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ACL tear is the most common knee injury.Tear of ACL makes knee unstable and vulnerable to reinjury.The injured individual feels instablity and feeling of losing balance. once ACL is completely torn the ideal treatment is an ACL reconstruction surgery.
Advance knee and shoulder hospital is one of  best hospital for ACL surgery.

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Frequently asked questions

I tore my ACL, do I need surgery?

ACL ligament once torn do not heal on its own.  These patients will continue to have some instablity and may develop arthritis and meniscal tears. So a surgery is usually required. In a rare elderly patient your doctor may discuss the option of non operative treatment based on his clinical judgment.

Will I ever be able to play?

Yes, the goal of modern day ACL surgery is to take the patient to the field to play. Whole of our team work hard to achieve this goal.

Do u stitch the torn ligament?

No, the results of stitching the torn ligaments is not as good. In very rare patient with multiple ligament injury your doctor may use his clinical judgment to stitch the ligament.

What do you do in the surgery then?

We reconstruct a new ligament with your own body tissue.

What tissue you use to reconstruct the ligament?

Your surgeon has an option to choose between various body tissues, He will discuss it with you. ACL surgery is a rapidly evolving surgery. Our surgeons keep pace with the developments in the world in order to ensure that you get the best results in their hands.

Dr Prathmesh Jain is the pioneer of the ADVANCE technique of ACL reconstruction.

A : Anatomical 

D: Dependable

V: Versatile

A : Accurate

N : Novel

C: customised

E: energetic

Dr Prathmesh Jain is one of the best surgeon for ACL surgery.He performs the surgery with his  novel technique. A regular ACL surgery takes less than 30 minutes in his hand. He has made several modifications in the anatomical acl reconstruction technique which makes surgery swift in his hands. Reduced surgical time means faster rehablitation, quick recovery and least chances of infection 

Hamstring technique: 

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 ACL surgery sequence 

ideal  set up 

 hamstring graft harvest 

Wire in the femoral tunnel after  tunnel  preparation

Final Graft After Preparation with Endobutton on Femoral side

Tibial Tunnel Preparation

Graft Passage

Tibia fixation with Bio screw and suture disc

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ACL rehablitation


Demonstration of knee joint

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ACL success story 

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Functional result after ACL reconstruction . Patient is able to play and run after a well done ACL reconstruction.

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PBTB graft technique : 
Knee ligament reconstruction with patellar bone tendon bone (PBTB) graft is performed with harvesting middle third of patellar tendon with patellar and tibial tuberosity bone plugs and fixation of bone plugs in femoral and tibial tunnels with interference screws by arthroscopic approach.

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ACL repair : Occasionaly in some cases ACL repairs may be considered.
The indications are acute femoral avulsions which have a intact stump. it is possble in around 10 percent of all cases. Our technique comprises of doing a micofracture, to increase bleeding, and then using a knotless anchor to fix the stump back to anatomical position. 

Knee joint is the most important joint of the body when it comes to mobility. The knee joint has 4 major ligaments namely anterior cruciate ligament, posterior cruciate ligament, lateral collateral ligament and medial collateral ligament. There are 2 meniscus as well i.e medial and lateral meniscus. The anterior cruciate ligament injury is the most common ligament injury of the knee. The ACL ligament can be injured both by a high velocity RTA or a low velocity twisting injury. It is one of the most common sports injury. In India many two wheeler accidents lead to ACL injuries. A torn ACL makes the knee unstable and prone to injuries. The main symptoms are instability and locking. The injured person has difficulty in going upstairs and specifically downstairs. We recommend the ACL injuries to be addressed within 3months. A delay in the treatment will result in further damages to knee. Lateral meniscal injuries are more common with acute ACL injuries whereas chronic ACL injuries which are neglected and nontreated will lead to medial meniscal tears.

The standard treatment of this injury is a ACL reconstruction surgery in which a graft is used to reconstruct the torn ACL ligament. The graft we most commonly use is the semitendinosis tendon.

Dr Prathmesh Jain has his unique technique of doing ACL reconstruction which is based on the thorough understanding of knee anatomy and peer review. He does an anatomical single bundle quadrupled enforced ligament reconstruction using a single tendon with a fixed loop button on femur and biocomposite screw fixation on tibia. The surgical duration is just 20 to 30 min and all efforts are made to reconstruct the natural knee anatomy. He has devised SAFE technique: Simple, Anatomical, Flawless and Efficient.

There is a great dearth of good ligament surgeons in India. Dr Prathmesh jain is one of the first  US Sports fellowship trained Sports medicine surgeons in India. He has to his credit more than 3000 successful  ACL reconstruction surgeries. He is one of the pioneers knee preservation surgeries in western India.

A successfully done knee ligament surgery makes the knee stable and long lasting. The chances of further injuries is reduced. Most of the injured sportsperson are back to sports. In India many sedentary individuals also sustain ACL injuries . The most common reason is lack of supple and muscular knee joint. Lack of aerobic exercise and training leads to a joint which is prone to injury. A physically unfit person who is not exercising leads to a weak quadricep and hamstring muscle which gives way when sustaining a minor injury. Hence aerobic exercises and safe sports techniques should be followed by a person to prevent himself from sports injuries.  

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ACL surgery is a very successful surgery. Most of the patients do great after an ACL surgery.We have seen that a very few patients do not do as great after their ACL reconstruction surgery. In this video we have charted out 10 most common reasons which leads to a slow recovery after an ACL surgery. It is a common saying is that the wiseman do not repeat others mistake. So this is a must see video for every patient undergoing an ACL reconstruction surgery.

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