In Anterior Cruciate Ligament reconstruction, the torn ligament is removed and replaced with a piece of tendon from another part of the knee or from a deceased donor.
The right doctor to consult for ACL (Anterior Cruciate Ligament) is an Orthopaedic Surgeon along with a Physiotherapist.
ACL - Anterior Cruciate Ligament
Before and after Anterior Cruciate Ligament treatment.
Symptoms of Anterior Cruciate Ligament injury.
The treatment procedure in Anterior Cruciate Ligament.
Implantation in Anterior Cruciate Ligament.
The cost of ACL Reconstruction includes:
Preoperative diagnostic tests cost (some tests that may be required - X-ray, MRI, blood tests, etc.)
Surgery cost (depends on whether there is a requirement for an implant)
Type and quality of implant being used.
Post-Operative cost (depends on the number of follow-up sessions)
Medicine cost (Anti-inflammatory, Pain Killers, Antibiotics, etc.)
Patient's hospital stay
Note: In case of a Meniscus tear, implant placement will be done.
The overall cost of the procedure also varies based on the patient's condition and preferences. Some of these factors are:
Type of hospital and room opted (General, Twin sharing, or single room)
The severity of the disease
Post-surgical complications if it happens (such as knee stiffness, infection, patellar fracture, etc.)
Cost of Blood products (if required)
An extended stay at the Hospital
Cost of Accommodation during follow-ups, in case the patient is not a local resident
If any extra investigations are required
The price varies across the cities. Tier 1 Cities are usualy more expencive thane tier 2 cities. The price for Acl Anterior Cruciate Ligament in different cities in India is approximately in the range of:
| Cities | Min. Cost | Max Cost |
|---|---|---|
| New Delhi | Rs.120058 | Rs.187782 |
| Gurgaon | Rs.123136 | Rs.184704 |
| Noida | Rs.115440 | Rs.192400 |
| Chennai | Rs.123136 | Rs.177008 |
| Mumbai | Rs.126214 | Rs.187782 |
| Bangalore | Rs.120058 | Rs.181626 |
| Kolkata | Rs.115440 | Rs.173930 |
| Jaipur | Rs.107744 | Rs.172390 |
| Mohali | Rs.110822 | Rs.261664 |
| Ahmedabad | Rs.103126 | Rs.170851 |
| Hyderabad | Rs.118518 | Rs.180086 |
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For patients planning to travel abroad it is useful to know the price in destinations popular with medical travellers. The price for Acl Anterior Cruciate Ligament in different countries is approximately:
| Countries | Min. Cost | Max. Cost |
|---|---|---|
| Turkey | USD 2960 | USD 4440 |
| Thailand | USD 3200 | USD 4800 |
| Germany | USD 3200 | USD 4800 |
| Israel | USD 9600 | USD 14400 |
| Singapore | USD 13600 | USD 20400 |
| Malaysia | USD 4400 | USD 6600 |
The success rate is high and varies between 75-97%.
Possible risks of ACL surgery, may include pain behind the kneecap, weakness or stiffness in the knee area.
Prior to having ACL reconstruction surgery, your doctor may order tests to help evaluate the level of your injury. Tests include MRI scans and x-rays to take accurate dimensions of the bones and structures of your knee.
Yes, you will have to incur expenses for:
Medicines that you consume at the hospital are generally covered in the package. Medicines prescribed for recovery are not covered in the package price.
Generally, you only need to spend 12 - 16 hours at the hospital. Post the surgery, you will have to take rehabilitation outside the hospital for 2 to 9 months depending on your case and follow up with the doctor.
Most insurance plans cover ACL Reconstruction surgery. You can check with your insurance provider for a plan that suits your need.
Full ACL tears cannot be healed without surgery, however, partial ACL tears may be ministered effectively with nonsurgical methods, please check with your doctor for the most appropriate treatment option.
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ACL surgery is a process that uses a portion of tendon from the patient having surgery or from a deceased person to rebuild a torn ACL. A kneecap or hamstring tendon might be used as replacement tissue.
Active people, particularly athletes whose activity requires pivoting, are suitable candidates for ACL surgery. This operation is excellent for those who have completed a rehabilitation program but still have knee instability. People who have damaged more than one knee ligament may benefit from ACL surgery.
Children and younger teens who are still growing cannot undergo the same sort of ACL surgery as adults or older adolescents, however recent surgical advancements have made ACL reconstruction surgery accessible for juvenile athletes.
Most ACL repair patients are given an epidural nerve block during their operation rather than being completely asleep under general anesthesia. This epidural is similar to the localized anaesthetia that many women receive after delivery.
ACL reconstruction can be done using a number of various tissues or grafts. The optimal transplant option for you is a personal decision, although some characteristics make certain graft options superior to others. There are two types of grafts: those produced from your own body (autografts) and those obtained from a corpse (allografts).
ACL reconstruction surgery has three main steps:
The orthopedic surgeon creates ports of entry for the arthroscope and surgical equipment by making tiny incisions around the knee joint. The arthroscope is introduced into the knee and a saline solution is delivered to increase the space surrounding the joint. This allows for surgical equipment such as the arthroscopic camera, which feeds video to a display and allows the surgeon to look within the knee joint.The surgeon then examines the components that surround the torn ACL, such as the left and right meniscus and the articular cartilage. If one of these soft tissues has a lesion, the surgeon will fix it.
Following that, the graft will be harvested (unless a donor allograft is used). A segment of tendon from another region of the patient's body is cut to form a graft, which is then joined at either end to bone plugs obtained from the patella and tibia. These plugs aid in the anchoring of the graft that will become the new ACL. Using a flexible guide wire, the surgeon inserts the replacement ACL into the femur and tibia. Screws are used to secure bone plugs and those plugs will eventually fuse with the surrounding bone.
Returning to athletics necessitates ligament healing, muscle strengthening, and the restoration of neuromuscular coordination. The recovery period following ACL restoration is lengthy, arduous, and frequently more difficult than the operation itself. Sports involvement can be resumed roughly 6-9 months following surgery.
Following ACL surgery, the patient will be kept in the recovery room until the anesthesia wears off. A nurse will assist the patient in walking with crutches and will demonstrate how to change the bandage on the wound. The patient will be allowed to leave the hospital the same day. Swelling can be treated with ice packs. Physical treatment will be required to strengthen the muscles that surround the knee.
When the patient is ready to return to work will depend on the type of employment. If the patient has a sedentary job, for example, he or she may be able to return to work within a week of surgery. However, if the patient's employment requires standing all day, putting strain on the repaired knee, returning to work may take up to six weeks.
No, many doctors used to recommend functional braces following ACL surgery. Recent research has shown that wearing a brace does not lessen the rate of ACL re-tear. Wearing one may provide some patients with a sense of security, but it is not required.
ACL repair surgery has a non-surgical alternative. This is referred to as a percutaneous ACL repair. This method includes injecting a concentration of the patient's bone marrow stem cells into the ACL rather than removing the damaged ligament and replacing it with a harvested tendon.
Pain is a highly subjective feeling that varies greatly across individuals. However, because ACL surgery is a semi-elective treatment, we can prepare for pain and use various current modalities to make the surgery a far more tolerable experience.
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