Orthopedic Surgery

ACL-PCL Reconstruction Surgery

(Package: $3500-$4500)

The Anterior Cruciate Ligament or ACL reconstruction is the surgery, performed to rebuild the ligament present at the center part of the knee. ACL keeps the tibia or shine bone in its place. When this ligament tears, it could cause the knee to give away, experienced especially during the normal to hard physical activities.

The reconstruction involves the need of the tissue to rebuild the ACL by replacing. The tissue can be taken from the other parts of the body of the patient and it is called autograft. Alternatively, the tissue can also be taken from the donor or the other person and such graft is called allograft.

Need for Reconstruction

If the ACL is not reconstructed when needed, knee would become unstable and chances of meniscus tear are increased. So, ACL reconstruction is needed for the following problems associated with the knees.
Candidates felt unstable with their knees, while performing the daily activities
Severe knee pain
Inability to play sports and other hard activities
While the other ligaments get injured

Converting the food to energy Regulation of the blood clot Forming the bile and then production of proteins used for blood plasma Clear of the blood from poisonous substances like drugs

Risks

Risks that are associated with the anesthesia are allergic reactions from the medicine and breathing problems
Risks for any surgery are infection and bleeding
Specific risks from ACL Reconstruction are, blood clots found in the leg, ligament healing failure, pain or weakness in the knees, injury happening to the nearby blood vessels, lost range of mobility or stiffness of knees.

Biliary Atresia – This condition occurs from either absence of the bile ducts or abnormal development of the same. Acute Hepatic Necrosis – This condition is caused because the tissue in the liver dies. Liver Cancers – Primary tumors in the liver, and not yet spread to the external parts of the liver. Metabolic Disease – This is a condition, caused from the chemical activity, caused by the liver in the cells. Autoimmune Hepatitis – Damage and destruction of the liver because of the chronic inflammation caused in the liver.

Before Procedure

Pre surgical evaluation is done, by checking the medical history of the patient, and thorough discussion happens about the other kinds of medications or other medical complications that the patient, has been going through or had gone through in the past.

Before the surgical procedure starts, drugs taken for other medications must be stopped. If the patient has other medical complications like heart disease, diabetes or others like herpes breakout, cold, flue, etc., it needs the discussion with the family doctor, or at least thorough check of the medical records are done. Smoling and alcohol must be stopped.

Blood vessels blocked in the newly transplanted liver Infection Block of bile duct Bile Leakage No function of the new liver.

Procedure

ACL reconstruction procedure is performed using knee arthroscopy. Arthroscopy consists of a camera that is to be inserted into the knee and the surgeon can view the inner view of the knee that is seen over the video monitor. The video helps also to check the tissues and the ligaments present in the knee. Small incisions are made over the surgical site of the knee and the procedure is performed with the following steps.
The ligament torn is removed with the help of the instruments like shaver.
If the tissue considered to be taken is autograft, a larger cut is made and then the autograft is then removed.
Tunnels are made in the bone for bringing the new tissue through the way. The new tissue is then placed at the position of the old ACL.
The new ligament is attached to the bone with the help of the screws or with the help of other devices so that they are held in the right position. The bone tunnels are filled in as and when it heals. It holds the new ligament in the right position.
Once the surgery is completed, the incisions are then closed with the sutures and the surgical area is then covered with dressing. The pictures of the inner parts of the knees can be shown to the patient, after the procedure is completed

Rehabilitation

After the surgery is successfully performed, the surgeon and orthopedic team suggest you all the necessary exercises to perform on daily basis. The rehabilitation program has to be followed at least for 4 to 6 months of duration, post surgery.

Treatment regimen noncompliance Serious liver disease persisting, even after the transplantation Other medical conditions, like sever cardiac problem, which could not tolerate the hard surgical procedure Difficult treatment of current or recurring infection Alcohol consumption Metastatic cancer, spread around the source location

Cost of ACL Reconstruction Surgery

The above Package Cost is a tentative Approximate Package Estimate, which includes initial investigations & specialists screening, stay in a Private Room wherein patient’s assistant or relative can also stay with patient, doctor / surgeon fee, nursing care, medicines & consumables, Airport Pick-Up & Drop.

In order to access, exact estimate of treatment package cost, do email us at enquiry@globalcare-health.com all your medical reports.

On receiving your medical reports, we will revert to you within 24 Hours with right estimate package after getting your medical reports examined by best team of doctors at best hospitals in India. We will also assist you in traveling part, which includes, airfare booking, medical visa invitation, airport pick-up and drop, hotel stay & visit for any sightseeing. With our 10 years of expertise in delivering highly caring International Patients Assistance Services, you can completely rely on us in every step of your recovery. Our all International Patient Assistance Services are absolutely FREE!!! as Globalcare Health is an official associate of India’s Best Hospitals & Specialists.

Urgency – based on the critical condition of the patient Diagnostic Tests – to assess the liver and overall status of health of the patient. Psychological and social evaluation – it includes assessing the stress, family support, financial condition, etc., which influence the final outcome of the transplantation. Blood Tests – to assess matching potential of the donor liver with the liver of the patient

Posterior Cruciate Ligament, which is the acronym of PCL, is an important and main ligaments present in the knee. It is one of the large ligaments present in the knee. The function of it is to control the movement from front to back. When the knee is injured this ligament is affected and settings can be done in various ways. Most of the problems related to this can be treated and done without the operations or surgeries. It is because PCL has synovial covering that has self healing ability. In the cases like if the problem is associated in combination with the ligament tears of the other parts of the knee, PCL reconstruction is required.

You have to wear a gown after removing your cloths It starts with IV or intravenous line on the hand. Heart and blood pressure monitoring catheter are inserted to the wrist and neck. Additional catheters may be inserted at subclavian areas. You need to lye on the table. Excessive hair is removed at the site of surgery A catheter is arranged to drain urine After sedation, a tube is inserted into the lungs to control breathing through a ventilator. Skin is cleaned using an antiseptic solution A slant incision is done under the ribs. The diseased liver is separated from the structure and surrounding organs to remove and the veins and arteries are clamped to control the flow of blood to the liver Donor liver is taken and connected to the blood vessels of the patient, and blood flow is established. Bile ducts are connected Incision is closed Drain may be needed to place in the site of incision to control swelling Dressing is done
Indications

PCL is possibly ruptured or torn, while playing sports activities or also from a direct blow happening over the knees. If it is rupture or minor injury, it can be possibly treated with the help of muscle strengthening or physiotherapy. However, if the injury is severe, PCL reconstruction is needed.

Usually, acute PCL tears, in combination with other things like MCL complex, ACL, posterolateral corner tears are usually combined and the reconstruction is performed before three weeks of the knee injury. Rarely, PCL repair is done, when a bone avulsion injury or peel off is happened. PCL reconstruction is performed also for the patients, who suffer from chronic PCL injuries and who have instability and pain symptoms.

Before the procedure

The patient should nto eat anything for 8 hours before the surgery begins and fluid take must be stopped before four hours of the surgery.

Procedure

PCL reconstruction is generally performed under the general anaesthesia. Small incisions are made on the knees and special instruments, designed for such operations are used in the surgery. There are many graft choices developed and employed to surgeon to perform the PCL reconstruction. These are harmsring tendons, quadriceps tendon using bone blocks, autogenous patellar. Other choices are also present like Achilles tendon allografts, grafts taken from the donors, patellar tendon.

The procedure requires the material, a ligament graft. It is usually taken from the knee itself, from its front part, or sometimes from behind the knee, from harmstring tendons. The selection is done on the basis of which one grows to a better and larger extent. During the procedure, of PCL reconstruction, the remaining native portion of PCL is removed. While doing this, ligament of Wristbern is well preserved with care.

The ligaments that are torn would be trimmed and finally the replacement of the graft is one. The ligament is fixed by fitting both the top and bottom ends of it. Special screws are employed into the holes that were drilled into the bones. Then finally, the incisions are closed with the help of the adhesive strips or stitches. The operation is completed in about one hour.
Once the graft is fixed into the knee, it can form a new ligament. Though forming of the new ligament takes long time, up to one year, the patient would be able to return to the normal daily activities and also can return to the sports. But returning to the sports need 6 months of duration.

Recovery

After the surgery is performed, patient has to stay in the hospital for the overnight. Recovery is rapid from the anesthesia and the patient can awake, soon the operation is completed. However, the drowsy would be continued for an hour or two hours. The patient will be discharged from the hospital, after ensuring that he or she is able to bear his or her weight on the crutches as these are important for security. Waterproof dress is made. Finally, before leaving, physiotherapist will detail about how to perform the daily based exercises and these exercises will strengthen the bones and the recovery will be sooner.

Cost of PCL Reconstruction Surgery

The above Package Cost is a tentative Approximate Package Estimate, which includes initial investigations & specialists screening, stay in a Private Room wherein patient’s assistant or relative can also stay with patient, doctor / surgeon fee, nursing care, medicines & consumables, Airport Pick-Up & Drop.

In order to access, exact estimate of treatment package cost, do email us at info@globalcarehealth.com all your medical reports.

On receiving your medical reports, we will revert to you within 24 Hours with right estimate package after getting your medical reports examined by best team of doctors at best hospitals in India. We will also assist you in traveling part, which includes, airfare booking, medical visa invitation, airport pick-up and drop, hotel stay & visit for any sightseeing. With our 10 years of expertise in delivering highly caring International Patients Assistance Services, you can completely rely on us in every step of your recovery. Our all International Patient Assistance Services are absolutely FREE!!! as Globalcare Health is an official associate of India’s Best Hospitals & Specialists.

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