How Much Does ACL Reconstruction Surgery Cost?

“The cost of ACL reconstruction surgery in India ranges from USD 2,200 to USD 5,000 and USD 8,000 to USD 11,000 in Dubai (UAE). The estimated days in the hospital are 5 days and 12 days outside the hospital.

  • The anterior cruciate ligament is referred to as the ACL. A key ligament in the patient’s knee, the anterior cruciate ligament (ACL), is replaced during reconstruction surgery. Sports that require quick direction changes, jumps, fast running, and abrupt stops are the most likely to cause ACL injuries. When the ACL is strained and pulled off, it causes ACL injuries.
  • Because it aids in binding and supporting the knee, the ACL is a crucial component of the knee. Its principal job is to offer entire knee strength when moving the knee from one side to the other.
  • ACL injuries may result in pain or difficulty when walking, leaping, jogging, or participating in sports.
  • ACL injuries can take a very long time to recover from, necessitating continual medical care and physical therapy. Particularly in sportsmen and young people, the doctor may advise surgical ACL replacement if the ACL damage is significant.
  • The anterior cruciate ligament (ACL) is repaired or reconstructed during ACL surgery (ACL). The femur and tibia are joined by the important soft tissue component known as the ACL in the knee. Partial or full ACL tears are frequent injuries among sportsmen.
  • The extent of the ACL injury and the patient’s lifestyle decide if surgery is necessary. Complete ACL tears are not capable of recovering on their own.
  • The procedure normally takes 2 to 2 1/2 hours, and one will not be required to stay in the hospital overnight.

Graft Selection for ACL Reconstruction

Grafts are used in the surgical reconstruction of the ACL.

These grafts may take the form of:

Autografts: Usually, the quadriceps, hamstring, or patellar ligaments are used as the source tissue for autografts, which are tendons obtained from the patient’s own body.

Quadriceps Tendon Autograft

  • This graft, which has a bone on one end and soft tissue on the other, is made from the quadriceps tendon in the thigh and kneecap bone. Although it is not utilized as frequently as the other autografts, it is regarded as trustworthy.
  • The benefits of a quadriceps graft include consistent strength, healing bone at one end, and less long-term knee pain than a patellar graft. This transplant may cause the patient to feel greater early discomfort than a hamstring autograft, but less than a patellar graft.

Hamstring Tendon Autograft

  • Surgeons may use two of the five hamstring tendons to repair the ACL without removing bone. This type of autograft causes less post-operative pain than patellar autografts. The return of knee stability, the use of a smaller incision, and a lower risk of chronic knee pain are additional benefits of hamstring autografts.
  • A repaired ligament may not be as strong as a patellar graft, and healing may take longer with a minor decline in tendon strength when the knee is bent.
  • Autografts are not recommended for patients with flexible joints or a history of MCL sprain. They are often used for busy individuals who kneel frequently.

Patellar Tendon Autograft:

  • Bone-patellar tendon autograft is a common ACL restoration method. It fully restores knee stability with a low re-tearing rate.
  • However, it may cause temporary or persistent pain and a minor loss of mobility. It’s recommended for high-level athletes or those with unsuccessful prior repairs, but not for patients with patellar tendinitis or patellofemoral syndrome.

Allograft:

  • The tendon is taken from the donor who has passed away. Autografts are typically favored over allografts since they have a lower chance of breaking again and potential contamination is also less likely.
  • A further benefit of hamstring ligament autografts is that they regenerate over time, strengthening the bond.

Xenograft or synthetic/artificial grafts for ACL reconstruction:

  • The connective tissue of non-human or animal origins is used to create xenografts.
  • The synthetic materials used to create the artificial ligament graft have undergone testing to determine its effectiveness. Future applications for xenografts and synthetic grafts are anticipated to be very promising.
  • ACL reconstruction can be done using either an extra-articular or an intra-articular approach.

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Symptoms

Some of the most prevalent signs of ACL injury pain include the following:

Pain: Minor wounds might not hurt, but one might feel soreness along the knee joint area. While others have trouble standing or applying pressure to the hurt limb.

Swelling: Within the first 24 hours after an accident, swelling is most likely to develop. Normally, individuals raise their legs by putting them on a pillow and applying ice to their knees.

Walking Challenges: Another sign that suggests someone may be losing the knee joint earlier than they should is this one. In this circumstance, one should refrain from applying pressure to the wounded limb.

Less Range of Motion: When the ACL is torn, some people have more trouble bending and flexing their knees than they would normally.

  • Other symptoms that may suggest ACL injury include: – a popping sound in the knee, extreme pain, immobility of the affected knee and leg, the inability of the knee to sustain weight, inflammation, and swelling in the first 24 hours.

Causes

Causes of ACL Tears typically happen when the knee is subjected to sudden force. Any one of the following causes could be the cause.

  • Playing or dancing while jumping incorrectly
  • Abruptly halting while sprinting
  • Pivoting while keeping a solid footing ACL tear can result from any collision or direct knee hit.

Diagnosis

One needs to consult a qualified orthopedic surgeon because they are the only ones who are skilled, knowledgeable, and familiar with this ailment in order to identify an ACL rupture.

The following test, however, may be suggested by your surgeon to determine whether your ACL has ruptured:

Clinical Exam: The patient was brought to the doctor so that he or she could examine you physically and ascertain the kind of injury you have by learning how the knee joint works by moving it in different positions.

Pivot Shift Test: The key test for determining whether ACL damage has occurred is to assess the instability. If the test is successful, there will be a sublimation at 20 to 40 degrees of flexion, showing that the ACL is injured.

Anterior Drawer Test: When an ACL rupture is thought to have occurred, the anterior drawer test is carried out. The doctor will instruct patients to position their hips or knees at a precise angle while lying on their back. The doctor will then use his hand to various areas of your leg to check for ACL damage by feeling whether the moment of your bone is normal or not.

Lachman Test: Orthopaedists employ the Lachman Test to identify ACL fractures. If the test is successful, the tibia will develop further forwardly and upwards and close with a considerable delicate terminal moment.

  • Telling the doctor about the precise causes of a patient’s knee problem is the first and best thing they can do. The doctor may also request the following tests:
  • X-rays to identify the fracture are part of a comprehensive medical checkup.
  • One will find out if one is physically capable of having surgery during the standard test.
  • In order to successfully evaluate the damaged knee, the ACL injury must be confirmed by the MRI.

Cost

The cost of ACL reconstruction surgery in India ranges from USD 2,200 to USD 5,000 and USD 8,000 to USD 11,000 in Dubai (UAE). The estimated days in the hospital are 5 days and 12 days outside the hospital.

In the US the cost of the graft, anesthetic, facility charge, and surgeon fee will range from $20,000 to $50,000. Medical supplies like crutches and knee braces will incur an additional $500 in fees. The extra expense of physical treatment is approximately $1,000.

In the UK the range of costs for performing the surgery privately can reach £8,500-$10,370.

Hospitals must provide reasonable health plans that cover the cost of the examination and the procedure.

The cost of ACL reconstruction surgeries is typically covered by insurance companies; however, the specifics of the coverage vary depending on the coverage one has for healthcare. It should be discussed separately.

Procedure

The Procedure Before

  • Before the procedure, one will probably undergo physical therapy for a few weeks. Prior to surgery, your knee should have its complete range of motion again, and the muscles should be strengthened. Patients who had a stiff, swollen knee before surgery could not fully recover their range of motion.
  • Being an outpatient treatment, ACL restoration allows patients to return home the same day. Plan a ride home with a friend or family member.
  • Any drugs or dietary supplements one is taking should be disclosed to the doctor. The doctor might advise one to stop taking any blood thinners at least a week prior to surgery if one frequently takes them in order to lower the risk of bleeding.
  • Follow the doctor’s advice for when to cease taking any medications, eating, drinking, or exercising the night before the procedure.

During the Procedure

  • Patients will be fully unconscious throughout the ACL restoration operation because general anesthetic is often utilized in this procedure. Mostly, ACL reconstruction surgery is often carried out through a succession of tiny incisions, one for a thin, tube-like video camera and others for access to the joint space for surgical equipment.
  • The injured ligament will be removed by the surgeon, and a tendon segment will be placed in its place. The replacement tissue, also known as a graft, is taken from another area of your knee or a deceased donor’s tendon.
  • To precisely position the graft, your surgeon will drill holes or tunnels into your thighbone and shinbone. The graft is then fastened to the bones using screws or other devices. The transplant will serve as a scaffold for the development of new ligament tissue.

After the Procedure

  • Once the patient has recovered from the anesthetic, they can leave that day. Before returning home, one may practice using crutches, and the doctor might instruct patients to wear a knee brace or splint to safeguard the graft.
  • How to deal with swelling and pain after surgery will be covered in detail by the surgeon. In general, one should elevate the leg, wrap the knee in an ice pack or cold compress, and rest as much as possible.
  • Acetaminophen, ibuprofen, and naproxen sodium are examples of over-the-counter painkillers. The doctor might advise stronger drugs as well. Opioids have a number of negative effects and a high risk of addiction; thus, they should only be recommended for extremely severe pain.
  • Follow the surgeon’s recommendations for when to ice your knee, how long to use crutches, and when patients can put weight on your knee. Additionally, one will be told when to take a bath or shower, when to change a wound’s dressing, and how to take care of oneself after surgery.
  • Progressive physical therapy after ACL surgery aids in increasing flexibility and strengthening the muscles surrounding the knee.
  • A physical therapist will demonstrate the activities one will complete at home or with supervision. The best outcomes and optimum healing depend on adhering to the rehabilitation plan.

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Advantages Of ACL Surgery

  • Complete restoration of natural knee movements.
  • Remove nagging pain and frustration.
  • Return to dance, athletics, and other activities.
  • No longer get knee swelling.

Risks

The anterior cruciate ligament in the knee is replaced during an ACL reconstruction. The following list of potential dangers and restrictions pertain to the procedure:

  • Bleeding at the site of surgery.
  • Blood clots.
  • Infection following surgery.
  • Even after ACL reconstruction surgery, knee stiffness, weakness, or pain continue to exist.
  • Inability to move the knee or discomfort doing so.
  • Inability to alleviate symptoms.
  • There is a problem with the graft’s healing.
  • Injury to the growth plate is more likely in kids with ACL tears. The bones of the arms and legs are connected to these plates. These growth plates aid in the development of bones. These growth plates have the potential to harm people and shorten bones.

The American Association of Orthopaedic Surgeons (AAOS) states that, despite the hazards indicated above, 85% to 95% of ACL reconstruction surgeries have completely restored knee stability, leading to astounding results and higher patient satisfaction.

Some people could experience problems with the anesthetic used before surgery. As a result of the anesthetic, some patients may have shortness of breath, nausea, vomiting, or allergic reactions.

Recovery

ACL rehabilitation is accompanied by varying degrees of pain, although it is controllable with medicine.

Additionally, recovery times differ from patient to patient. It is possible to tell when a patient has totally recovered when their knee joint proprioception, range of motion, and muscle strength have all returned.

  • After an ACL reconstruction, it typically takes a patient six to nine months to return to sports, depending on the type of exercise and the degree of competition.
  • Patients can move around with crutches and a leg brace the day following surgery. Soon after surgery, the patient starts a rehabilitation regimen to regain knee strength, stability, and range of motion. There are several exercises included in the recovery process:
  • Early on in the rehabilitation process, exercises are begun to improve strength and range of motion.
  • Around four months in, running workouts start.
  • Exercises involving pivoting start around five months in.
  • Sports competitions can resume as soon as six months after the injury.

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