ACL or anterior cruciate ligament is a one among few ligaments which gave stability to the knee. This ligament is most commonly damaged. The anterior cruciate ligament tear may also occur associated with medial or lateral collateral ligaments. In general the anterior cruciate ligament tear is occurred with a twisting force occur to a semi flexed knee. The injury to medial collateral ligament, medial meniscus and anterior cruciate ligament may occur together and called as O’Donoghue triad.
The anterior cruciate ligament may tear on either sides of the attachment. The bone also can be fractured during anterior cruciate ligament injury. The tear severity may vary from simple rupture to complete tear of the ligament. The pain associated with ligament injury will be vague in nature. The associated symptoms can be swelling and impaired range of movement. The diagnosis can be made with the help of manual as well as radiological imaging. The anterior drawer test is the manual test done for the assessment of anterior cruciate ligament injury. The radiological imaging includes magnetic resonance imaging and computed tomography scanning. The X-ray is taken in case of suspecting fracture.
The method of anterior cruciate ligament includes repair of ligament and conservation methods. The conservative methods include rest with a cylinder cat or Robert Jones bandage. I and II grade injuries can be treated with the help of rest and bandaging. The repair of the ligament is done in case of III grade fresh injury. In the repair of ligament facial graft or tendon graft is used. The reconstruction is used in cases of ligament injuries with late presentation. The reconstruction is done with the help of patient’s tendon or fascia lata. The procedure of reconstruction also uses allograft. The whole procedure is performed by experienced doctors in India.
India has good orthopedic doctors and super specialty centers with all facilities to undergo complex surgical procedures. Best doctors in India and best specialty centers can be approached through the medical assistance service providers in India by using the information technology. The ACL reconstruction cost in India is also affordable compared to other countries.