+91 8668559883 / +91 9403044345 draniketpatil12@gmail.com

Orthopedic Clinic 

Om Hip and Knee Speciality Orthopedic and Physiotherapy Clinic in Kharadi Pune are with facilities like Orthopedic session, Digital Xray and Physiotherapy element in one roof. The expert team of Orthopedic Surgeon, Physiotherapist and in house Digital Xray facility provides complete out-patient care. The clinic has gained trust and reputation among patients within a small period of time and is now the preferred clinic for all orthopedic and physiotherapy patients in Pune and also Outside Of Pune.

We treat patients from all over Maharashtra, India including Pune, PCMC Pimpri Chinchwad, Mumbai, Nashik, Aurangabad, Nagpur, Sangli, Satara, Karad, Kolhapur, Solapur, Ahmednagar. In case you need the first opinion or a second opinion, please feel free to get in touch with us.

What is Knee Ligament Reconstruction?

Dr. Aniket Patil is a Consultant Orthopedics, Joint Replacement, And Arthroscopy Surgeon. He has a special interest in Hip and Knee Surgery, and sports medicine and also Knee Ligaments reconstruction Surgery. He has been trained in prestigious hospitals in Germany and India. Dr. Aniket Patil pioneers in doing computer navigated knee surgery which is better than conventional Knee Replacement. He is known for the best Robotic Knee Replacement Surgeon in Pune.

Multiple ligaments in knee joint keep the knee balanced. Ligaments in knee joint include-

  1. Anterior cruciate ligament
  2. Posterior cruciate ligament
  3. Medial collateral ligament
  4. Lateral collateral ligament
  5. Patellar tendon
  6. MPFL
  7. ALL
  8. Popliteus tendon
  9. PLC

In a knee, joint replacement ligament injury is common especially among athletes, Sports [football, basketball, tennis, etc..], road traffic accidents. Ligament reconstruction is successfully done nowadays with advanced technique and instruments of arthroscopy (Keyhole surgery).

Knee joint and ligaments

In knee joint replacement surgery the anterior cruciate ligament (ACL) is one of a pair of ligaments in the middle of the knee joint that forms a cross, hence the name “cruciate.” There are an anterior cruciate ligament and a posterior cruciate ligament (PCL) in the knee. Both of these ligaments stabilize the knee from front to back during normal activity or physical exertion.

The medial and lateral collateral ligaments stabilize the knee from side-to-side, allowing the knee to hinge into flexion (bent position) and extension (straightened position). The weight-bearing surfaces of the knee are covered with a layer of protective cartilage. There are also “shock absorbers” on either side of the knee joint between the cartilage held in the femur and the tibia. These shock absorbers are formally named the medial meniscus and the lateral meniscus. These are horseshoe shaped and help to both centers the knee joint during activity and minimize the stress on articular cartilage.

Symptoms of ligament Tear

  1. Pain- If you have a minor injury, you may not feel pain. You may feel sore along your knee’s joint line. Some people have trouble standing or putting pressure on the hurt leg.
  2. Swelling– This is most likely to happen during the first 24 hours. You can reduce swelling by putting ice on your knee and elevating (raising) your leg by propping it up on a pillow.
  3. Trouble walking– If you’re able to put pressure on your hurt leg, you may notice that it’s harder than normal to walk. Some people find that the knee joint feels looser than it should.
  4. Less range of motion– After you damage your ACL, it’s very likely that you won’t be able to bend and flex your knee like you normally would.

How it happens….

Most ACL injuries happen during sports and fitness activities that can put stress on the knee:

  1. Suddenly slowing down and changing direction (cutting)
  2. Pivoting with your foot firmly planted
  3. Landing from a jump incorrectly
  4. Stopping suddenly
  5. Receiving a direct blow to the knee

Treatment Options

  • Non-operative treatment-

In physiotherapy, a course of physical therapy may successfully treat an ACL injury for individuals who are relatively inactive, engage in moderate exercise and recreational activities, or play sports that put less stress on the knees.

  • Operative treatment-

An ACL reconstruction is generally recommended if:

  • You’re an athlete and want to continue in your sport, especially if the sport involves jumping, cutting or pivoting
  • More than one ligament or the meniscus in your knee is injured
  • The injury is causing your knee to buckle during everyday activities
  • You’re young (though other factors, such as activity level and knee instability, are more important than age

Arthroscopic Anterior Cruciate Ligament Surgery

ACL reconstruction nowadays with the help of advanced science and technology did by keyhole surgery that is arthroscopic surgery. The orthopedic surgeon removes your torn ACL by arthroscopic technique, he puts a tendon or graft in its place. These graft are taken from the hamstring, bone-patella tendon-bone graft, Peroni or allograft.

The arthroscopic graft will be placed at the right spot, and he’ll drill two holes, called “tunnels.” He’ll drill one in the bone above your knee and another in the bone below it. Then, he’ll placeendo-button at the upper bone tunnel of knee and screws in lower the tunnels and anchor the graft in place. It serves as a sort of bridge that a new ligament will grow on as you heal. It can take many months for a new ACL to grow in fully.

Arthroscopic knee surgery

Advantages of ACLR

  1. Postoperative pain is greatly reduced due to the minimally invasive character of the surgical intervention (arthroscopy) and to the smaller size of the wound at the level of the harvesting of the tendons of ST and G muscles (1);the new ligament is more resistant due to its thickness and means of attachment;recovery is early, after 24 hours or immediately after the removal of the drainage tube;
  2.  good mobility of the knee is obtained very rapidly, approximately 60 degrees after the first 72 hours;
  3. the active mobilization of the patient is early;
  4. the rehabilitation of the semitendinosus and gracilis muscles is fast: when the pain is at a minimum level (in approximately 30 days – sooner for some of the patients) the active flexion of the lower leg on the thigh with a 2 kg weight is attempted;
  5. through the faster postoperative recovery and the significant decrease of the postinterventional pain, the hospitalization costs are substantially decreased by lowering the dose of analgesics and anti-inflammatory medication, and particularly by reducing the period of hospital stay (from 7-9 days to 4-5 days on the average).

Recovery after surgery

After knee, joint replacement surgery patient has to perform physiotherapy to regain power and movement of the knee joint. After surgery patient will start to walk from the next day. Physiotherapy to alleviate pain and swelling, restore range of motion (ROM) and strength, and improve mobility. Physical therapy for the knee joint is divided into phases. By following this protocol, or one similar, you should be able to walk after ACL surgery by the end of the third week after your operation. Of course, everyone heals and responds to treatment at different rates. If you’re planning to have knee surgery, here’s a general idea of what to expect when you start physical therapy afterward.

knee Arthoscopy in Mumbai