Best ACL Surgeon in Mumbai
Consult The Best ACL Surgeon In Mumbai
Dr. Aditya Sai
MS, DNB (Orthopaedics)
Why Choose Dr. Aditya Sai?
- ACL Reconstruction With Internal Brace
- 15+ Years Of Experience
- 15,000+ Patients Treated
- 3,000+ Procedures Performed
Meet Our Doctor
Consultant Orthopedic Surgeon
Dr. Aditya Sai
MS, DNB (Orthopaedics)
Dr. Aditya Sai is a consultant in Orthopaedics specializing in Shoulder Surgery, Knee and Hip arthroscopy & Joint preservation Dr. Aditya has been trained in the best of the institutes in India as well as globally, with his MBBS from the Madras Medical College and MS in Orthopedics from Seth GS Medical College & KEM hospital, both amongst the top institutes in the country. He has undergone training in Hip arthroscopy and Joint preservation from the USA.
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ACL Tear Treatment
The anterior cruciate ligament (ACL) is an important ligament in the knees which plays an important role in keeping the joint of the knees stable and preventing excessive movement. When the ACL is torn, it causes severe pain and a lack of stability while walking and doing other activities. In such cases, ACL surgery is required to treat or reconstruct the affected ligament and is the only way out of extreme pain and discomfort.
ACL surgery is an optimum choice for those who have completely torn ACLs and are highly engaged in sports or other activities.
It is also a suitable option for those with a partial tear but suffering from severe pain and instability. The primary motive for getting ACL surgery is to repair the damaged ligament to restore the normal functioning of the knees.
The surgery is usually performed with the help of arthroscopy. It involves minimum invasion techniques hence small incisions and a camera to get a complete view of the situation inside the knee. The surgery takes about two hours to complete, and the patients can go home on the same day. After the surgery, patients are given braces and crutches to use for several weeks to reduce the pressure on the knee, allowing it to heal completely. Physical therapy is needed to regain strength and mobility in the operated knee.
Thus, ACL surgery is a good option for the treatment of those patients who are suffering from a damaged ACL ligament or have a completely broken ACL ligament. The surgery would help them restore their high-intensity activities such as sports, etc. It helps reduce the pain and discomfort from the broken ligament while ensuring returning to all activities. Also, ensure that you are going for the surgical procedure only after all non-surgical procedures and treatments have been tried and did not deliver successful results. To get a complete idea of whether you should undergo the procedure, it is best to consult an orthopaedic surgeon who would assess your situation and suggest it accordingly.
Why Consult Dr. Aditya for ACL Surgery in Mumbai?
When seeking an ACL surgeon in Mumbai, consider the compelling reasons to consult Dr. Aditya Sai for your ACL surgery needs.
Dr. Aditya Sai, with his extensive expertise and impressive credentials, stands out as a premier choice for orthopedic care in Mumbai.
Here are some key points to further underline why Dr. Aditya is your go-to specialist:
- ACL Reconstruction With Internal Brace
- 15+ Years Of Experience
- 15,000+ Patients Treated
- 3,000+ Procedures Performed
- Expert in Shoulder Surgery, Knee, and Hip Arthroscopy
- Top Education: MBBS from Madras Medical College
- MS in Orthopedics from Seth GS Medical College & KEM Hospital
- Global Training in Hip Arthroscopy and Joint Preservation (USA)
Dr. Aditya Sai combines his extensive experience and world-class education to provide exceptional orthopedic care in Mumbai, making him the ideal choice for ACL surgery.
Testimonials
Hear It From Our Patients!
What Patients Say About Dr. Aditya Sai
Why Choose Us?
Dr. Aditya Sai is a renowned surgical orthopedic doctor practising in Mumbai. He has 15+ years of experience, with 10+ years of specialization in Shoulder Surgery, Knee & Hip Arthroscopy And Joint Preservation.
15,000+
Patients Treated
15+ Years
Years of Experience
3,000+
Procedures Performed
Types Of Treatments Offered By Dr. Aditya Sai
Dr. Aditya specializes in problems of shoulder, hip and knee. These are the following types of treatments that the doctor provides.
Shoulder Treatment
- Posterior Instability
- Frozen Shoulder/Stiff Shoulder
- SLAP (Superior Labrum Anterior To Posterior) Tears
- Bicep Tendon Disorders
- Fractures Around The Shoulder
- Recurrent Dislocation Of The Shoulder
- Massive Rotator Cuff Tears And Superior Capsular Reconstruction
- Acromioclavicular Joint Injuries/ Shoulder Seperation
- Rotator Cuff Tears And Rotator Cuff Repair
Knee Treatment
- Cartilage Injuries
- Anterior Cruciate Ligament (ACL) Reconstruction And Repair
- Fractures Of The Knee Joint
- Knee Joint Preservation Surgery Including High Tibial Osteotomy
- Meniscus Injuries
- Multiligament Injury Of The Knee
- Posterior Cruciate Ligament (PCL) Reconstruction And Repair
- Cartilage Injuries & Treatment
- Joint Preservation Surgery Including High Tibial Osteotomy
- Meniscus Preservation & Meniscus Repair
What Happens When You Have an ACL Tear?
An ACL tear refers to damage to the anterior cruciate ligament (ACL) situated at the center of the knee. The ACL tear may be partial or total, and it may result in the following symptoms:
- A loud popping sound at the time of the injury
- Swelling
- Extreme pain
- Tenderness
- Inability to continue an activity
- Loss of range of motion in the knee joint
- Discomfort on walking
- Knee instability or inability to bear any weight on the leg
What is a BTB ACL Reconstruction?
Bone-Patellar Tendon-Bone or BTB graft is a type of autograft used to reconstruct or repair a tear in the anterior cruciate ligament (ACL).
The BTB procedure involves the removal of a strip of soft tissue from the middle portion of the patient’s own patellar tendon, which is a tendon connecting the knee cap or patella to the upper portion of the shin bone or tibia.
The soft tissue that is removed is then harvested with intact bone blocks on both ends. One end of the bone block is from the patella’s lower end and the other end of the bone block is from the upper part of the tibia.
When the BTB graft is implanted for the ACL tear, the bone plugs from the graft will be seated into the bone sockets in the knee region at either side of the reconstructed ACL.
Does ACL Need Surgery?
An ACL reconstructive surgery is recommended to repair an ACL tear and regain movement and stability in the knee joint.
However, not all cases of ACL tear need surgery. Surgery is usually recommended for individuals who are extremely active physically or for individuals who have persistent pain despite trying non-surgical methods like medications, rest, elevation, ice-pack application, and use of compression wrap.
ACL reconstruction surgery is usually recommended in the following cases:
- Young and active individuals
- Individuals having persistent pain in the knee joint
- ACL injury leads to the knee buckling while performing routine activities, like walking
- An athlete who wishes to stay physically active
- More than one ligament or the fibrous cartilage in the knee joint is also injured
What Are the Symptoms of ACL Tear?
An ACL tear may result in the following symptoms:- Feeling or hearing a pop sound in the knee
- Pain
- Tenderness
- Swelling beginning immediately or four to six hours after the injury and lasting for two to four weeks
- Loss of range of motion in the knee joint
- Discomfort while walking
- Instability in the knee joint
- Inability to bear weight on the leg
- Inability to continue with an activity
Does ACL Reconstruction Lead to Knee Replacement?
An ACL reconstruction surgery does not directly lead to the need of performing a knee replacement surgery. However, people having a history of ACL reconstruction surgery are known to be five times more likely to undergo a total knee replacement surgery in the future compared to the general population.
While ACL reconstruction surgery is performed in cases of damaged knee ligaments, a knee replacement surgery is generally indicated in cases of damaged bones that make up the knee joint.
This usually occurs in case of arthritis, in which the cartilage cushioning the bones of the knee during movement gets worn away. The common types of arthritis treated using knee replacement surgery are osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
ACL surgery involves repairing or reconstructing the ACL tear or injury, while knee replacement surgery involves the replacement of a damaged knee joint with an artificial prosthesis.
Treatment Procedure for ACL Surgery in Mumbai
The treatment for ACL tears may vary among different individuals based on their individual circumstances and knee condition. The different treatment modalities for ACL tear include the following:
ACL Tear Repair by Home Remedies
Certain home remedies can help in immediately reducing the pain and swelling following a knee injury. The following home-care tips can help in reducing the symptoms associated with an ACL tear:
- Rest: Sufficient rest can help in healing and limiting the weight bearing on the knee.
- Ice application: Ice application on the affected knee every two hours, about twenty minutes at a time during waking hours can help in reducing knee swelling.
- Compression: Wrapping a compression wrap or elastic bandage around the knee joint can help in reducing knee pain and swelling.
- Elevation: The patient is recommended to lie down with the knees in an elevated position by keeping the lower leg on top of a few pillows.
Physiotherapy to Treat ACL Tear
A physiotherapist will provide the patient with specific exercises to help in reducing knee pain and swelling, as well as restore the full range of motion of knee joint.
The patient may need to wear a brace to stabilize the knee joint and also use crutches to assist in walking and avoid putting any weight on the affected knee joint.
Physiotherapy can help in successfully treating ACL tears in people who are not very active physically, engage in mild or moderate forms of exercises and recreational activities, or play only those sports that do not put much stress on the knee joints.
Surgery for ACL Tear Treatment
Surgery is only recommended in the following cases:
- An athlete who plans to stay physically active
- Injury of more than one ligament or fibrous cartilage in the knee joint
- An injury that leads to knee buckling during routine activities
ACL reconstruction surgery involves the removal of the damaged ligament and its replacement with a tendon segment known as a graft, which connects the bone to the muscle. The graft can be used from another part of the patient’s knee or a deceased donor.
ACL reconstruction surgery is then followed by physiotherapy to restore the function and stability of the knee joint.
Preparation for ACL Treatment
The doctor will recommend undergoing certain tests and examinations before undergoing ACL treatment. These examinations include:
- Physical examination: The doctor will check the knee for pain and swelling, along with the range of motion and overall function of the knee joint.
- X-rays: The doctor can rule out a bone fracture using X-rays.
- MRI scans: They help the doctor to check the extent of ACL injury and also the signs of damage to the other tissues in the knee joint.
- Ultrasounds: The doctor can check the injuries to the tendons, ligaments, and muscles in the knee joint region using ultrasounds.
The following preparatory steps are recommended by the doctor before ACL tear treatment:
- The patient needs to discuss with the doctor the various treatment options for an ACL tear, as well as any other queries regarding the treatment or surgery.
- The patient will be instructed to fast, that is, not eat or drink anything after midnight, the night before the ACL reconstruction surgery.
- The patient needs to inform the doctor of any vitamins, supplements, or medicine that he/she may be taking before undergoing surgery.
- The doctor may recommend stopping or tapering the dose of certain medicines, like blood thinners and anti-inflammatory drugs, a few days before surgery to avoid bleeding.
- The doctor will recommend quitting smoking and alcohol consumption for several days leading up to the surgery.
- The doctor recommends undergoing physiotherapy sessions before the surgery to reduce the swelling around the knee, strengthen the muscles around the knee, and restore the range of motion of the knee joint as much as possible.
- The doctor may recommend to practice walking using crutches before the surgery, as the patient will need to use them after surgery.
Post-Operative Protocol for ACL Surgery
Most patients are sent home on the same day following an ACL reconstruction surgery. The following post-operative protocol after an ACL repair surgery can aid in a quick and smooth recovery:
- The patient is told to move his/her ankles up and down at least 10 times every 10 minutes for two to three days after surgery to prevent blood clot formation.
- The dressing on the knee joint is usually removed the day after surgery.
- It is important to take adequate rest after ACL reconstruction surgery and also keep the incision area dry and clean.
- The sutures will be removed about one to two weeks after the surgery.
- It is normal to have some discomfort and pain for a few days after ACL repair surgery. The patient can take painkillers recommended by the doctor to relieve this pain.
- The patient needs to keep the operated leg at an elevated position for the first three to five days after surgery to reduce swelling.
- Ice-pack application for a few days following surgery can help in reducing pain and swelling after the procedure.
- Avoid putting any pressure or strain on the operated leg during the recovery period.
- Follow-up appointments with the doctor will usually be recommended a few weeks after the surgery to monitor the patient’s recovery and any risk of complications.
- The patient will need to wear a knee brace for at least one week after surgery.
- The patient will have to walk using crutches or another assisted walking device for at least six weeks after surgery.
- Physical therapy exercises are recommended to restore the function and mobility of the knee joint. Most patients restore the range of motion in their knee joint within a few weeks after the surgery.
- Athletes may take up to six to twelve months to resume their sports activities after surgery.
Risks and Complications Associated with ACL Surgery
ACL reconstruction surgery has a high rate of success and has minimal chances of causing complications. However, it is recommended to discuss the possible risks associated with the procedure with the doctor before opting for the procedure. The possible risks associated with ACL treatment include:
- Infection
- Blood clots
- Bleeding
- Persistent knee pain
- Knee weakness or stiffness
- Loss of the range of motion of the knee
- Disease transmission from the graft received from a cadaver
- Improper healing due to graft rejection
- Growth plate injuries
- Muscle, nerve, or blood vessel damage
ACL Surgery Cost in Mumbai
The cost of ACL surgery in Mumbai generally varies between INR 30,000 to INR 2,00,000. However, this cost will vary depending on several factors, which may include the following:
- Type of treatment performed: A surgical treatment will cost more compared to a non-surgical treatment method.
- Damage to the knee joint: Severe damage to the ligaments and tendons of the knee joint may need a more extensive form of treatment and will therefore cost more.
- Graft chosen: An allograft obtained from a cadaver will generally cost more than an autograft, which is obtained from the patient’s own tendon. A synthetic graft will cost less compared to an autograft and allograft.
- Hospital chosen: A multispecialty private hospital will have higher treatment charges than a government or small hospital.
- Insurance coverage: The cost of treatment will vary depending on the patient’s medical insurance coverage.
- Surgeon’s expertise: An experienced surgeon will have higher consultation and treatment fees compared to an inexperienced surgeon.
- Diagnostic tests: The cost of the diagnostic tests recommended before undergoing surgery will be added to the total cost of treatment.
- Cost of anesthesia and medications: The charges of the anesthesia, medicines, and other surgical equipment used are added to the total cost of treatment.
- Physiotherapy sessions: The cost of the physiotherapy and rehabilitation sessions is added to the total cost of treatment.
- Follow-up sessions: The cost of the follow-up sessions with the doctor will be added to the total cost of ACL tear treatment.
Qualities of a Top ACL Surgeon in Mumbai
The treatment of an ACL or Anterior Cruciate Ligament is done by an orthopedic surgeon. A good ACL surgeon has the following qualities:
- Board certified and specializes in ACL surgery
- Experienced at treating patients with a similar condition
- Practices at a reputed clinic or hospital
- Accepts insurance
- Can make the patient feel comfortable and answer all their queries
- Compassionate with good bedside manners
- Leadership qualities
- Flexible approach to treatment
- Realistic outlook
- Willingness to keep himself or herself updated with new technologies
How to Choose the Best ACL Surgeon in Mumbai?
The choice of the right orthopedic surgeon can improve the results of an ACL tear treatment. There are many good ACL surgeons in Mumbai. The following tips can help in choosing the best ACL surgeon in Mumbai:
- Ask for referrals: Ask your family, friends, and healthcare providers for recommendations. You can compare the reviews of different orthopedic surgeons to choose the best among them.
- Check online reviews: Check the doctor’s ratings, reviews, and testimonials of patients treated by the same surgeon online.
- Research about the surgeon’s credentials: Check that the surgeon chosen is board certified with no malpractice claims.
- Check the experience of the surgeon: An experienced orthopedic surgeon is more likely to provide you with successful treatment outcomes compared to an inexperienced surgeon.
- Check the reputation of the hospital or clinic: Find out about the hospital or clinic where the surgeon will provide you with treatment. Always choose a hospital/clinic with good healthcare facilities and patient satisfaction rates.
- Consultation with the surgeon: Have a consultation appointment with the surgeon and get all your queries solved. You can also gauge your comfort level with the surgeon during this appointment.
- Accepts insurance coverage: Choose a surgeon who accepts your insurance plan to receive maximum insurance benefits and reduce your out-of-pocket expenses.
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