Gynaecologist | Orthopaedic doctor

Dr. Himanshu Popli

DR.HIMANSHU POPLI specialised in diagnosing orthopaedic issues with the best technology available and the most advanced methods of treatments used for reliable and effective results.  Moreover, he is also focused & passionate about sports trauma, replacement and arthroscopic surgeries.

ACL Reconstructions

ACL Reconstructions

Anterior cruciate ligament injuries occur most often in the sporting population. Anterior cruciate ligament most commonly get torn with major sporting injury but can also happen with other modes of trauma like RTA or fall from stairs etc. The anterior cruciate ligament is the primary stabiliser of the knee joint. Thigh and calf muscles are secondary stabilisers of the knee joint.

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  • If you have torn your anterior cruciate ligament you usually have a sudden twisting movement with your leg fixed on the ground. A snap or pop may be heard and the knee usually swells up within a few hours. The ligament can break from mid substance or from tibial or femoral attachment. Ligament cannot heal or repair itself after complete tear. Even partial tear may also give instability to knee. Once ACL get torn knee become unstable and patient may have give way feeling.
  • ACL injury can be associated with other ligament injuries like MCL, PCL, LCL or with Cartilage and meniscus injuries.
  • Primary treatment in such situation is to give support and management of pain with cold therapy and medication. X-ray examination is helpful to rule out associated fracture. Confirmation of diagnosis needs MRI scan.
  • An anterior cruciate ligament reconstruction is recommended in patients whose knees give way on repeated occasions. If you have built up your thigh muscles and your knee does not give way then an anterior cruciate ligament reconstruction may not be necessary. There is a theoretical argument to do an anterior cruciate ligament reconstruction in order to preserve the knee for the future.