Total Knee Replacement, partial knee replacement MJRC India

ACL reconstruction (Arthroscopic reconstruction)

Timing of ACL tear surgery
I prefer to do this as soon as possible after the diagnosis is made. The optimal time is three weeks. The advantages of the early arthroscopy and surgery are that it allows a peripheral tear of the meniscus to be sutured.
   
Technique
I prefer Arthroscopic ACL reconstruction for the following reasons

• the incidence of postoperative neuromas of is less 
• visualization of the bony tunnels is accurate. 

I prefer the patellar tendon as a graft, although recent reports have found no significant difference between patellar tendon and hamstring grafts. In a revision reconstruction I prefer quadriceps tendon graft.  Orthopaedicians in India see more ACL injuries in road traffic accidents. Arthroscopically I can inspect the rest of the knee for concomitant damage. Meniscal and cartilage tears can be addressed arthroscopically. I use the patellar tendon routinely and the hamstrings tendons occasionally. I use patellar tendon, hamstring and quadriceps tendon grafts and fix them with interference screws, endobutton

Post operatve regime
My postoperative regime aims at achieving knee extension first and then goes on to the rest of the regimen. The patient can return to his normal level of activity by one year.