ACL reconstruction is surgery to remake the tendon in the focal point of your knee. The foremost cruciate tendon (ACL) associates your shin bone (tibia) to your thigh bone (femur). A tear of this tendon can make your knee give path amid physical movement.
The vast majority have general anesthesia just before surgery. This implies you will be sleeping and agony free. Different sorts of anesthesia, as provincial anesthesia or a piece, may likewise be utilized for this surgery. The tissue to supplant your harmed ACL will originate from your own body or from a giver. A contributor is a man who has kicked the bucket and gave all or part of his or her body to help other people.
- Tissue taken from your own body is called an autograft. The two most common places to take tissue from are the knee cap tendon or the hamstring tendon. Your hamstring are the muscles behind your knee.
- Tissue taken from a donor is called an allograft.
The procedure is usually performed with the help of knee arthroscopy. With arthroscopy, a tiny camera is inserted into the knee through a small surgical cut. The camera is connected to a video monitor in the operating room. Your surgeon will use the camera to check the ligaments and other tissues of your knee. Your surgeon will make other small cuts around your knee and insert other medical instruments. Your surgeon will fix any other damage found, and then will replace your ACL by following these steps:
- The torn ligament will be removed with a shaver or other instruments.
- If your own tissue is being used to make your new ACL, your surgeon will make a larger cut. Then, the autograft will be removed through this cut.
- Your surgeon will make tunnels in your bone to bring the new tissue through. This new tissue will be put at the same place as your old ACL.
- Your surgeon will attach the new ligament to the bone with screws or other devices to hold it in place. As it heals, the bone tunnels fill in. This holds the new ligament in place.
At the end of the surgery, your surgeon will close your cuts with sutures (stitches) and cover the area with a dressing. You may be able to view pictures after the procedure of what the doctor saw and what was done during the surgery.
Why the Procedure is Performed
If you do not have your ACL reconstructed, your knee may continue to be unstable. This increases the chance you may have a meniscus tear. ACL reconstruction may be used for these knee problems:
- Knee that gives way or feels unstable during daily activities
- Knee pain
- Inability to return to sports or other activities
- When other ligaments are also injured
- When your meniscus is torn
Before the Procedure
Tissue taken from your own particular body is called an autograft. The two most normal spots to take tissue from are the knee top ligament or the hamstring ligament. Your hamstring are the muscles behind your knee. Tissue taken from a benefactor is called an allograft. The strategy is generally performed with the assistance of knee arthroscopy. With arthroscopy, a minor camera is embedded into the knee through a little surgical cut. The camera is associated with a video screen in the working room. Your specialist will utilize the camera to check the tendons and different tissues of your knee. Your specialist will make other little cuts around your knee and embed other restorative instruments. Your specialist will settle some other harm found, and after that will supplant your ACL by following these means:
After the Procedure
A great many people can go home the day of your surgery. You may need to wear a knee prop for the initial 1 to a month. You likewise may require braces for 1 to a month. The vast majority are permitted to move their knee directly after surgery. This may help anticipate solidness. You may require medication for your agony. Non-intrusive treatment can enable numerous individuals to recover movement and quality in their knee. Treatment can last up to 4 to a half year. How soon you come back to function will rely upon the sort of work you do. It can be from a couple of days to a couple of months. A full come back to exercises and games will regularly take 4 to a half year. Games that include fast alters in course, for example, soccer, ball, and football, may require up to 9 to a year of restoration.