Best ACL Surgeon In Delhi

ACL sprains and tears are among the most common knee injuries. It usually happens in athletes, like people who play football, basketball, soccer or those who are physically very active.

The Anterior Cruciate Ligament (ACL) supports the structure of the knee joint and regulates its movement. Some of the ACL injuries heal with physical therapy, while others require surgery.

Here is a detailed explanation of ACL, treatment of ACL tears, dos and don’ts of ACL tears, and why Dr Vikram Mhaskar is the best ACL surgeon in Delhi.

What are ligaments?

The knee has four rope like structures (ligaments) that keep the thigh and leg bone together and prevent them from slipping.

Medial collateral ligament (MCL): This originates on the thigh bone and inserts on the leg bone in the inside if the knee. Its function is to prevent the knee from moving excessively sidewards.

Lateral collateral ligament (LCL): This originates from the thigh bone and inserts on the leg bone. Its function is to prevent sideward movement of the knee.

Anterior cruciate ligament (ACL): It originates from the thigh bone and inserts in the leg bone preventing excessive movement in a front to back plane and in rotation.

Posterior cruciate ligament (PCL): whose function is to prevent backward movement of the knee.

What Happens When The ACL Is Torn?

Our knee joint is made up of three bones: the thigh bone (or femur), the shinbone (or tibia) and the kneecap (or patella). 

This structure is held together by a network of ligaments and cartilages. Among them, the collateral and the cruciate ligaments play a major role. 

The medial collateral ligament lies on the inner side of the joint while the lateral collateral ligament lies on the outer side of the joint. They regulate and restrict the sideways movement of the knee. 

The cruciate ligament, or ACL, lies in the middle of the joint. It contains two parts that run diagonally, forming an ‘X’ and joining the femur and the tibia, holding them in place. It is responsible for the regulation and restriction of the forward and backward knee movement. 

Since the ACL regulates the motion and balance of the knee, its tear can cause movement issues and misbalance. An ACL tear is of three types:

• Grade 1: Caused by stretching of the ligament, inflicting mild damage. 

• Grade 2: Also called partial tear and includes excessive stretching of the ligament causing its loosening. 

• Grade 3: Also called ligament tear. Here, the ligament tears into two. 

These injuries are often inflicted by stopping or slowing suddenly while running, changing direction suddenly and improper jump landings.

What are the types of ligament surgery?

ACL: This may be repaired or reconstructed. Repair involves joining the end of the ligament back to its attachment. Reconstruction involves making a new ligament using spare tendons of the patients own body. Both techniques are done via keyhole surgery.

ACL Repair : this is the latest advancement in ACL treatment that has been pioneered by us. At times when the ligament comes off at one end and is preserved more or less 80-90 percent. It is possible to fix it back at the location with specialised devices. This is greatly advantageous as it preserves the native anatomy.

ACL Reconstruction : this is done when the ACL is torn with most of its structure disrupted. In this situation it is not possible to preserve the native ligament completely and needs to be reconstructed using spare ligaments in the body (most commonly the hamstring tendons).

PCL: The PCL again may be repaired re reconstructed. When it comes off one end with a piece of bone, the piece can be fixed back. However, if it is torn in the middle it needs to be reconstructed using spare tendons (hamstring tendons).

MCL: The MCL is repaired via mini open surgery, where the ends are either repaired if done early, or reconstructed when done later.

Posterolateral corner: the structures most commonly injured here are the popliteus and LCL. They are reconstructed using spare tendons.

What type of doctor treats tendon problems?

Problems with the tendon are common in active people, athletes, and sportspersons in general. Injury or damage to the tendons can cause serious problems like considerable pain. Sometimes they may cause loss of mobility. 

A ligament specialist doctor, such as an orthopedist or orthopaedic surgeon, will be able to assess the degree of damage caused and proceed with the proper treatment. Tendon problems may include inflammation, sprain, injury, or a complete tear. 

An orthopaedist or an orthopaedic surgeon with specific training in treating injuries of the tendons and ligaments is the best ligament specialist doctor for your tendon problems.

Treatment of ACL Tears

ACL injuries are examined and treated by an orthopedist or a ligament specialist doctor. He/she would perform an X-ray and sometimes MRI, to confirm an ACL injury and detect any additional damage. Usually, ACL injuries are accompanied by damage to the other nearby ligaments and cartilages. The doctor might also perform a Lachman’s test to determine if the ACL is completely torn or still intact. 

ACL treatment involves both surgical and non-surgical approaches. 

Surgical ACL Treatment

It involves replacing the ACL with a graft. This is because suturing the ligament has a high chance of failure. The graft is taken from the patellar, quadriceps, hamstring or other tendons of the same person. 

The ligament specialist doctor would perform the surgery through arthroscopy after the administration of anesthesia on the patient.

Non-surgical ACL Treatment 

It consists of physical therapy along with a hinged knee brace. However, here the chances of a secondary injury are very high. So, this treatment is done only in the following conditions:

• Partial or complete tear without instability of the knees
• For people who are physically not very active
• For children 

Which ACL surgery is the best?

ACL surgery involves the repair and reconstruction of the anterior cruciate ligament. Depending upon the type of graft, the procedure is of three types.

• Autograft- Autograft is harvesting a part of the patellar, hamstring, or quadriceps tendon from the patient’s body. A patellar tendon graft (PTG) is usually the gold standard for ACL reconstruction.
• Allograft - An allograft is one that is taken from a cadaver and used in surgery.
• Synthetic graft- Materials such as carbon fibre and Teflon are used in place of tendons.

Your orthopaedic surgeon will suggest the type of graft that is best for you depending on various factors such as :

• Age,
• Activity levels of the knee,
• The quality of your own tissue and its feasibility,
• Your surgeon’s preference is based on his experience.

Do all ligament tears need surgery?

Not all ligament injuries need surgery. There are two types of patients copers and non copers. Copers have an inherent capacity to compensate for a tear. They also may belong to a less active lifestyle where the particular ligaments role is not that significant and may never require surgery.

The ACL more often than not does not heal up and requires arthroscopic surgery in non copers.

The PCL has a propensity to heal and in low grade tears may have a trial of conservative treatment using a brace with a posterior support.

What implants are used?

We use the best implants available in the market. No local implants are used and only international devices are used.

Typically a suspensory device is used at the thigh bone (Femur) and a Bioscrew (plastic) is used on the leg bone (Tibia) to fix the new ligament.

Repair/reconstruction of the MCL and LCL are done using suture anchors(plastic screws with two threads) and bioscrews.

What is the success rate of ACL surgery in India?

ACL surgery involves the following, 

• A minimally invasive procedure that repairs the anterior cruciate ligament. 
• The procedure is done through a minimally invasive technique. 
• When done right, the surgery has a success rate of over 95%. 
• Since the procedure is minimally invasive, a shorter hospital stay is enough.
• Return to an active lifestyle and sports is sped up with a successful ACL surgery.
• Most of the athletes are cleared to run at the 3-month mark post-surgery.

How serious is a ligament tear?

A ligament is a tissue that connects two bones or a bone to cartilage and is essential for joint movement. A ligament specialist doctor will determine what has gone wrong with the ligament. 

A ligament tear can occur during a stretch, injury, or undue strain to the ligament. A torn ligament can be of varying degrees, and only a ligament specialist doctor in delhi will be able to diagnose the degree of tear. 

If it is a complete or severe tear, the joint does not function normally and may require surgical repair.

Who is the best ACL surgeon in India?

Dr Vikram Mhaskar is the best ACL surgeon in Delhi and here’s why

• Indications for ACL repair are common in active athletes, especially men.
• Dr. Vikram Mhaskar specialises in knee surgeries and has acquired special training in the same.
• He is an extremely passionate sportsman who understands sports injuries like no other and always gives his best in restoring structure and function.
• His experience working with ICC Australia and FIFA earned him the fellowships, testimony to his surgical prowess, which makes him the best ACL surgeon in Delhi.
• He specialises in procedures such as primary ACL repair, biological ACL reconstructions, PCL repairs, meniscal repairs, and transplant surgeries.

Which is the best hospital for ACL surgeries in India?

There are many hospitals in India for ACL surgeries, and Dr Vikram Mhaskar is one of the top orthopaedic surgeons performing the surgery.

• He is committed to the highest clinical standards of excellence.

• Patient satisfaction is his primary mission, and he strives to maintain all parameters necessary.
• Choose a hospital with state-of-the-art facilities equipped with the latest technologies and innovations necessary for ACL surgeries.
• Dr Vikram Mhaskar has spearheaded the newest healthcare advancements to provide world-class care for our patients.
• He is board-certified and fellowship-trained in ACL surgeries and provides unsurpassed results.

Which is the best hospital for ligament surgery in Delhi?

Sitaram Bhartia Institute of Science & Research is the best hospital for ligament surgery in Delhi. You will receive the best care under Dr. Vikram Mhaskar- the best ligament specialist doctor in Delhi. With us, all our patients receive the best comprehensive, regenerative, and diagnostic services. We have the best facilities available for treatments.

What kind of doctor do you see for ligaments?

Ligaments are structures that keep the bones in their places and help in joint movement. A ligament specialist doctor takes care of issues with the ligaments- their structure and function. Your best choice for such problems is an orthopaedic surgeon who has special training in ligament injuries due to sprains and strains. The ligament specialist doctor will take a complete history and perform a physical examination to diagnose the condition.

Do's And Don'ts Of ACL Injury

A tear in the ACL makes a popping sound and within a few hours, pain and swelling follow. In such a case, avoid putting any stress on the affected knee. If the swelling and pain improve within 24 hours, the doctor might advise physical therapy as a treatment. 

However, if the pain and swelling get worse, or if you are an athlete or live an active lifestyle, consult with your doctor about the surgery. 

Before and after the physical therapy or surgery, follow proper medical instructions and avoid putting too much strain on the knees. It could lead to a secondary injury and other complications.

Prevention

• If you are an athlete, you're at a higher risk of having an ACL tear. ACL-targeted training can help your ACL build resilience and some tolerance to injuries. 
• Avoid activities that require stopping or changing directions suddenly. 
• Try keeping a perfect body balance when turning while running or jumping from a higher surface. 
• Meet a specialist and create a workout routine aimed at toning the muscles around the knees that could take the impact in case of any injury.

What is the price of ligament surgery?

The price of ligament surgery ranges from Rs 90000 to Rs 1,80,000. The total cost of the surgery depends upon various factors such as :

• The type of surgery
• Pre-evaluation costs - investigations including blood tests, imaging, etc.
• Graft type used in the procedure
• The approach used in the surgery- minimally invasive or an open technique
• Location of the hospital
• The expertise of the surgeon

How much does ligament surgery cost in India?

The cost of ligament surgery in India depends upon various factors such as

1. Degree of damage caused,
2. The nature of the ligament involved,
3. The technique of the surgery, 
4. Location of the hospital,
5. Cost of investigation,
6. Post-operative care as necessary.

This cost of ligament surgery in major cities across India can vary from 40000 to 385340 & the cost of ligament surgery in delhi is given below.

What is the ACL Surgery Cost in Delhi?

The average cost of ACL surgery in Delhi is about Rs 1,25,000 to 3,86,000. This cost will vary and depend upon:

1. Location of the hospital,
2. The expertise of the surgeon,
3. The type of graft used,
4. The nature of the implant used in the surgery,
5. Your physical condition, etc.

The cost is inclusive of

1. Cost of anaesthesia,
2. The surgeon’s fee,
3. Cost of accommodation chosen,
4. The price of investigations needed, etc.

Who is the best doctor for a ligament tear in India?

• Dr. Vikram Mhaskar is the best ligament specialist doctor in Delhi to correct and repair ligament tears.

• His top priority always has been the total recovery of the patient.

• All procedures are performed in a state-of-the-art facility that offers world-class care.

• Being an avid sportsman himself and having worked with sportspersons of international repute, he understands that your active lifestyle is important and addresses all your concerns.

• Dr. Vikram Mhaskar treats each patient with empathy, and that progresses to great quality care and has been recognised as the best ACL Surgeon in Delhi

• Having performed thousands of procedures over the past years, he performs all procedures with the utmost accuracy

Why Choose Dr. Vikram Mhaskar as your Ligament Specialist Doctor?

• Dr. Vikram Mhaskar has completed his subspecialization in knee and shoulder surgery during his postgraduation in the United Kingdom.
• He has gained international expertise in knee and shoulder surgery. He has received a fellowship with the eminent ISAKOS and Australian Orthopaedic Association and is the best ligament specialist doctor in Delhi.
• Being an avid sportsman, he understands the concerns and importance of a ligament function while staying active and delivers accordingly.
• He has closely worked with the ICC 2014 at Sydney and has submitted a paper on “The biomechanics of the shoulder in fast bowlers”.
• Having specialized in knee and patellofemoral surgery from the world’s most prestigious Albert Trillat, France, he is the best ACL surgeon in Delhi.
• He performs his surgeries in a world-class and state-of-the-art facility that offers great results.
• Dr. Vikram Mhaskar approaches all his patients with a high degree of empathy and understanding, which translates to an excellent quality of care for his patients.
• He spends time with his patients to understand the unique needs and concerns that each of them is facing and works to improve their quality of life in every way possible.
• The facility has a very good ambiance and the best environment for a good recovery