ACL Reconstruction in Children and Adolescents: Unique Considerations and Challenges
Arthroscopic ACL repair surgery is a procedure to repair a torn ACL (anterior cruciate ligament) using a special device called an "arthroscope". The ACL is one of the key ligaments of the knee that connects the femur (thighbone) to the tibia (shinbone). It provides rotational stability to the knee by preventing the tibia from sliding out in the front. The ligament is prone to damage when it stretches or tears, as seen during high-impact sports like soccer or football. Arthroscopic ACL repair surgery is indicated when the ligament has avulsed (broken off from the bone) but is still intact. During the procedure, the ligament is reattached to the bone and held in place so that it can heal.
An arthroscopic ACL repair surgery is a minimally invasive (less traumatic) procedure performed to stitch and reattach the torn parts of the anterior cruciate ligament. It utilizes a special medical device known as an arthroscope, a hollow tube consisting of a camera and a light source. The procedure involves the insertion of the arthroscope through multiple keyhole-sized incisions (cuts), guiding the surgeon to gain access to the surgical site. This is possible through images captured by the camera projected on a large screen. Later on, tiny sutures attached to surgical tools are inserted through other keyhole-sized incisions to stitch the torn ACL together. The stitched ligament will gradually heal over a while.
An anterior cruciate ligament (ACL) tear or sprain is one of the most common knee injuries. Athletes participating in high-impact sports like football, soccer, etc., are more likely to injure their ACLs. The severity of the injury can be classified into the following grades:
Arthroscopic ACL repair surgery is recommended:
Preparation before any surgical procedure is important to minimize stress and anxiety. It prepares your body for a successful surgical outcome with fewer post-op complications.
Your doctor will determine the type of ACL surgery (repair or reconstruction) required according to the severity of the ligament tear.
Additionally, you must ensure your home is accident-proof for a safe and optimal recovery.
Arthroscopic ACL repair surgery is a daycare procedure that does not require hospitalization.
Preparation
You must ensure to be on time for your surgery. Your nurse in charge will begin the pre-surgical preparation before you are taken to the operating theatre. Your vitals (blood pressure, pulse, oxygen level, and sugar levels) will be checked through the monitors connected to your body. An IV line will be introduced to administer anesthesia and other fluids during the procedure.
The surgical site will be disinfected using an antiseptic solution to help reduce the surface contaminants. The anesthesiologist will administer general anesthesia (a numbing agent that puts you to sleep) through IV infusion.
The arthroscopic ACL repair surgery takes 60 to 90 minutes, depending on the ligament tear.
You will be observed in PACU (Post-anesthesia care unit) for 1 to 2 hours until you are under anesthesia.
Arthroscopic ACL repair surgery is a minimally invasive procedure with the following benefits and risks.
Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!
Walking is encouraged on the day of your surgery to prevent the formation of blood clots. You will be advised to use crutches or other walking aids to support you since you will have a reduced weight-bearing capacity. However, walking without crutches may take 2 to 3 weeks post-ACL repair.
Athletes can safely return to sports around 8 to 12 weeks post-arthroscopic ACL repair surgery. This allows their body to heal and minimize post-op complications like swelling. It gives the athletes enough time to restore their knee stability and functionality.
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