Arthroscopy literally means “arthro-joint” and “skopein-to look” and is a derivative of the Greek language. It is a procedure that orthopedics use to carry out investigations and surgeries of joints.
Arthroscopic ACL Reconstruction in Hyderabad:
India has arrived. The past decade has seen the rise of sports and athletes in India. With all the support that the athletes are getting in India for getting trained to compete in international sports events, the athletes have made India proud by winning honors at these events.
There are sports academies established across India by some very successful sports persons themselves, including Hyderabad.
It is a well-known fact that no sport is without the risk of injury. Thus, the number of doctors choosing orthopedics as their field of specialization is on the rise. Hence having an orthopedic practice set up in Hyderabad only seems natural.
Amongst the best orthopedic surgeons here in Hyderabad, Dr. Rajesh Thunuguntla is also well renowned and has a decade of experience to his credit. He is a prolific surgeon specializing in the technique of arthroscopy.
According to Dr. Rajesh, the arthroscopic approach to investigation and surgery is most sought after. It is a minimally invasive procedure ensuring 100% recovery and very little blood loss.
What is Arthroscopy?
In arthroscopic surgery, the surgeon inserts an arthroscope inside the joint by making a small incision in the skin.
An arthroscope is maybe the diameter of a pen. It has a light source attached to it. The reflected light comes back through the optical fibers, thereby forming an image that is visible on the camera attached to the arthroscope.
This lets the doctor see inside the joint without invasive surgery.
Arthroscopic procedure for ACL reconstruction:
ACL (Anterior Cruciate Ligament) surgery involves repairing or replacing the torn ligament in the knee.
Dr. Rajesh Thunuguntla explains that you may have an injury in your knee due to any of the following activities which lead to an ACL tear.
You could be spinning, jumping, suddenly stopping, or changing direction suddenly while running or walking.
Types of ACL surgeries:
When you approach your orthopedic doctor for a consult, your doctor tells you to undergo an MRI or X-ray to confirm what part of the joint is injured upon inspection. Once the doctor determines the nature of the injury, they will advise you to undergo arthroscopy.
Your doctor will make another incision and carry out the surgery simultaneously if the images show an injury treatable using arthroscopy. However, if the injury
is minor, meaning not all of the ligament is damaged, you will recover with a simple physical exercise routine.
If the ACL is completely torn or damaged, the doctor will place a graft in place of the torn ACL. The orthopedic surgeon uses tendon for the graft that can be taken from any of the following locations in your body:
- Autograft: Your surgeon will use a tendon from either your other knee, hamstring, or thigh.
- Allograft: Here, the doctor uses a graft from someone else; a donor may be a deceased person.
- Synthetic graft: This is where your doctor will place a synthetic fiber like carbon or Teflon.
Going back to the surgery procedure, explains Dr.Thunuguntla, the anesthetist will put you either under general anesthesia or regional anesthesia.
Then the doctor will drill two holes, one for the arthroscope the other for the surgical instrument.
The first step your doctor will follow is to place the graft in position
In the next step, your doctor drills two holes, one in the bone above the knee and one in the bone below the knee. The doctor then inserts a screw in each hole to hold the graft in place. It forms a bridge-like structure. Over some time, the new ligament grows on this graft. It may take a few months for the new ACL to reconstruct completely.
Since the surgery is arthroscopic, you may also be able to leave the hospital the same day.
Post operative care:
Once you are out of surgery, your doctor will ask you to follow the post operative care instructions: You will
- stay off your leg and provide it adequate rest.
- Wear a brace to protect the joint.
- Keep your leg raised on a pillow
- change the dressing as instructed.
- Keep the knee wrapped in a bandage
- Use crutches for a while.
- Take the prescribed medication.
Once your ACL begins to heal, you will start following simple physiotherapy exercises to give full mobility to your joint. In 9 – 12 months, you should regain full strength and mobility of your knee joint.
Post operative risk:
Once the surgery is complete, take care of your surgery wound; otherwise, there are chances of the following complications arising:
- Bleeding at the site of the wound
- Blood clots
- Knee stiffness
- A graft that has not healed well fails when you go back to physical activity.
Joint injuries are critical and can become a lifelong handicap if not treated correctly. Do your research when you have to approach a doctor. Nothing but the best will serve your purpose of complete joint rehabilitation.