ACL Reconstruction

What is ACL?

ACL means Anterior Cruciate Ligament. The ACL is among the group of ligaments inside the knee joint which connect the leg bone and the thigh bone. The ACL runs through the knee’s centre, and crosses the posterior cruciate ligament (PCL) diagonally. Together with the PCL, the ACL provides an important function – controlling the knee as it moves forwards or backwards. The most important function of the ACL is controlling the stability of the knee rotationally as you twist and turn such as in sports like cricket, running, football, rugby, basketball and so on. It is not uncommon for ACL injuries to occur concurrently with another torn ligament or tissue in the knee joint.

Is it necessary to have ACL Reconstruction?

In general, a person is a candidate for an ACL reconstruction if their knee is not stable. If you feel your knee gives way or you fall down or have lost confidence then ACL Reconstruction surgery is helpful. ACL reconstruction offers the dual benefits of stabilizing the knee, while also preventing the knee cartilage from getting more injuries to it every time the knee gives way. Hence, it has a role in preventing future arthritis.

What happens during ACL Reconstruction Surgery?

Arthroscopy or Keyhole surgery is done to visualise and then reconstruct the ACL. For this reconstruction a graft tissue is needed which is taken from your same knee or in some cases like redo surgery from other knee using a small incision. Two most common grafts are hamstring and patella (kneecap) tendon. This is then weaved and arthroscopically fixed inside the knee using special implants. The surgery usually takes one and half hours to compete. This can be a day case or you might have to stay in hospital for a few days depending upon your rehab and physiotherapy which is supervised by trained physiotherapists. Usually patients are able to walk on the same day.

What is the cost of ACL Reconstruction Surgery?

Dr Das utilises US or European imported ACL Reconstruction implants with an excellent published track record. He has best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, implants and physiotherapy. Please feel free to contact us to know about the ACL package.

PCL Reconstruction

What is PCL?

PCL means Posterior Cruciate Ligament. The PCL is among the group of ligaments inside the knee joint which connect the leg bone and the thigh bone. The PCL runs through the knee’s centre, and crosses the Anterior cruciate ligament (ACL) diagonally. Together with the ACL, the PCL provides an important function – controlling the knee as it moves forwards or backwards. It is not uncommon for PCL injuries to occur concurrently with another torn ligament or tissue in the knee joint.

Is it necessary to have PCL Reconstruction?

In general, a person is a candidate for PCL reconstruction if their knee is not stable. If you feel your knee gives way or you fall down or have lost confidence then PCL Reconstruction surgery is helpful.

What happens during PCL Reconstruction Surgery?

Arthroscopy or Keyhole surgery is done to visualise and then reconstruct the PCL. For this reconstruction a graft tissue is needed which is taken from your same knee or in some cases like redo surgery from other knee using a small incision. Two most common grafts are hamstring and patella (knee-cap) tendon. This is then weaved and arthroscopically fixed inside the knee using special implants. The surgery usually takes one and half hours to complete. This can be a day case or you might have to stay in hospital for a few days depending upon your rehab and physiotherapy which is supervised by trained physiotherapists. Usually patients are able to walk on the same day.

What is the cost of PCL Reconstruction Surgery?

Dr Das utilises US or European imported implants with an excellent published track record. He has best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, implants and physiotherapy. Please feel free to contact us for to know about the PCL Reconstruction Package.

Meniscus Repair and Partial Meniscectomy

What is Meniscus?

Meniscus is a C Shaped semilunar cartilage which act as shock absorbers in the knee joint. They protect the joint from wear and tear. There are two menisci in each knee. A meniscus tear can be painful and debilitating. Unfortunately, it's quite common. In some cases, a piece of the shredded cartilage breaks loose and catches in the knee joint, causing it to lock up.

Is it necessary to have surgery for torn meniscus?

Meniscus tears can be painful and impact on your daily life activities. Treatment for meniscal tears depends on the size and location of the tear. Other factors which influence treatment include age, activity level and related injuries. Arthroscopic surgery is a good solution for meniscus related problems.

What happens during Torn Meniscus Surgery?

Arthroscopy or Keyhole surgery is done to visualise and the knee joint and the torn meniscus. Dr Das makes all possible attempts to repair the meniscus whenever possible especially in children and young adults, due to its role in preventing arthritis. If the tear is longstanding or irreparable, then meniscus is trimmed. Even at this stage, Dr Das tries to preserve as much of the meniscus as possible. The surgery usually takes less than an hour to complete. This can be a day case or you might have to stay in hospital for a few days depending upon your rehab and physiotherapy which is supervised by trained physiotherapists. Patients are able to walk on the same day.

What is the cost of Torn Meniscus Surgery?

Dr Das utilises US or European imported sutures and implants with an excellent published track record. He has best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, implants and physiotherapy. Please feel free to contact us for to know about the Meniscus surgery Package.

Articular Cartilage Surgery

Is it necessary to have surgery for articular cartilage damage?

After the injury, if there is a large attached piece of bone, then it is worthwhile reattaching and fixing this. This may not be possible in longstanding cases of articular damage. The options available are:

Hyaluronic Acid Injection: The principles behind Hyaluronic acid Injections are to decrease pain and improve function in patients with joint pain. They replace some of the normal ingredients found in synovial fluid (hyaluronans) improving the lubricating ability.

Debridement: This would include the removal of any loose flaps of articular cartilage that may be present. This is usually done arthroscopically. The size, depth and location of the lesion are recorded. If the lesion is small and less than 1 cm in diameter, this may be all that is required. If the overlying articular cartilage flap is loose in the joint, then this is removed. Similarly, if the piece that has been knocked off is essentially all cartilage, this should be removed, as reattaching it will serve no function as it cannot heal.

Microfracture: Full-thickness articular cartilage defect does not heal on its own to form normal hyaline articular cartilage in humans. The aim of microfracture is to make holes in the exposed bone using a bone awl. The hole will penetrate the subchondral region and cause bleeding into the defect. The blood will then go on to form a clot and trap fibrous tissue-producing cells in the clot. These cells then can produce fibrous tissue (scar tissue) to fill or partially fill the defect. The filled defect is not normal articular cartilage. This is a fibrocartilage, which lines the defect. This allows a great extent of painfree knee function which would otherwise not be possible.

Mosaicplasty: This technique involves taking a plugs of bone and overlying cartilage from part of the knee which is non weight-bearing and implanting the plug(s) into the cartilage defect. This does have some limitations and is going out of favour.

Articular Cartilage Transplantation: This Surgery is state of the art technique performed by Dr Das. It involves taking a small sample of healthy cartilage from the knee arthroscopically and sending it to a lab to culture the cartilage cells. The cells are then returned back and implanted into the knee defect at a second operation. This is followed by a specific well designed rehab programmed to allow the cartilage cell to heal.

What is the cost of Articular Cartilage Surgery?

Dr Das utilises US or European imported sutures and implants with an excellent published track record. He has best surgical outcome with a very high patient satisfaction rate. The surgical cost is tailormade depending upon the clinical needs and the appropriate surgery required. This is provided at an affordable package cost which includes surgery, hospital stay, implants and physiotherapy. Please feel free to contact us for to know about the Articular Cartilage Surgery Package.