Procedure Description

Revision ACL Reconstruction Surgery

Surgery to correct a primary ACL reconstruction that was unsuccessful or insufficiently done is known as an anterior cruciate ligament (ACL) revision.

Rewrite Due to the high frequency of related injuries, impaired anatomy, and restricted graft alternatives, ACL restoration is a challenging procedure. Functional results and returning to pre-injury sports are subpar compared to main surgery, thus patients should have realistic expectations.

Disease Overview

Anterior Cruciate Ligament (ACL) Tear

An anterior cruciate ligament (ACL) injury is a rupture or sprain of one of the strong bands of tissue that connects your thigh bone (femur) to your shinbone (tibia). ACL injuries are most frequent in sports like soccer, basketball, football, and downhill skiing, which entail rapid pauses or changes in direction, jumping, and landing.

When an ACL damage occurs, many patients hear a pop or experience a "popping" feeling in their knee. It's possible that your knee will expand, become unstable, and become too painful to bear weight on.

Rest and rehabilitation exercises can help you restore strength and stability, or surgery to repair the torn ligament followed by rehabilitation, depending on the degree of your ACL damage. An effective training programme can assist to lower the chance of ACL damage.

Disease Sign an Symptoms

The following are common signs and symptoms of an ACL injury:

- The sensation of a loud pop or "popping" in the knee

- Pain that is unbearable and makes it impossible to continue doing things

- Rapid enlargement

- Range of motion loss

- With weight bearing, a sense of instability or "giving way"

Disease Causes

Ligaments are strong tissue bands that join two bones together. The ACL links your thighbone to your shinbone and helps maintain your knee joint. It is one of two ligaments that cross in the centre of your knee.

ACL injuries commonly occur as a result of sports and fitness activities that place stress on the knee:

- abruptly slowing down and altering course (cutting)

- Pivoting while keeping your foot firmly on the ground

- A clumsy landing after a jump

- abruptly halting

- Taking a direct strike to the knee or colliding with another object, such as a football tackle

When a ligament is torn, it typically results in a partial or full tear of the tissue. A little damage to the ligament may stretch it yet leave it intact.

Risk Factors

There are several variables that enhance your chances of tearing your ACL, including:

- Because of variations in anatomy, muscle strength, and hormonal impacts, being female

- Soccer, football, basketball, gymnastics, and downhill skiing are some of the activities that people participate in.

- Inadequate air conditioning

- Using incorrect movement patterns, such as squatting with the knees inward.

- Putting on shoes that don't fit correctly

- Using sporting equipment that isn't well-maintained, such as ski bindings that aren't correctly adjusted

- Playing on a synthetic surface

Disease Diagnosis

while also restoring complete range of motion and strengthening muscles in your knee. Individuals who are generally sedentary, participate in modest exercise and recreational activities, or play sports that place less stress on the knees may benefit from this course of physical therapy.

Surgery may be recommended by your doctor if:

- You're a sportsperson who wants to keep doing what you're doing, especially if it includes jumping, cutting, or rotating.

- In your knee, more than one ligament or fibrous cartilage is affected.

- Your knee is buckling as a result of the damage during regular activities.

During ACL restoration, the surgeon removes the injured ligament and replaces it with a tendon — tissue that links muscle to bone and functions similarly to a ligament. A graft is the term for the replacement tissue.

A tendon from another portion of your knee or a tendon from a dead donor will be used by your surgeon.

Following surgery, you'll begin a new round of rehabilitative treatment. Your knee may generally be stabilised and functioned again after a successful ACL replacement and vigorous rehabilitation.

Athletes have no predetermined time limit for returning to play. According to recent study, up to one-third of athletes will get another knee injury in the same or opposite knee within two years. The risk of re-injury may be reduced with a longer healing period.

In typically, it takes a year or more for players to be able to return to play safely. At various points during your recovery, doctors and physical therapists will do tests to assess your knee's stability, strength, function, and readiness to return to athletic activities. Before returning to an activity that puts your ACL at risk, make sure your strength, stability, and movement patterns are all in good shape.