Treatments on HBG Panel

What is ACL Reconstruction?

ACL (Acute Cruciate Ligament) reconstruction is a procedure to replace a torn cruciate ligament (ACL) in the knee. The torn ligament is removed and replaced by a piece of tendon from another portion of your knee or from a deceased donor in ACL reconstruction. This surgery is an outpatient procedure performed around your knee joint by small incisions.

What are the symptoms of ACL Reconstruction? 

• Pain in the knees
• Bruising
• Limping
• Pain while standing
• Knee Joints instability
• Swelling
• Stiffness
• Tenderness along the joint line

Evaluations for ACL Reconstruction 

• X-rays
• MRI
• Lachman’s test

Treatment for ACL Reconstruction

Overview of surgery

ACL surgery involves reconstructing or repairing the ACL. To replace the ligament, ACL reconstruction surgery uses a graft. Autographs using parts of your own body, such as the kneecap tendon (patellar tendon) or one of the hamstring tendons, are the most common grafts. The quadriceps tendon from the top of the kneecap is sometimes used. Allograft tissue is another option, which is taken from a deceased donor. Repair surgery is only used when an avulsion fracture occurs. In this case, the bone fragment connected to the ACL is attached to the bone. In this surgery, the surgeon makes small incisions in the knee and inserts surgical instruments through these incisions. In some cases, a large incision is cut into the knee.

Surgery

Under regional anesthesia or general anesthesia, arthroscopic surgery is performed. The surgeon makes several tiny incisions, usually two or three, around the knee during arthroscopic ACL reconstruction. Through one incision, a sterile saline solution is pumped into the knee to expand it, allowing the doctor to see more clearly the knee structures. In one of the incisions, the surgeon inserts an arthroscopy. Through other small incisions, surgical drills are inserted. The surgeon drills small holes into the upper and lower bones of the legs where the bones come close to the knee joint. The holes form tunnels that anchor the graft. If the patient uses his/her own tissue, the surgeon will create another knee incision and take the graft. The graft is taken through the tunnels in the upper and lower leg bones that have been drilled. With screws or staples, the surgeon secures the graft and closes the incisions with stitches.

 Estimated Costs

The cost of investigations will be between USD 400 and USD 600.