Sub Specilities

ACL Reconstruction

ACL Reconstruction

What is Anterior Cruciate Ligament Reconstruction? 
Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical procedure that replaces the central ligament of the knee with a new ligament graft. 

The ligament graft can be an autograft in which a part of the patient's body such as a knee tendon or hamstring is used as the graft. Alternatively it could be an allograft in which the graft is from an external donor. 

The patient is required to stick to a rehabilitation program of two to six months after an anterior cruciate ligament reconstruction to successfully recover and resume full activities.

How is ACL Reconstruction Performed?

  • The surgery is performed by an arthroscopy.
  • During arthroscopy a small incision is made on the knee through which an arthroscope with a camera attached to it is inserted into the knee.
  • Other tiny incisions are made on the knee through which surgical instruments are inserted.
  • The old anterior cruciate ligament is removed.
  • If an autograft is used, a larger incision is made to remove this ligament.
  • Tunnels are made into the bone to place the new tissue at the site of the old anterior cruciate ligament.
  • Screws may be used to attach the new ligament to the bone.
  • It also helps the ligament to be held firmly in its place.
  • Once the surgery is complete, the incisions are closed with stitches and dressing is applied.


How to Prepare for the Surgery?

  • The doctor should be informed about any medication that the patient may be taking.
  • Certain medication that the patient has been taking may be stopped two weeks before the surgery.
  • The doctor should be informed about any medical conditions or ailments of the patient.
  • The doctor should be informed if the patient has been drinking more than one or two drinks of alcohol in a day.
  • The patient should stop smoking some weeks prior to the surgery to recover quickly.

What are the tests required?
The tests required before the procedure is:

  • Blood Test
  • Knee X-rays
  • MRI

How much time is required?
The procedure requires 1-2 hours of time and the hospital stay would last for a day or so.

What is the cost of the procedure?
The procedure costs the patient around 5000-5500 USD.

What type of anesthesia will be given?

 General Anesthesia or Spinal Anesthesia

How will patient recover?

 - The patient may need to wear a knee brace for up to four weeks after the surgery. - Crutches should be used to help the patient move around. - The patient can move the knee that will prevent stiffness. - Medication may be prescribed to reduce pain. - A complete recovery to full activities may take 4 to 6 months.

What should be cared?

 - The patient is required to take physical therapy for 2 to 6 months to regain strength and motions of the knees. - The incision area should be kept clean and dry. - Any signs of infection should be reported to the doctor. - The doctor's instructions should be followed carefully.

DR. RAJESH KUMAR VERMA

Spine Surgeon, Ortho, Joint Replacement Surgeon, Orthopedic surgeon

Introducing to myself

 Dr. Rajesh Verma has turned himself into a legendary Traumatologist and has set precedence in treating complex trauma, bone, joint & spine disorders. He has over the years acquired an expert status in spine surgery, joint replacements & pediatric orthopaedics including deformity & limb length discrepancy correction.

His clinical & surgical skills are superbly backed by his expert training from institutes like

Department of Orthopaedics and Spine surgery, Denver Health Medical Centre and Rocky Mountain Regional Trauma Centre, Denver, Colorado, USA, University clinic of Schleswig-Holstein, Kiel, Neurosurgery Centre Schittenhelstr Hamburg, Germany & National University Hospital Singapore.

He has further acquired his advance skill sets towards deformity and degenerative spine disorders from Severance Spine Hospital Seoul, South Korea & Hip / Knee Joint Replacements from Prince Charles & North Point Hospital Brisbane, Australia.

In his Career he has been a part of more than 20,000 surgical cases. Personally Dr. Verma have successfully performed over 12,000 surgeries including all types of Spine surgeries, and Complex Trauma surgeries.

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DR. HEMANT SHARMA

Orthopedic, joint /Hip replacements

Introducing to myself

Dr. Hemant Sharma has over 22 years of experience (10 years in India and 12 years in England) in the field of orthopaedic and is a certified Fellow by Royal College of Surgeons of England. Dr. Sharma qualified from the PGIMS Rohtak in 1994 and his higher orthopaedic and trauma training was from India and England and specialist training has been an accumulation of fellowships in the UK.  This education continues with regular attendance both as a delegate and faculty member at national and international meetings.

SPECIALISATIONS

He specialises in adult reconstructive orthopaedic, joint replacements, tumour and musculoskeletal problems in post polio and cerebral palsy. He does lot of redo-trauma cases and sports injuries which involve single or multiple ligament reconstructions and joint saving procedures in younger patients with arthritis. He also operates on teenagers with problems like hip dysplasia, when the hip doesn’t fit properly into the socket, or slipped capital femoral epiphysis or SCFE, when the growth plate slips off the end of the thighbone. He also has significant experience in patients with sickle cell disease where joints are damaged.

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