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Essential things,Facts about ACL reconstruction - Acl Tears, New Delhi, India
Knee injuries often occur among active teens, especially athletes, and a torn anterior cruciate ligament (ACL) – a ligament that helps give the knee its stability – is a common knee injury.
When someone tears an ACL, there may be an audible pop or crack at the time of injury and a feeling of initial instability. There could be masked symptoms, later developing extensive swelling. A torn ACL is extremely painful, in particular immediately after sustaining the injury. Swelling of the knee, usually immediate and extensive, can be minimal or delayed. The patient will notice restricted movement, especially an inability to fully straighten the leg. There might also be widespread mild tenderness. If a tear is suspected, the person should immediately stop play or competition. It is important to apply RICE (Rest, Ice, Compression, Elevation) to the knee immediately and to seek medical attention as soon as possible. Surgery is performed more often than not following Anterior Cruciate ligament tears. The decision on whether to operate is based on a number of factors, including the athlete’s age; lifestyle; sporting involvement;
Surgery involves either repairing or reconstructing the torn ACL. With a repair, the existing damaged ligament is sutured (stitched) if the tear is in the middle. If the ligament has detached from the bone (avulsed) then the bony fragment is reattached. Surgical reconstruction of the torn ACL is performed using either an extraarticular technique (taking a structure that lies outside the joint capsule such as a portion of the hamstring tendon) or an intraarticular technique (using a structure from within the knee such as part of the patellar tendon) which will replace the anterior cruciate ligament. After surgery, a person will need to walk with the assistance of crutches, limit physical activity, and wear a full-leg brace for 4 to 6 weeks, depending on the severity of the injury.
Recovery from ACL surgery is a lengthy process that can take from 6 months to a year. Rehabilitation (“rehab”) therapy is needed to help heal the knee and to: restore range of motion, regain strength in the knee, thigh, and shin muscles (and prevent atrophy, the breakdown of muscle tissue), reduce pain and swelling and improve balance. Most people undergo rehab at a center three times a week, with daily exercises they practice at home. Accelerated rehab programs require more frequent therapy and speed up recovery to 4 to 6 months. In the early stages of recovery, you’ll have to wear a leg brace, followed by a knee brace, to reduce the risk of reinjuring the knee. Keeping the knee iced and elevated can help to reduce swelling. Over-the-
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