ACL Reconstruction Surgery in India
On an average, the ACL surgery cost in India is between INR 1,39,980 ($1,752) to INR 1,99,983 ($2,503) but differs based on the type of implant used.
India is one of the world’s top healthcare for medical tourists. Many people from various countries are cured at the finest hospitals in metro cities like New Delhi, Mumbai, Chennai, Hyderabad, Bangalore, etc.
ACL reconstruction cost varies as the surgery is tougher at times and should be performed only by a qualified professional in a Chief Health Consult facility
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What is ACL Injury?
ACL is an abbreviation for the anterior cruciate ligament. Reconstruction is a type of surgery that replaces an important ligament in the patient’s knee, the anterior cruciate ligament (ACL). ACL injuries are most common in sports that involve quick direction changes, jumps, fast running, and sudden stops, such as volleyball, soccer, basketball, hockey, skiing, and football. ACL injuries occur when the ACL is stretched and consequently torn off.
The ACL is an important part of the knee because it helps in binding and stabilizing the knee. It is positioned between the tibia and the femur bones and prevents the tibia from slipping. Its primary function is to provide complete knee strength when the knee moves from one side to the other side.
Injuries to the ACL may cause pain or difficulty with sports, walking, jumping, or running. ACL injuries can take a very long time to heal and necessarily require ongoing doctor consultations and physiotherapy. If the ACL damage is severe, the doctor will recommend that the ACL be replaced surgically, especially in athletes and young people.
What is ACL Reconstruction Surgery?
The Anterior Cruciate Ligament is repaired or reconstructed during ACL surgery. The ACL is a crucial soft-tissue structure in the knee that connects the femur and tibia. ACL tears, whether partial or complete, are common injuries among athletes. Sports medicine physicians and orthopedic surgeons typically treat complete ACL tears with ACL Reconstruction Surgery, in which the torn ligament is replaced with a tissue graft to mimic the natural ACL.
The need for surgery is determined by the severity of the ACL tear and the patient’s lifestyle. An ACL that has been completely torn cannot heal on its own. However, studies have shown that in some patients with a partial tear of the ACL, the ligament may heal without the need for surgery.
Graft Selection for ACL Reconstruction in India
The surgical ACL Reconstruction is done with the help of grafts. And these grafts could be as follows:
- Autografts: These are tendons taken from the patient’s own body, usually the quadriceps ligament, the hamstring ligament, or the patellar ligament.
- Allograft: tendon is harvested from the deceased donor. Typically, autografts are preferred over allografts because the probability of breaking again is minimal, as the possibilities of optional contamination are also less. Hamstring ligament autografts have an additional advantage in that they recover after some time, making the alliance more sustainable.
What are the Symptoms of an ACL injury?
If you read regular articles on the ACL Rupture concept, your knowledge is limited to the fact that experiencing a popping noise in the knees is common. This, however, does not occur in patients whose band of tissue is damaged. The following are some of the more common symptoms of ACL Injury :
- Pain: Minor injuries may not cause pain, but you may experience soreness along your knee joint line. While some people have difficulty standing or putting pressure on the injured leg.
- Swelling: This is the most likely to happen within the first 24 hours of an injury. Normal people apply ice to their knees and elevate their legs by placing them on a pillow.
- Walking Difficulties: This is another symptom that makes you believe you are losing your knee joint sooner than you should. You should avoid putting pressure on your injured leg in this situation.
- Less Range of Motion: When the ACL is torn, some people experience difficulty bending and flexing their knees in comparison to the normal process of knee bending.
How the Diagnosis of ACL Rupture is Done?
To diagnose an ACL rupture, you must consult an experienced orthopedic surgeon because they are the only ones who are skilled, proficient, and understand this injury.
However, your surgeon may recommend the following test for the diagnosis of ACL rupture:
- Clinical Examination: The patient was taken to the doctor so that he or she can examine you physically to determine the type of injury you have by learning the function of the knee joint by moving it in various positions.
- Pivot Shift Test: The main test used to diagnose ACL injury is to evaluate the instability. If the test is positive, a sublimation will occur at 20 to 40 degrees of flexion, indicating that the ACL is damaged.
- Anterior Drawer Test: This test is performed when an ACL rupture is suspected. The doctor will direct you to lie on your back and bend your hips or knees at a specific angle. The doctor then places his hand on various parts of your leg to determine whether the moment of your bone is normal or not in order to identify ACL Damage.
- Lachman Test: This test is used by orthopedists to diagnose ACL cracks. If the test is positive, there will be increased forward/upward development of the tibia and a significant delicate end moment when this movement closes.
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The first and most an injured patient can do is to tell the doctor about the exact causes of their knee injury. In addition, the doctor may order the following tests:
- Complete medical examination, including X-rays to determine the fracture.
- The routine test determines whether you are physically fit for the surgery.
- The MRI is used to confirm the ACL injury so that the damaged knee evaluation can be completed effectively.
Procedure
How ACL Reconstruction Surgery is Performed?
Before the Procedure
- You’ll most likely have several weeks of physical therapy before your surgery. Prior to surgery, the goal is to reduce pain and swelling, restore the full range of motion in your knee, and strengthen muscles. Patients who went into surgery with a stiff, swollen knee may not regain full range of motion.
- Because ACL reconstruction is an outpatient procedure, you can go home the same day. Make arrangements for someone to drive you home.
- Inform your surgeon of any medications or dietary supplements you are taking. If you regularly take blood-thinning medications, your doctor may advise you to discontinue them at least one week before surgery to reduce your risk of bleeding.
- Follow your doctor’s instructions regarding when you should stop eating, drinking, and taking any medications the night before your surgery.
During the Procedure
- Because general anesthesia is typically used during ACL reconstruction, you will be completely unconscious throughout the procedure. ACL reconstruction surgery in India is typically performed through a series of small incisions, one to accommodate a thin, tube-like video camera and others to allow surgical instruments access to the joint space.
- Your surgeon will remove the damaged ligament and replace it with a tendon segment. This replacement tissue is known as a graft, and it is derived from another part of your knee or a tendon from a deceased donor.
- Your surgeon will drill sockets or tunnels into your thighbone and shinbone to precise position the graft, which is then secured to your bones with screws or other devices. The graft will act as a scaffolding for the growth of new ligament tissue.
After the Procedure
- You can go home the same day once you recover from anesthesia. You’ll practice walking with crutches before going home, and your surgeon may ask you to wear a knee brace or splint to protect the graft.
- Your doctor will give you detailed instructions on how to manage swelling and pain following surgery. In general, you should elevate your leg, apply a cold wrap or ice to your knee, and rest as much as possible.
- Over-the-counter medications for pain relief include acetaminophen, ibuprofen, and naproxen sodium. Stronger medications, such as meloxicam, tramadol, or oxycodone, may be prescribed by your doctor. If opioids are prescribed, they should only be used for severe pain because they have numerous side effects and a high risk of addiction.
- Follow your surgeon’s instructions regarding when to ice your knee, how long to use crutches, and when you can bear weight on your knee. You’ll also be informed when you can shower or bathe, when to change wound dressings, and how to handle post-surgery care.
- After ACL surgery, progressive physical therapy helps to strengthen the muscles around your knee and improve flexibility. A physical therapist will show you how to perform exercises that you will do either under supervision or at home. Following the rehabilitation plan is essential for proper healing and the best possible results.
What are the Risks associated with ACL Reconstruction Surgery?
An ACL reconstruction is a surgical procedure that replaces the anterior cruciate ligament in the knee. The procedure has some risks and limitations, which are listed below:
- Bleeding from the surgical site
- Clots in the blood
- Surgery-related infection
- Even after ACL reconstruction surgery, there is persistent knee pain, weakness, or stiffness.
- Loss of the ability or discomfort in moving the knee
- Failure to achieve symptom relief
- The graft is not healing properly
- ACL tears in children increase the probability of growth plate injuries. These plates are attached to the bones in the legs and arms. These growth plates help in bone formation. These growth plates can cause injuries and lead to bone shortening.
Aside from the risks mentioned above, the AAOS (American Association of Orthopedic Surgeons) reports that 85% to 95% of ACL reconstruction surgeries have provided complete knee stability, resulting in stupendous conclusions and increased patient satisfaction.
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Some patients may have issues with the anesthesia administered prior to surgery. Some patients may experience shortness of breath, nausea, vomiting, or allergic reactions as a result of the anesthesia.
What is the Recovery Time For ACL Surgery?
Depending on the level of competition and the type of activity, it usually takes six to nine months for a patient to return to sports after an ACL reconstruction.
On the day of surgery, patients can walk with crutches and a leg brace. The patient begins a rehabilitation program soon after surgery to restore knee strength, stability, and range of motion. The rehabilitation process consists of a series of exercises:
- Exercises for strength and range of motion are started early in the recovery period.
- Running exercises begin around the period of four months.
- Pivoting exercises begin around the period of five months.
- Returning to competitive sports can begin as soon as six months.
The level of pain associated with ACL recovery varies, but it is manageable with medication. Recovery time varies from patient to patient as well. The restoration of muscle strength, range of motion, and proprioception of the knee joint is used to determine when a patient has fully recovered.
Q: What’s the standard expense of ACL Reconstruction Surgery in India?
A: Get ready to pay around $3500 to $4500 for the ACL Surgery. In any case, this expense is liable to change and altogether relies upon the nature of the medical clinic, patient emergency, and ICU unit charges you select.
Q: What causes ACL Rupture?
A: It’s the most widely recognized tendon injury that happens in the knee of the individual who plays sports. It happens when you find a workable pace the high-power physical action that requires knee pressure.
Q: Do all the ACL tears require medical procedures?
Not all ACL Tears requests medical procedure. However, you have to go for the medical procedure if :
- There’s a finished ACL tear
- You’re a sportsperson and require knee solidarity to play
- There’s a physical issue in the other piece of the knee
- Went to physiotherapy and recovery without no improvement in torment and joint solidness
Q: How dangerous is the ACL Reconstruction medical procedure?
A: ACL Reconstruction surgery is totally safe. Be that as it may, the complexities may emerge like :
- Diseases
- Blood thickening in legs
- Harm to different vessels, and nerves during a medical procedure
- In certain patients, screws may cause the issue and require removal.
- In a few, they might be an issue to join the ligament.
Q: What are the elements on which the completion of ACL Surgery depends?
A: The primary components influencing the completion of ACL Surgery to rely upon the determination of uniting, the arrangement of the join in the bone passage, and obsession of the join as likewise the postoperative recovery.
Q: To what extent would you be able to join sports after ACL Reconstruction Surgery?
A: Prepare to drop everything for 8 to a year alongside a thorough physical assessment to completely recoup and join your preferred sports.
Q: Is there any approach to forestall the ACL Injury?
A: Truly!! Perform fortifying activity that requests your knee muscle to make a move. Wear the best possible athletic equipment on the off chance that you play sports, which require pressure on knees while bouncing, or running.
Q: What’s the completion pace of ACL Reconstructive Surgery?
A: With around 90%+ completion rate, ACL Reconstructive Surgery is a normal medical procedure with a much higher achievement rate than some other medical procedures.
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Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds: 262
Airport: 20kms
About Hospital:
- Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
BLK-Max Hospital
Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km
Brief About:
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Max Hospital Saket
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
Brief About:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
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Medanta The Medicity Hospital
Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs
Brief About:
- Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
Sanar International Hospital
Number of beds: 130
ICU Beds: 35
Airport Distance: 20 Km
About Hospital:
- Sanar International Hospital was established in 2018.
- Sanar International Hospital founded by Mr. Naresh Kapoor.
- Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.
W Pratiksha Hospital Gurgaon
Number of beds: 110
ICU Beds: 31
Airport Distance: 19 KMs
About Hospital:
- Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
- W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
- The hospital has treated more than 25,000 people In 2018.
Accord Superspeciality Hospital
Number of beds: 380+
ICU Beds: 41
Airport Distance: 46 Km
About Hospital:
- The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
- Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
- Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.
Jaypee Hospital, Noida
Number of beds: 525
ICU Beds : 150
Airport Distance: 32 KMs
About Hospital:
- The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
- Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
- This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.
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