Understanding ACL Tear

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The Anteror Cruciate Ligament injury alongwith meniscal injury makes the most common sports injury among the athletes and young people . The normal Anterior Cruciate Ligement is composed of longitudinally oriented bundles of collagen tissue arranged in 2 functional bands – Posterolateral and Anteromedial bundles . Its attached proximally on medial surface of lateral femur condyle and distally on the Tibial plateau.

  • Biomechanically it’s the primary restraint to anterior tibial displacement ( especially the AM Bundle ) .
  • The Posterolateral bundle is the chief stabilizer for the rotater stability of the knee joint
Causes of ACL Tear
Complications of Untreated Acl tear

Treatment of ACL tear

Over the recent years, lot many advances are made in the treatment of ACL Tear . The type of treatment offered depends on many factors and no single method is the best! Your Joint specialist who is trained in all modalities can guide you to choose the best possible treatment or you !

1. Medicines and Knee physiotherapy

Partial and stable tears , ACL swelling and early Mucoid ACL can be treated conservatively with nsaids and Knee physiotherapy

2. Arthroscopic ACL Reconstruction

it’s a gold standard treatment of ACL tear whereby the torn ACL is replaced by a four or six fold graft taken from patient himself and reconstructing it to the place of original ACL using bone tunnels , it makes the knee joint stable again and helps in preserving other parts and components of the knee joint from further damage

3. Arthroscopic Mucoid ACL debridement with Notchplasty

This treatment is specially indicated when ACL undergoes mucoid changes ( ACL tissues convert into jelly like substance and impinges the intercondylar notch ) , there in this treatment the Knee arthroscopy is done to debulk the mucoid ACL and bony notchplasty of lateral femur condyle is done to avoid pain secondary to notch stenosis – Several Scientific papers have proved that Decompression of acl and the notchplasty is the gold standard treatment of ACL mucoid whereby the conservative treatment have failed .

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    FAQ’S

    Frequently Ask Questions

    Knee ligament injuries like ACL, PCL, MCL, and meniscus tears are commonly caused by sports injuries, road traffic accidents, falls from height, degenerative changes, or inflammatory conditions.

    Partial and stable tears can often be treated with medicines and physiotherapy. However, complete or unstable tears may require arthroscopic repair or reconstruction for proper stability and long-term joint protection.

    Arthroscopic surgery is a minimally invasive procedure performed using small incisions and a camera to repair or reconstruct damaged ligaments or tendons, allowing faster recovery and minimal scarring.

    Treatment depends on severity. Mild cases may improve with medicines and physiotherapy, while severe or chronic tears may require arthroscopic repair or advanced procedures like reconstruction or shoulder replacement.

    Frozen Shoulder (Adhesive Capsulitis) is a condition where the shoulder joint becomes stiff and painful due to capsule thickening and inflammation. Early stages can be treated with medicines and physiotherapy. In resistant cases, advanced treatments like hydrodilatation or arthroscopic capsule release may be required.