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Anterior Cruciate Ligament (ACL) Repair

Anterior Cruciate Ligament (ACL) Repair, a distinct orthopedic procedure from hip replacement surgery, focuses on addressing damage or injury to the ACL in the knee joint. Unlike hip replacement, ACL repair is targeted at restoring stability and function to the knee, particularly in cases where the ACL, a crucial ligament, has been torn or ruptured due to trauma or sports-related injuries. The ACL repair procedure involves:

1. Graft Harvesting: The surgeon typically harvests a graft, often from the patient's own hamstring or patellar tendon, or from a donor source.

2. Tunnel Creation: Small tunnels are drilled into the tibia and femur, replicating the natural path of the ACL.

3. Graft Placement: The harvested graft is then threaded through these tunnels and secured in place using various fixation devices.

4. Rehabilitation: Post-surgery, rehabilitation and physical therapy play a pivotal role in the recovery process, aiding in the gradual restoration of knee strength and function.

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ACL repair is geared towards providing patients with improved knee stability, reduced pain, and enhanced mobility. Unlike joint replacement surgeries, which involve the introduction of artificial components, ACL repair aims to preserve the natural anatomy of the knee joint.

The decision to undergo ACL repair is typically made following a thorough evaluation by an orthopedic specialist. Factors such as the patient's overall health, the extent of ACL damage, and the individual's activity level are taken into consideration. ACL repair is often recommended for individuals, particularly athletes, seeking to return to a high level of physical activity.

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ACL repair is a knee-focused procedure that aims to restore the integrity of the anterior cruciate ligament. Both surgeries have distinct goals and are tailored to specific orthopedic conditions, with the choice between them depending on the nature and location of the joint problem.

FAQ

Choosing Dr. Praveen Kumar and his team for your orthopedic surgery is a decision grounded in a compelling combination of expertise, experience, and a commitment to excellence. Dr. Praveen stands out as a Consultant Orthopaedic Surgeon with a senior role in Orthopaedics, Arthroscopy, Sports Medicine, and Joint Replacement at Kinder Hospitals in Cochin and Cherthala. His extensive background in Orthopaedics and Trauma Care, coupled with a notable reputation as a highly-skilled arthroscopic surgeon specializing in knee and shoulder surgeries, speaks volumes about his proficiency.

Dr. Praveen's educational journey, including graduation from Thrissur Medical College and completion of MS in Orthopaedics from Mahatma Gandhi Memorial Government Medical College, Indore, reflects a solid academic foundation. Moreover, his Fellowships in Arthroscopic Surgery, Sports Medicine, and Joint Replacement, with international training at The Severance Hospital, Yonsei University, Seoul, showcase a commitment to staying at the forefront of advancements in the field.

The numerous accolades earned by Dr. Praveen, such as the S.G. Krishnan Fellowship in Arthroscopy and Sports Medicine, further attest to his dedication to excellence. His advanced training in Complex Joint Replacements and Revision Joint Replacement surgeries at Maxx Hospital, Chandigarh, and expertise honed through training in Advanced Arthroscopic Shoulder Surgery at international institutions like Prince Wales Hospital, Hong Kong, and ALPS Shoulder Institute, France, underscore his commitment to continuous learning.

Beyond his individual accomplishments, Dr. Praveen leads a team that mirrors his dedication and proficiency. The team at Kinder Hospitals is collectively focused on providing top-notch care in Orthopaedics, Arthroscopy, Sports Medicine, and Joint Replacement. Their collaborative efforts and specialization in a range of orthopedic areas make them a comprehensive choice for patients seeking excellence in musculoskeletal care.

Dr. Praveen's involvement as the consultant Orthopaedic Surgeon for the Kerala Blasters Football Club and his roles as a Sports Medicine Specialist for FFA Football Academy and RS Sports Academy demonstrate not only his expertise in surgical interventions but also his commitment to the broader field of sports medicine.

In summary, choosing Dr. Praveen Kumar and his team ensures access to a highly skilled and experienced orthopedic surgeon, backed by a dedicated team, advanced training, and a commitment to delivering exceptional care. The combination of academic prowess, international exposure, and a passion for advancing orthopedic knowledge positions Dr. Praveen and his team as a compelling choice for those seeking orthopedic surgery of the highest standard.

Anterior Cruciate Ligament (ACL) repair surgery is typically recommended for individuals facing significant knee instability and functional limitations due to various conditions affecting the ACL. The major reasons for ACL repair surgery include:

1. ACL Tear: The primary reason for ACL repair is a tear or rupture of the anterior cruciate ligament. This often occurs during sports activities or traumatic incidents where the knee undergoes sudden, forceful movements like twisting or hyperextension.

2. Sports Injuries: ACL tears are frequently associated with sports injuries, particularly in activities that involve sudden stops, changes in direction, or jumping. Athletes participating in sports like soccer, basketball, and skiing are at higher risk.

3. Ligament Instability: When the ACL is torn, it can result in knee instability, making it challenging to perform daily activities or participate in sports without the risk of the knee giving way.

4. Degenerative Changes: Over time, wear and tear on the ACL, especially in individuals engaged in high-impact activities, can lead to degeneration and weakening of the ligament, making it susceptible to tears.

5. Functional Impairments: ACL tears can cause functional impairments such as difficulty walking, climbing stairs, or participating in physical activities. Repairing the ACL aims to restore stability and function to the knee.

It's crucial to note that the decision to undergo ACL repair surgery is individualized and depends on factors such as the severity of the ACL tear, the individual's activity level, and the overall health of the patient. Prior to recommending surgery, healthcare professionals often explore conservative treatments, including physical therapy and rehabilitation. ACL repair surgery is typically considered when these conservative measures prove insufficient in restoring knee stability and function.

The timing for discharge after ACL repair surgery can vary based on individual factors, surgical technique, and hospital policies. Generally, patients can expect to stay in the hospital for a short duration following ACL repair. Here's a general timeline:

1. Day of Surgery: After the ACL repair surgery, you will be monitored in the recovery area before being transferred to your hospital room once stable. Initial focus will be on pain management and monitoring postoperative recovery.

2. First 24 to 48 Hours: During this period, pain management will continue, and the healthcare team will assess your ability to move and perform basic activities. Physical therapy may begin to aid in the initial stages of rehabilitation.

3. 1 to 2 Days: In many cases, patients are discharged within 1 to 2 days after surgery, depending on factors such as pain management, mobility, and overall recovery progress.

4. Post-Discharge Rehabilitation: Following hospital discharge, rehabilitation and recovery continue at home or through outpatient physical therapy sessions. Adherence to prescribed exercises and rehabilitation protocols is crucial for optimal recovery.

The decision to discharge a patient is based on various factors, including pain control, mobility, wound healing, and overall medical stability. Before discharge, the healthcare team will provide detailed instructions for home care, including pain management, rehabilitation exercises, and follow-up appointments. Diligent adherence to these instructions is essential for a successful recovery after ACL repair surgery.

Embarking on the journey of recovery after ACL Repair (Anterior Cruciate Ligament) surgery, envision the prospect of seamlessly reintegrating into your professional realm with renewed vigor. For those engaged in sedentary vocations, the prospect of reclaiming your workspace beckons within a conservative 4 to 6 weeks, a testament to the swift orchestration of your triumphant return. Should your professional pursuits involve moderate physicality or standing, anticipate a graceful reentry within 6 to 12 weeks, where each step resonates with the melody of progress. For individuals in physically demanding professions, the crescendo of your return may unfold over a transformative period of 3 to 6 months, marked by the meticulous sculpting of strength and resilience. As you navigate this dynamic landscape of recovery, guided by the expert choreography of healthcare professionals and the rhythm of tailored rehabilitation, envision a triumphant return to your professional stage. Let the applause be a reflection of your resilience, and the encore, a celebration of your revitalized kinetic prowess.

While an ACL (Anterior Cruciate Ligament) injury can be a significant setback, it doesn't necessarily mean the end of your football career. Many athletes have successfully returned to play after ACL injuries, particularly with advancements in medical treatment and rehabilitation. However, the road to recovery and returning to the football field requires careful and diligent management.

The timeline for returning to football after an ACL injury varies and depends on factors such as the severity of the injury, the type of treatment (conservative or surgical), individual healing, and the effectiveness of rehabilitation.

Here are some key points to consider:

1. Conservative Treatment: In some cases, especially for partial tears or mild injuries, conservative treatment without surgery may be an option. This typically involves physical therapy and rehabilitation to strengthen the surrounding muscles and improve stability.p>

2. Surgical Intervention: For more severe ACL injuries, surgery may be recommended to reconstruct the torn ligament. Surgery is often followed by a comprehensive rehabilitation program to regain strength, stability, and flexibility.

3. Rehabilitation: Rehabilitation is a crucial aspect of recovering from an ACL injury. It involves targeted exercises, physical therapy, and a gradual return-to-play protocol. The duration of rehabilitation varies, but it often spans several months.

4. Consultation with Healthcare Professionals: Your orthopedic surgeon, physical therapist, and other healthcare professionals will play a vital role in guiding your recovery. They will provide personalized advice based on your specific situation, progress, and goals

5. Gradual Return to Play: Returning to football should be a gradual process. It involves progressive stages, starting with low-impact activities and gradually introducing more football-specific movements. Clearance from your healthcare team is crucial before resuming full-contact play.

6. Risk of Re-Injury: It's important to acknowledge that there is a risk of re-injury after an ACL tear. However, with proper rehabilitation, strength training, and injury prevention measures, many athletes successfully return to their sport without complications.

Every individual's situation is unique, and success in returning to football after an ACL injury depends on various factors. Consultation with healthcare professionals, adherence to rehabilitation protocols, and patience are key components of a successful return to play. If you're facing an ACL injury, it's recommended to work closely with your medical team to make informed decisions about your recovery and potential return to football.