Anterior Cruciate Ligament(ACL)|Reconstruction Graft |FAST HEALING-Dr. P C Jagadeesh|Doctors' Circle

Dr P C Jagadeesh | Appointment booking No 9962314018 |Consultant Orthopedic Surgeon
Specialised in Joint replacement, Arthroscopy & Sports Medicine | Joss Center, Bengaluru
Once the ligament reconstruction has been one, that is we have used our own hamstring muscles behind the knee joint. So we use 2 hamstring in that where we make it as a recoil or we make it as a thick graft like thing which can be put inside the bone. So this is done through key hole surgery, where previously they used to do it through an open procedure, but still in remote places or where the surgeon is not confident enough, they do an open procedure, but in 99% if the surgery can be done as a keyhole, where they put a small hole and put a small camera inside and see whatever is happening and wherever the ACL is torn, we are going to replace it into the same place as the graft. Once the surgery has been done, it takes a minimum of 3 months for the graft to incorporate into the tunnel. So we create a tunnel and put the graft. So the incorporation will take 3 months. So immediately after the surgery, that is first and second day itself the rehabilitation starts. The rehabilitation starts in the form of strengthening exercises for the thigh muscles and then bending. Bending will be only for a few degrees for a few weeks and gradually it can increase the knee bending from one position to another till they are able to sit in the chair. These are the days where they have to take care of the reconstructed ligament. We will give a supporting or a brace to support the knee and not to give any undue injury to that and not to get the bed portion stiffness. We will be able to bend the knee to a certain degrees this is really needed for the ligament to heal. So till 3 months the ligament that is needed for the ligament to heal. So the whole of 3 months starting from 3 months, whatever ligament is reconstructed, it gradually gets strengthened and at the end of 6 months they and go for rehabilitation. So the ligament goes on healing inside the body and goes on strengthening and at the end of 1 year the ligament gets completely revascularization, that is it gets its blood supply, its nerve supply and till that time they use do to take care of themselves without getting injured to the knee part.

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