{"id":15,"date":"2020-06-13T11:14:06","date_gmt":"2020-06-13T10:14:06","guid":{"rendered":"https:\/\/ortho-surgery.uk\/?page_id=15"},"modified":"2024-12-08T15:30:28","modified_gmt":"2024-12-08T15:30:28","slug":"anterior-cruciate-ligament-surgery","status":"publish","type":"page","link":"https:\/\/ortho-surgery.uk\/index.php\/anterior-cruciate-ligament-surgery\/","title":{"rendered":"Anterior Cruciate Ligament Surgery | ACL Injury | ACL Reconstruction Surgery London | Mr Vipin Asopa | London"},"content":{"rendered":"\t\t
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ACL Injuries\n<\/font><\/br>Anterior Cruciate Ligament (ACL) Surgery\u200b\u200b<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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ACL surgery is performed when there has been injury to the anterior cruciate ligament and either the knee is unstable (instability or gives way) or there are other significant injuries that need to be treated at the same time.<\/p>\n

This ligament is found inside the knee. When partially injured, the knee can remain stable. If so, then non-operative treatment could be successful. If it is completely ruptured and there is associated instability, repair may be indicated because the ligament is unable to heal by itself. Instead, reconstruction replaces the damaged ACL by using other tendons tissue – such as hamstrings or patellar tendon. The hamstring can be taken from the knee at the same time, or obtained from the other knee or donor tissue (called allograft).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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TREATMENT OPTIONS FOLLOWING AN ACL INJURY \u200b<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The treatment options for an ACL injury include: Doing nothing and using pain relief. Rest, ice, compression and elevation can help with swelling and the initial injury. Physiotherapy can help with range of motion and strengthening which can improve stability. These options are suitable in certain situations.<\/p>

Persisting instability and\/or those wishing to return to sports that involve pivoting may benefit from early ACL reconstruction. There is evidence that outcomes are better following early ACL reconstruction. Also, ACL reconstruction would be recommended where there is injury to other ligaments or tissues such as the menisci (either meniscus).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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ABOUT THE SURGICAL PROCEDURE\u200b\u200b<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The surgery is normally performed under general anaesthetic.\u00a0Here is a summary of how Mr Asopa performs the surgery:<\/span><\/p>

Mr Asopa harvests the hamstring tendon from the knee undergoing reconstruction, through approximately a 5cm incision below and inside the knee joint. Through this same small incision, he will drill a hole in the tibia bone, and the femur bone. Through the hole, he will fix the hamstring to replace (or reconstruct) the ACL. This will result in improved stability for your knee. The operation will take about 1.5-2 hours.<\/p>

Other ligament, articular cartilage or meniscal injuries will be treated at the same time. Rarely, significant problems may be identified that might require treatment another time.<\/p>

It is sometimes possible to find unexpected cartilage damage or\u00a0arthritis<\/a>\u00a0at the time of surgery. This may have resulted from previous trauma or a longstanding unstable knee. These are treated as best as possible, but you may have long term discomfort due to this pre-existing damage.\u00a0<\/p>

The purpose of this operation is to provide stability to the knee so that you can undertake activities feeling safe and stable.<\/p>

You will also have three or more other skin incisions to put the arthroscope\u00a0and instruments\u00a0<\/span>into the knee. The technique will be \u2018key-hole’.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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BEFORE SURGERY\u200b\u200b<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pre-rehabilitation exercises can help with improving the strength of your knee before surgery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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THE DAY OF SURGERY\u200b\u200b<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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