ACL reconstruction.

[Prachee Sawant]

Has anyone underwent an ACL reconstruction with patellar tendon?

As far as I know, all the top doctors like Hemant Kalyan, Anant Joshi, Dr. Shrinivasan usually perform ACL reconstruction using the hamstring tendon. The only known doctor to perform patellar tendon I know is Dr. Chandy. Anyone who has returned back to their top forms with a patellar tendon ACL reconstruction done?

[Ravishankar Balasubramanya]

I underwent an ACL reconstruction under Dr. Jayaram in first week of April this year  . I returned to light training after 3 months and finished the Mysore Half Marathon in Oct . But I got a Hamstring graft so cant comment much on the patellar tendon for reconstruction.

Ravi

On Fri, Nov 30, 2012 at 10:23 AM, Prachee Sawant <prachee...@gmail.com> wrote:

Has anyone underwent an ACL reconstruction with patellar tendon?

As far as I know, all the top doctors like Hemant Kalyan, Anant Joshi, Dr. Shrinivasan usually perform ACL reconstruction using the hamstring tendon. The only known doctor to perform patellar tendon I know is Dr. Chandy. Anyone who has returned back to their top forms with a patellar tendon ACL reconstruction done?

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[Karthik Vijayakumar]

That is an amazing recovery you made Ravi, hats off. I too was diagnosed with partial acl tears on both my knees a few months ago, later when I consulted a few sports specialists they said its a false alarm and I can run and play as I wish :)

I think the reason why most people prefer the hamstring over patellar is that the hamstring is relatively stronger and can manage the slight loss

-Karthik

[Chethu Gowda]

I wanted to discuss on this topic , and luckily someone initiated at the right time.
 I had an accident while football quite a long time ago. and It was diagnosed as ligament tear. As I never liked sitting idle, went on playing football again n again without giving proper rest to my injury and felt a kind of sudden jerk at my knee couple of times. After that I had to stop football . and as an alternative to football I started doin cycling and swimming from few months ago (before starting cycling i underwent some physiotherapy). I have done 3- 150s and 1-100 and I commute to office daily by bicycle (15km both ways). I feel a small pain very rarely at the joint which never last for more than few seconds. I consulted Dr.kincha who suggested me to undergo surgery. When I said I dont have any problem except little pain sometimes, he said then continue what you are doing and come back to me if you feel more pain. However if at all I need to undergo surgery now or later , I choose to get it done now as I am single and hav little responsibility. So tomorrow I am going to consult Dr.Chandramauli in apollo , and I am planning to undergo surgery if he suggest the same. I just wanted to know if these surgeries make my knee as strong as they were before. Can I start playing football after the surgery (Dr.Kincha said it takes around 6 months to get back to my regular sports).
I am attaching the MRI report which says "Full thickness tear of anterior cruciate ligament". Please tell me what you guys with similar experience feel.

[deepakvrao]

Don't know anything about the issue but I would trust Dr Khincha blindly. He would be a good choice for surgery too if you do decide.

[Chethu Gowda]

If it was Dr.Kincha who does the operation I would gladly have accepted surgery. But I have heard he does only to VIPs otherwise he just monitors. And moreover Dr.Kincha didnt appear to recommending me the surgery much, but the other relatively young guy who works in Kincha orthopedic center kept stressing about the operation. 

[Prachee Sawant]

That's quite some faith. Why would you so willing to do it blindly?

[deepakvrao]

Cause I've seen him operate. 

I think if someone saw me operate they would say the same ;-). I never said I was humble. LOL

[Ashoo 20MM]

Hi,
I underwent went orthoscopic ACL n meniscus reconstruction Sep last year on my rt knee using the patella tendon graft n would recommend to first strengthen the leg muscles b4 the surgery as the leg will be in shape 4 a speedy recovery after the surgery..so a month after the injury you must b ready 4the surgery.. Would like to inform u that patella graft is from the tendons holding ur knee cap in place n the doctor during the surgery will remove some of it for ur ACL reconstruction..had seen my tendon during the op n was about 6" in length, opted 4 titanium screws to fix it in place.,there are also self soluble screws avail n they dissolve as its work is done and the bone grows back in to the drilled bits..the op went fine but the 1st day after surgery was agonisingly, excruciatingly painful for me was sedated heavily as i under went spinal anesthesia b4 the surgery n din feel nothing but once it faded after the op ..:) realized that it happened to me n should never happen to any 1..lol. If you go 4 patella graft then there will be a pain in your kncap when ever you kneel down n a small part of your outer top side skin along the the kncap will loose a bit of sensation on it. Bright side of patella is that it is really strong but more physio n more recovery time required to b back to 95% n hardcore sporting activity at least 1yr later you feel confident to do the regular stuff..if u dont do your physio regularly, even miss 1session also, then recovery time doubles as things in the knee would have to be stretched, bent all over again using CPM device..etc etc; also have read n been told that women mostly go for hamstring graft as its less painful,due to quicker recovery time frame n have also read that women have more tendency to sustain pain than men scientific..lol..pain apart..Its really unfortunate n m really sorry that this happens n in extreme cases as ours have 2undergo the knives as a ruptured ACL or Crushed Meniscus does not repair neither grow back like other parts of the body.
Wishing you the very best n a speedy recovery.
Fellow knuckle head knee..;)
Ashoo.

[Chethu]

Visited dr.chandramouli in Apollo. As per my MRI scanning, I hv acl full tear and some meniscus tear. He said for cycling and swimming acl not required, and for some regular rigorous activities my hamstring muscle will compensate the acl, but meniscus tear may lead to early arthritis. So if I don't wanto get back to my football or any such rigorous sport it goes fine without acl reconstruction. But I should undergo meniscus reconstruction to avoid early arthritis.

While acl surgery needs around 6 months for complete recovery, meniscus reconstruction takes around 1 week to get bk to my regular activity. I am bit relaxed :)

Sent from my iPad

[Naveen R]

Thanks for all the messages it was quite informative.. But none of you have mentioned the expences involved for the whole treatment.. Can anybody help me with that.

Naveen

[Nagesh Singh]

DearAll,

I have recovered from a complete ACL, MCL,PCL reconstruction surgery after a rehab of about a year or so....

I have football at national level under -19 in 2009 but had to pull out due to this severe injury...

following are the renowned owns performing morethan 2000 ACL,PCL,MCL reconstructions till date..

1. Dr. Anant Joshi (Mumbai-bangalore)

2. Dr. thomas chandy(bangalore)

3. Dr. David rajan (coimbatore)

4. Dr. Pushpinder Singh bajaj (delhi)

5. Dr. Jeetendra maheshwari (delhi)

6. Dr. Sreenivasan (bangalore)

i prefer the above list  as all of above are most experienced in the knee replacements and ligament reconstruction specialiasts ...

As far as rahab is concerned its really a tough ask for the patient and most important is to find a good physio who guides you through that...

rehab exercises cannot be narrated here ....

i can help you out if you need ane help in this regard

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[Shreedhar Ramachandra]

I too had an ACL reconstruction surgery 5 years back.

Only if you can devote at-least 1 hr per day for the next one year you should get this surgery. Without proper rehab this surgery would prove detrimental.

Though I got the operation done at Ramaiah hospital, I went to physio at St. Johns hospital Koramangala. I felt that the physios in St. Johns were too good, much better than the physios in Ramaiah or Mangalore (my hometown where I stayed a few days after my operation). I wouldn't recommend my doctor for the operation, it's a long story I don't want to narrate here, but I highly recommend the St. Johns physiotherapy.

Rehab is painful and you need to have very strong will-power.  During the first 1-2 months, you'll feel like sleeping for an hour just after physiotherapy because of the pain you go through. 6 months later, you should also hit the gym and do some weights to get your injured leg back in shape.

If you don't do rehab properly, you will not gain much in terms of joint stability, but will lose the knee flexibility. You wont be able to fold the knee completely, sit on the floor with legs folded or sit comfortably in Indian toilet.

I'm not scaring you here, but be prepared for the painful rehab (and the time it takes) without which the surgery is not worth it.

[Rajanikanta Sahoo]

Mr. Ravi,

I underwent  an ACL reconstruction (hamstring) on dec 22, 2015 @ AMRI, Bhubaneswar. I am doing my rehab with the rehab protocol given by the AMRI. But till now i am not satisfied with this. For strengthening i m doing leg press (90-30), leg extension (90-30), squatting and lunge with resistance, ham curl, step up/down..biking, elliptical etc. But still i m not so confident of swift walking. Could you please help in this?

[raghu m]

Hi Guys,

I got recently knee injury ACL tear. Please let me know the expert doctor for ACL surgery. recently for my father had total knee replacment sugery with Dr Srinivas JV in Fortis hospital 5 months back. My dad recoverd much better. Is Dr Srinivas will be best for ACL as well?

I heard about Dr Thomas Chandy. he is good doctor. Please suggest me good doctor from your experience.

Regards,
Raghu

[Venkatesan Ramachandran]

You could contact Dr. Ananth Murthy near Jayadeva flyover (search in Google for his contact details). My friend consulted this doctor for his legament tear.

Cheers
Venki

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[raghu m]

Hi Venky,

Can you please give me contact details of your friend who had ACL surgery.

Regards,

Raghu

9986303129

[hari govind]

Hi Raghu, 

       I am also diagnosed with ACL and meniscus tear. Can you let me know if you have got surgery done from Dr. Srinivas JV ? I am considering him as one of the options.

-Hari

[Chidambaran Subramanian]

I would suggest you evaluate SParrc , Indiranagar and try the physiotherapy before opting for surgery

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[Chethu Gowda]

I suggest you keep the surgery as the final option.

Unless you are a hardcore sportsman , ACL reconstruction may not be necessary , at least not right after the injury.

As far as cycling is concerned (sometime TT, badminton etc) you can live with the tear for lifetime.

Again, It depends on the nature of tear and it's impact on meniscus.
But believe me, first give some rest (more than 6-12 months) for your injury (I know its hard to resist ur games), go with physio, and check if you can live with that, if its not normal or you desperately want to get into rigorous sports, then u think of surgery.

Sometimes these docs man.. take multiple opinions before you get into any business.

All the best.

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Thanks & Regards,

Chethu