery. Dr. Sandeep Singh, Bhubaneswar’s premier orthopaedic expert, has 11 years of clinical experience spanning from fracture care and hamstring repair to complex reconstructive surgery and unicompartmental knee replacements.

He also offers a comprehensive, high-quality orthopaedic treatment for sports injuries and lower limb disorders. Dr. Sandeep also uses advanced surgical procedures to help you heal faster and with less discomfort, such as robotic and arthroscopic (keyhole) surgery. He aims to get his patients back to full function as soon as possible, whether it’s due to a sports injury or arthritis.

Because of his devotion and skill, Dr. Sandeep Singh is regarded as the best orthopaedic expert in Bhubaneswar. To stay up to date on the latest technologies, he attends multiple knee and hip arthroplasty courses. In addition, he is a prolific writer in his field.

One of the main stabilizer ligaments of the knee joint is the ACL (anterior cruciate ligament). One of the most common knee ailments is a tear or injury to the ACL.

“It can happen at any age or in any sport, but it’s more common in young individuals who play sports like soccer, basketball, hockey, or skiing, where rapid stops or changes in direction occur after jumping and landing.” Dr. Sandeep Singh added, “It’s also a common injury in contact sports like kabaddi, wrestling, and American football.”

Aside from athletes, anyone can sustain an injury when undertaking everyday activities such as jumping across a puddle, missing the last stair-step in a hurry, or just climbing a stool.

“An ACL can never be repaired once it has been torn. “Forty percent of people can manage their sedentary lifestyle with occasional sports without surgery,” the expert added. “However, if someone wants to run/jog, play even weekend sports regularly, or if they experience feelings of instability and discomfort, surgery is recommended to protect the knee from repeated damage and future arthritis.”

So, what happens next?

The ‘pop’ sound of an ACL rupture may not be heard in every case of a new injury, so we must seek for other symptoms such as:

1- Pain:

You may not experience pain if you have a mild injury. You may experience pain along the joint line of your knee. Some patients find it difficult to stand or apply pressure to the injured limb.

2- Swelling:

This is more likely to occur within the first 24 hours after surgery. Applying ice to your knee and elevating (lifting) your leg on a stool or two pillows will help to minimize swelling.

3- Difficulty walking:

You may be unable to walk, climb stairs, or walk on the uneven ground due to your injured knee. Some folks complain that their knee joint isn’t as tight as it should be.

4- A restricted range of motion.

If your ACL is damaged, you will most likely be unable to bend and flex your knee as you typically would.

“In a chronic instance, symptoms include: Instability is the most typical symptom of an ACL deficient knee, in which the patient believes his or her knee will buckle in certain movements or positions, particularly while playing sports,” he noted.

What exactly is it?

Ligaments are strong tissue bands that join two bones together. The ACL is one of two ligaments that cross in the middle of the knee and prevent excessive movement of the thighbone (femur) on the shinbone (tibia). When the knee is injured, it is put under a lot of strain.

Who is in danger?

1- Females — due to anatomical variations, muscle strength, and hormonal factors

2- Taking part in soccer, kabaddi, basketball, gymnastics, skiing, and wrestling.

3- A lack of muscle conditioning that can guard against forceful motions.

4- Putting on shoes that don’t fit properly

5- Using shabby sporting equipment or incorrect tactics.

6- Taking part in sports on artificial turf surfaces

What is the procedure for diagnosing it?

-A complete medical history: Your doctor will want to know how you hurt your knee. They’ll examine both knees to discover if the hurting one has a different appearance.

-Clinical exam: Your doctor may ask you to lie down on your back and bend your hips and knees at different angles. They’ll then gently shift your leg around by placing their hands on various regions of it. If any of your bones move abnormally, it could be a sign that your ACL has been damaged.

-X-ray: Although X-rays don’t show soft tissues like the ACL, your doctor may wish to rule out broken bones.

-MRI: This test can reveal both soft and hard tissue. The scan will show if you have a damaged ACL.

Treatment

“Arthroscopy” is a medical term that means “seeing within the joint.” An orthopedic surgeon cuts a small 4mm incision in your skin during this procedure. He inserts an arthroscope (a camera coupled to a pencil-sized tool with a lighting system and lens) into the joint. An enlarged image of the joint is projected onto a giant screen by the camera. The ligament surgery expert in Bhubaneswar added, “Your doctor can see what type of injury you have and treat it as needed.”

The severity of your injuries determines treatment.

First and foremost, there is first aid: If your injury is minimal, all you need to do is apply ice to your knee, elevate your leg, and take a break from walking. Wrap a crepe bandage across your knee to help minimize swelling. Crutches or walkers might assist you in removing weight from your knee.

Analgesics and anti-inflammatory medicines are used to relieve pain and swelling. You may need to have the blood aspirated and steroid injection into your knee if you experience severe pain and swelling.

Knee brace: Some persons with a torn ACL can benefit from wearing a brace on their knee when running or participating in sports. It provides further assistance.

Physical therapy: To get your knee back in functioning order, you may need it a few times a week. You’ll conduct exercises to strengthen the muscles around your knee and help you restore a complete range of motion during your sessions. According to Dr. Singh, Bhubaneswar’s ligament surgery expert, you may be asked to exercise independently.

When all else fails, arthroscopic ACL reconstruction is performed, in which the injured ACL stump is removed through a keyhole and replaced with a graft manufactured from the core of your hamstring muscle or a fiber tape.

“This is often a simple procedure, and patients can resume a brisk walk in six weeks and jog in three months with adequate rehabilitation, such as Proprioceptive and strengthening exercises.” Within six months, you can resume active contact sports. ACL surgery for athletes, in particular, has shown to be a highly successful procedure with contemporary surgical procedures and fastening systems,” he stated.

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