What is the function of the ACL?
The anterior cruciate ligament is one of two main stabilizers of the knee
It prevents forward translation of the knee join
What causes ACL tear?
Most commonly caused due to a twisting injury.
What are the symptoms of ACL?
Pain, a feeling giving away sensation or instability to the knee.
Can overuse lead to an ACL tear?
Repeated stress or twisting forces can lead to injury. hence commonly seen in athletes.
What is the treatment for ACL?
Varying on the degree of injury your doctor may prescribe bracing, or in severe cases ACL reconstruction via pinhole surgery.
What is ACL reconstruction?
Here a tendon graft is harvested from the patient and used to replace the torn ACL ligament and is fixed in place using implants such as screws or a button.
Will the graft harvested for ACL cause any weakness?
The tendons used are those of a group of four muscles which perform the same function and hence can be sacrificed. Remember this surgery was brought about for high performing professional athletes involving contact sports
How long before I can restart walking?
After surgery, the patient is made to walk the very next day. This will be followed by rehabilitation which includes muscle strengthening and conditioning and acquiring full ROM. And start contacting high-velocity sports from six months from surgery.
What is a total hip replacement?
THR is a surgical procedure which involves changing ball and socket of the hip joint and replacing them with metal implants.
What are the indications of a total hip replacement or who needs to undergo total hip replacement?
Patients with hip Arthritis or fracture around the hip of any form with disturb walking/ standing and pain during activities of daily living.
What is Hip Arthritis?
It is the damage and wears out of the ball and socket joint of the hip with loss of cartilage leading to pain during movement of joint
What is the age limit to undergo THR?
Starting from 18 years until the patient is fit sustained the surgical procedure
What is the type of arthritis?
Broadly classified into two types primary and secondary.
Secondary- Rheumatoid, post-traumatic Arthritis, Ankylosis Spondylitis, avascular necrosis of femoral head
What are the types of total hip replacement?
It is of 3 types
Uncemented- based on a press-fit technique
Cemented- where bone cement is used for fixation of implants.
Hybrid- a combination of both
When can I walk after total hip replacement?
The patient can walk the next day after surgery with putting full weight on the limb
Will Limb length be altered after surgery?
No-limb length is adjusted during surgery to equalise both limbs.
What is the average duration of hospitalization?
Average of around 3 to 5 days including Physiotherapy.
What activities can I do after total hip replacement surgery?
Walking, running, swimming, cycling, car driving, normal sexual activity. Arthritis from other systemic disorders - post-infection.
What are the metal implants that are replaced?
This consist of the stem into the thigh bone (femur) made up of Titanium metal and ball and socket to the pelvic bone. Ball include- ceramic, oxonium metal (Cobalt chromium). The socket includes - polyethene, ceramic.
Which is the best type of implant?
Depends on age and mobility
Young patients- ceramic on ceramic
Less mobile people- ceramic on polyethene
How long will the replacement last?
A well-done surgery last on average of 20 to 25 years.
Is Hip surgery a major and how safe it is?
With recent advances in anaesthesia and surgical techniques it is a very safe surgical procedure.
What are the common complications of total hip replacement?
Complications account to just 3-5%
Blood clotting in veins of the leg
What are the myths of total hip replacement?
A patient can't walk normally
A patient can’t squat
A patient can’t sit cross leg
A patient can’t do cycling or swimming
Facts about THR
This is regarded as one of the most successful surgeries of the millennium.