Health n Chat

ACL

The anterior cruciate ligament (ACL) is one of the key ligaments that help stabilize the knee joint. The ACL connects the thighbone (femur) to the shinbone (tibia).

133 Contributors . 20 followers 279 posts in the last week

Questions
Contributors
Followers

Sir Mera accident me tuta tha tang ka operation hoke 7 months ho Gaye abibi ankele me suran and dhardh hai exigencies ki ya tho Jada dardh hota he exigencies karu choda du

Do you need ACL treatment even if you do not have any problem !

what is ACL bony avulsion ? how can we treat it ?

Hello friends, ACL Bony Avulsion. This channel will give information about this and I, Dr. Naveen Sharma, welcome you here. Friends, in this post I will tell you what is ACL Bony Avulsion. Why does it happen and how it can be treated? I will give you complete information through this video. Friends, a very important ligament of our knee is the ACL ligament. It balances our legs and helps us in running and in sports.

If this ligament breaks, then that is called ACL tear. This ligament does the job of joining the upper bone femur with the lower bone tibia and helps us in jumping, running and other sports activities. Sometimes, when you have a twisting injury in your leg, either you a doing long jump or high jump, or while driving a bike, get skid then ligament tear happens.

Friends, ACL bony Avulsion means, the ligament does not break from the mid but gets uprooted from the tibia bone along with a piece of bone.

Friends, avulsion from the femur end is very rare. In most cases, avulsion is found in the lower bone tibia. Maximum cases of ACL bony Avulsion injuries are found in kids. They are mostly found within the age group of 14-15 years to 25-30 years. Especially in 14-20 years, it is seen the most. The patient gets immediate swelling on the knees and very heavy pain, he finds difficulty in walking and feels that if pressure is put on his leg, it will get twisted. When he gets, MRI or X-Ray, a piece of bone is seen as a little up-placed. In the MRI report, it shows, ACL Bony Avulsion seen. Friends, the report can come in 3 types. Type 1, Type 2, and Type 3. If the piece is uprooted from the front, it's called Type 1. Friends, if it is a little displaced, it's called 2 and if completely uprooted, it's called Type 3. If it's 1 or 2, then conservative treatment should be tried. A knee brace is put on the knee for around 3 to 4 weeks.

Then, as and when the fragment gets joined, exercises are started. In some places, they put plaster. I do not agree to put plaster. If you put plaster, then there are chances of it making the knee tight. Other than that, doing traditional massage (maalish) can prove to be more damaging.

So, don't use these traditional treatment methods. Put knee brace in 1st or 2nd stage and after a month, exercises should be started where the patient starts bending his knees and in some days he will start getting stability in his legs after following rehabilitation protocol but there is Type 3 ACL Bony Avulsion and the piece is completely uprooted. Friends, it is very necessary to fix this. If there is an ACL graft tear or ACL mid shaft tear; the ACL breaks from the mid, then we have to put a new ACL. But, if you have ACL Bony avulsion, and if you reach out to your doctor is 7-10 days then there is an opportunity to fix the ACL

Especially the technique used by me is Suture pull-through technique.

The advantage of this technique is that no metal is put in the body.

We fix the ACL through Suture itself and you get fit in 1 to 2 months.

Friends, ACL Bony Avulsion is a rare injury, and identifying it at the correct time is also very rare. You would be lucky if your MRI is done in 3-4 days and you come to know that you have ACL Bony Avulsion. Once you come to know, you should not delay and visit the doctor and fix this ACL Bony Avulsion. Let's assume that after 3 to 4 weeks, you come to know that you had ACL Bony Avulsion. The friends, we do not have any other option because now if you try to fix the fragment or try to save the original ACL, then it is the possibility of loss that your surgery is not successful and might have to go for surgery again. So, if the ACL Bony Avulsion is older than 3 to 4 weeks, then I recommend putting a new ACL graft as the best treatment. Friends, after putting the ACL graft, the rehabilitation is a bit longer. But you get completely fit. So, this was my brief video on ACL Bony Avulsion. Have you also got ACL Bony Avulsion?

Common mistakes in ACL surgery

Hello Friends. In today's video, I will explain in detail the common mistakes done by patients after ACL injury or ACL operation

Greetings friends. My name is Dr. Naveen Sharma and I am a Senior Consultant in Apollo Hospital, Jaipur, and Advance Hospital, Jaipur.

Friends, there are some mistakes that almost all patients commit after an ACL injury. After my 15 years of experience in treating 10,000+ patients, one thing that I have understood which I will try to explain it through information in this video. The first mistake patient does is - They put plaster or knee brace and stop bending their legs. Their thought process is that if the leg is kept straight then the ACL will get automatically cured. Friends, this never happens. ACL is a fixed-length structure. It does not get affected by your keeping the leg folded or straight. But, if you keep your legs straight continuously, your legs get jammed and if your legs get jammed, then you have to get 2 operations done. One for ACL and another for folding the legs. So, as soon as you get an ACL injury, start folding your legs from the very next day. You can consult your doctor. If there is a fracture or something else, you can hold it.

But in 99% of cases, I have seen that folding legs after ACL will not be harmful. Some people get Meniscus tear in their MRI and they get scared that if they fold their legs, the Meniscus will further get torn.

But friends, if you don't fold your legs, they will get jammed and nothing is more harmful than this. I would say, keep folding your knees, as much as your pain allows. The second is treating ACL with traditional methods. Friends, some people start treating their injury with traditional methods, just to avoid operation. They apply various oils and mixtures on their knees which is very harmful. Friends, it needs to be understood that ACL treatment is not possible with traditional methods.

Your knee can get jammed or further spoilt. So, traditional methods are not to be applied after ACL. The third is to take complete bed rest.

Some people think that resting in bed can avoid ACL operation. They rest for 6 long months, which damages their muscles and leg gets completely weak. So friends, after an ACL injury, there is no need for bed rest.

You can wear a knee brace and walk. In fact, if you walk, your bones and muscles will strengthen. I have seen people who come for ACL surgery after 3-4 months of bed rest. Their bone quality is very soft. Bone quality will improve only if you walk. So, do not take bed rest in case of ACL. The fourth mistake that people do is, taking an injection on the knee. They go to a doctor and get an injection, thinking that such oil or lubricant injection will make their knee better. Friends, don’t make this mistake of getting an injection. If there is blood retention in your knee and it is not bending, then you can consult an Orthopaedic surgeon and get the blood pulled out by injection in a sterile condition. But, don't make the mistake of taking any medicine or steroid. Friends, during an ACL operation, people also make the mistake of not searching for an expert or senior doctor and instead seeking a doctor in their surroundings or search for places, where they can get free treatment.

Or where card payment is accepted. Friends, this operation is such that it cannot be assured where it can be done perfectly. In such a situation, get your operation done at a place where 5-6 ACL operations are done regularly; where the whole team is trained; where a high-quality implant is used. These parameters of selection are more important than selecting

Where it is done free, or which is near to my place or where I have good references of family members. Do proper research this way and discuss everything with your doctor and when you are completely satisfied, then only get the operation done there. Some people avoid physiotherapy after the ACL operation. They tell the doctor to take extra money, but not to give exercises to be done. Friends, if you do not do exercises...where exercise has more than 50% role in ACL operation, If the doctor does 10% operation correctly, and you do 90% proper exercise, you will recover.

But if the doctor does 100% operation correctly, but you avoid doing exercise, or keep lying on the bed, either due to fear of pain or due to being down motivational, the results will not be good. After an ACL operation, you have to exercise regularly, as per your doctor's advice.

If your doctor is not advising, join my WhatsApp program. I will help you and make you do exercise. I repeat, 90% of the role is of exercise in this. You have to walk for a minimum of 3-4 km daily, climb the stairs, do the exercises and strengthen your legs. I am telling you out of my 15 years of experience, that the more to dedicate yourself to exercise, your ACL will get cured 100% and those who avoid doing exercise due to fear, confusion, or doubt, face problems in ACL recovery. These were the common problems that people have. I have shared with you, whatever I have understood. Apart from that, please mention in the comments section your doubts, and I will help you. Greetings, friends.

ACL me parient ko ek mahine tak kya dhyan rakhna hai

https://youtu.be/Ta4FHLOEMpU

Show more star wars posts...

End of content

No more pages to load

ACL

Add Image Want to be a contributor? Apply here!

133 Contributors View all

Community you may like View all

Dr Naveen Sharma Doctor

Dr Naveen Sharma
Doctor