ACL Reconstruction Cost in India

Name: ACL Reconstruction Cost in India
Brand: Indicure
Rating: 5 (12 reviews)

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Best Orthopedic Surgeons in India

Dr. IPS Oberoi

MS (Orth.), MCh Orth. (Liverpool, U.K)

25+ Years of Experience

Dr. I P S Oberoi is an expert in Primary and Revision Joint replacement surgeries of Knee, Hip, Shoulder, Elbow, and Ankle joints. Dr. IPS Oberoi has performed over 7200 joint replacements, with a success rate of 97 percent. He is one of only a few doctors qualified to perform arthroscopic surgery on a labral tear in the hip.

Dr. Mudit Khanna

M.B.B.S, MS(Orthopedics)

21+ Years of Experience

Dr. Mudit Khanna is a Mumbai-based orthopedic surgeon who specializes in arthroplasty and arthroscopy. Dr. Mudit Khanna is a renowned name in the field of Joint Replacements and advanced Orthopaedic Surgery. His illustrious career has been dotted with expertise acquired over a decade, working in institutes of National and International repute with Stalwarts like Professor David Rowley, Dr. Andrew Waterfield, and Dr. Ben Clift.

Dr. Yash Gulati

MBBS, MS (Ortho), M.Ch(Ortho), Eng

29+ Years of Experience

Dr. Yash Gulati was the first to introduce the concept of gyroscope-based computer navigation for knee replacement in India. He is the youngest orthopedic surgeon to receive the civilian accolade, having been awarded the Padma Shri by the President of India in 2009, and appointed Hon. Surgeon to President of India -2016.

Best Orthopedic Hospitals in India

WockHardt Hospital

Mumbai

Wockhardt Hospitals is the branch of the leading Wockhardt pharmaceutical company in India. The company is more than four decades old and is present in more than 20 countries around the globe. Wockhardt has 9 hospitals in India in Mumbai, Nagpur, Rajkot, Nashik, and Surat.

Artemis Hospital

Gurgaon

Artemis Health Institute, a premium multi-specialty hospital is a healthcare venture launched by the promoters of the Apollo Tyres Group. Established in 2007, Artemis was the first hospital in Haryana to get NABH accreditation within 3 years of start-up.

What is ACL Reconstruction?

ACL (Anterior Cruciate Ligament) is the strong band of tissue connecting the femur (thigh bone) to the tibia (lower leg bone) passing diagonally through deep inside the knee joint. It is meant to bring stability at the knee that helps to control the to and from and side to side motion at the knee joint.

ACL reconstruction is an arthroscopic surgery to rebuild the torn ACL ligament using the grafts that are harvested from the tendon stationed at some other part of the knee.

ACL surgery is indicated in ligament injury that occurs most frequently with the sudden over extension or twisting movement at the knee joint as a result of mostly combative sports like soccer, basketball, football etc.

The main purpose of ACL reconstruction surgery is to restore the knee stability and function of the injured ligament.

Causes of ACL Tear:

The ACL tear, being the indication for the ACL reconstruction, occurs due to both contact and non contact mechanisms.

Contact Mechanism
- Falling down on an extended knee.
- Playing with feet planted on the ground and getting hit/blow on the lateral side of the knee.
Noncontact Mechanism
- Twisting suddenly or changing directions quickly with feet planted on ground.
- Stopping suddenly with legs over extended or slightly bent.
- Improper landing after jumping from extreme height.
- Missing a step while climbing or descending the staircase.

Treatment Options

ACL injury/tear can be managed by either of the following options:

Nonsurgical Options:
- Conservative Management: Acute sprains or partial ligament tears can be managed conservatively with the appropriate rest and protection to the joint with limited mobility.
- Rehabilitation Program: This is to regain normal range of motion, strengthening your muscles to support and stabilize the joint during your daily living activities.
- Protective Bracing: Use of custom fitted knee braces to decrease the stress on healing ligaments.
Surgical Options: ACL tear can be treated surgically with two different techniques that includes:
- Surgical Repair of ACL: It is a rare choice of surgery which is accomplished by reposing and suturing the torn ligament. This technique is indicated only when the ligament is torn off from its attachment but still intact and is not stretched out or when there is an avulsion. The repair of ACL is less recommended due to less desirable outcomes and possibility of recurrent ligament injury.
- Reconstruction Surgery: ACL reconstruction is the primary choice and the leading aid of surgically managed ACL injuries. It is performed arthroscopically or endoscopically causing less tissue destruction and faster recovery. During ACL reconstruction, a tissue graft is used to replicate the function of injured ligament thereby stabilizing the knee.

The tendon graft can be harvested from two different tissue that includes:

Patella tendon graft: If patella tendon graft is selected, the small graft is taken along with the small bone plugs attached at each end from in front of the patient's knee, allowing the graft to fix very rapidly with bone.
Hamstring tendon graft: It is the most popular and highly successful method. The semitendinosus-gracilis tendon graft is harvested from the insertion of the muscle. It has an advantage of less donor site discomfort than patellar tendon graft.

When is ACL Reconstruction required?

If your knee has got injured due to participation in high impact activities or if there is a disabling knee instability with the frequent episodes of knee giving away or buckling while walking, and if there is no relief in symptoms despite a course of conservative management, you can be considered as a good candidate for ACL reconstruction surgery.

How is ACL Reconstruction done?

The surgery is performed in a well equipped operation theater under general anesthesia and takes about 2-3 hours.

Step 1

The procedure is done under general anesthesia. The graft is selected and harvested from either patella or hamstrings tendon through a small 4 cm incision over the top of the shin bone or at the back of the knee. This is followed by the preparation of the graft and resizing it appropriately for implantation.

Step 2

Arthroscopic evaluation is then performed by the surgeon by making 2-3 small incisions around the knee. After the full evaluation, the arthroscope is re-inserted and the damaged ACL is removed to implicate a new graft. Using the special instruments, two bone tunnels are drilled, one in femur and other in tibia and then the graft is introduced into the knee through those tunnels and secured at both ends by the means of bio-absorbable screws.

Step 3

After the fixation, the knee is moved through the range of motion to check for the integrity and appropriate tension on the graft. After confirming, the incisions are closed and compression dressing is placed on the knee and the leg is then placed in the knee immobilizer for protection.

What is the Recovery after ACL Reconstruction like?

The recovery after the ACL tear surgery is quite quick. Patients can move around with partial weight bearing using crutches which are discontinued after 2 weeks until the knee muscles are strengthened enough to support the limb. Outdoor activities are allowed after 3 months and one can expect return to more rigorous activities like sports only after 6 months of the aggressive rehabilitation program following the surgery.

What Results Can I Expect from ACL Reconstruction?

Since ACL repair is a minimally invasive surgery, it results in quick recovery and faster return to functional activities. One can expect to return to the functional level within 3 months with aggressive rehabilitation. However, returning to sports activities might take 6 months.

Questions to Ask

We at IndiCure completely understand your concerns and it is always our endeavor to provide the best outcome for every patient. Following is the list of questions you must ask before you embark on your journey for ACL Reconstruction in India.

Is it time for a ACL Reconstruction?
Is the orthopedic surgeon board certified?
How experienced is the Surgeon?
Which language does the surgeon speak?
Is the surgery done in a well-equipped facility?
Can you give me any information on outcomes and complication rates?
How much pain can I expect, and how will it be managed in the hospital and after I go home?
Is physical therapy necessary after surgery?
What about the risks involved?
Does the surgeon use a certified anesthetist?
How long will the recovery period be?

Preparation for the Surgery

Prepare to answer questions about your:

Medical history and exams
Urinary evaluations
Previous surgeries
Current medication review
History of smoking, drugs, or alcohol
Surgical expectations
Social Planning
Home Planning

Patient Testimonials

Having been home a few days now I can get my thoughts together and give my heartfelt thanks for the support and encouragement I got from IndiCure. Obviously, there was a certain amount of trepidation going to what has a reputation of being a third world country for a major operation like knee replacement, having received the type of treatment which I would think only the Royal family would receive in this country I wonder which is the third world country. From the organization arranged by your good self to absolutely first-class attention at the hospital and the service of doctors and his wonderful team all of whom spoke English, the nursing was one to one and my well-being was their only concern.
The operation has been a complete success. I am so happy with the results. The friendliness from everyone from consultant to ancillary workers was amazing.
Thank you,
Ms. Beth Brown,United Kingdom
Procedure: Bilateral knee joint replacement
My Knee joint replacement surgery in India has given me a second chance to live life independently and on my own terms. I had become completely dependent and bed ridden because of the extreme pain and found it even difficult to go to the wash room.
IndiCure has really helped me in this journey and I am very thankful to them. The surgeon and nursing staff especially were very nice. Good work done.
Mr. Ansari Sheikh,Abu Dhabi, United Arab Emirates
Procedure: Knee joint replacement surgery
I am extremely delighted with the services provided by IndiCure. They have arranged everything so meticulously and have been there to guide and help me at each step.
Thanks IndiCure.
Ms. Nellia Ismail,Dubai
Procedure: ACL Repair surgery
I am so thankful to IndiCure and their associate clinic for giving me my healthy life back. I had such bad back pain and pain in the left leg which had made my life miserable. My business was getting hampered; my life was so disturbed because of this pain all the time.
Thanks to IndiCure and the entire staff, they are very professional and at the same time caring in their approach. I am completely satisfied with the results of my spine surgery in India.
Mr Pacific Muchira,From: Kenya
Procedure: Lumbar spondylosis (L4-L5) with pain to radiating to left leg

Frequently Asked Questions

The cost of ACL reconstruction in India ranges from USD 3500 to USD 4500. The cost may vary depending on a variety of criteria such as the hospital the patient chooses, the number of days spent in and out of the hospital, surgeon- his seniority and expertise and the city where the patient chooses to get the surgery done.

The most common ligament injury of the knee seen in athletes occurs primarily during sports or other high-intensity physical activities that put pressure on the knee, or as a result of direct injury to the knee, jumping and landing incorrectly, suddenly slowing down and changing direction of movement at the same time.

Not all ACL tears necessitate surgery, but some do. You would need a surgery in case:

You've torn your ACL completely
If you are a sportsperson and your job requires you to have strong knees, you may have also harmed other components of your knee.
You've already tried physiotherapy and rehab, but the pain and joint stability hasn't improved much.

No, it's not a risky procedure. However like other surgical procedures, ACL reconstruction also carry some risks problems such as: Infections, blood clotting in the legs, damage to other vessels, nerves during surgery, in some patients, screws may cause problem and require removal, in some they may be a problem in graft tendon.

There are numerous aspects that go into a successful ACL surgery, but the most important ones are graft selection, graft placement in the bone tunnel, and graft fixation, as well as postoperative therapy.

It usually takes 8-12 months of physical therapy and rehabilitation to fully recover and return to sports.

Yes, by practicing core muscle strengthening exercises and using suitable sports equipment to prevent sports injuries and enhance leaping and landing techniques.

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