ACL PCL meniscus repair

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Comprehensive Guide to ACL, PCL, and Meniscus Repair

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What is ACL, PCL, and Meniscus Repair?

1. Definition

ACL (Anterior Cruciate Ligament), PCL (Posterior Cruciate Ligament), and Meniscus repair are surgical procedures performed to:

  • Repair or reconstruct damaged knee ligaments.
  • Treat torn meniscus (the cartilage cushion in the knee).
  • Restore knee stability, mobility, and function.

2. Purpose

  • Improve knee joint stability.
  • Alleviate pain and inflammation.
  • Prevent further knee damage or degeneration.
  • Restore full range of motion.

3. When is the Procedure Recommended?

  • ACL or PCL tears from sports injuries or accidents.
  • Meniscus tears causing pain and swelling.
  • Persistent knee instability or locking.
  • Limited response to conservative treatments (physiotherapy, medication).

Types of ACL, PCL, and Meniscus Repair

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ACL Reconstruction

Common for ACL tears.

Uses a graft (from the patient’s tissue or donor) to replace the torn ligament.

Provides long-term knee stability.

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PCL Reconstruction

Performed for PCL tears.

Uses grafts (tendons or tissue) to replace the ligament.

Less common than ACL reconstruction.

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Meniscus Repair

Involves suturing the torn meniscus.

Preserves the cartilage and knee cushioning.

Suitable for peripheral meniscus tears with good blood supply.

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Meniscectomy

Involves partial or complete removal of the damaged meniscus.

Used when the meniscus is too damaged to repair.

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Combined ACL/PCL and Meniscus Repair

Performed when multiple knee structures are damaged.

Restores stability and function.

Common in complex knee injuries.

Symptoms Indicating the Need for Surgery

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Knee Pain

Persistent or severe knee pain.
Worsens with movement or weight-bearing.

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Swelling and Inflammation

Swelling and tenderness around the knee.
May indicate internal ligament or meniscus damage.

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Knee Instability

Feeling of the knee giving out.
Difficulty in walking or running.

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Reduced Range of Motion

Limited bending or straightening of the knee.
Stiffness and loss of flexibility.

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Popping or Clicking Sound

Audible pop at the time of injury.
Clicking sensation with movement.

Risk Factors for ACL, PCL, and Meniscus Tears

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Causes of ACL, PCL, and Meniscus Tears

Sudden Twisting or Pivoting
  • Rapid changes in direction.
  • Common in sports injuries.
Direct Impact
  • Collision or falls on the knee.
  • Can cause ligament tears.
Hyperextension or Overstretching
  • Overextension of the knee joint.
  • Leads to PCL or ACL rupture.
Improper Landing
  • Landing awkwardly from a jump.
  • Can lead to ACL or meniscus tears.
Degenerative Wear-and-Tear
  • Age-related meniscus degeneration.
  • Chronic stress on the ligaments.

How to Prevent ACL, PCL, and Meniscus Tears?

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Strengthening Exercises

Quadriceps, hamstring, and calf strengthening.
Improves knee joint stability.

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Flexibility and Stretching

Regular stretching before physical activity.
Reduces ligament strain.

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Proper Footwear

Use shock-absorbing shoes during sports.
Reduces impact on the knees.

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Correct Techniques

Proper form when jumping, landing, and pivoting.
Prevents knee injuries.

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Avoid Overuse

Rest between intense physical activities.
Reduces the risk of chronic damage.

Treatment Through ACL, PCL, and Meniscus Repair

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Pain Management

NSAIDs (ibuprofen, naproxen) to reduce inflammation.
Corticosteroid injections for severe pain.

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Physical Therapy

Strengthens the knee muscles.
Improves range of motion.

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Bracing and Support

Knee braces for stability.
Reduces strain during physical activity.

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Surgical Repair

Indicated for severe or chronic tears.
Restores knee function.

Procedure Steps

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Pre-Procedure Preparation

Imaging tests: X-rays, MRI, or CT scans.

Pre-surgical assessment: Blood tests and evaluation.

Anesthesia consultation: General or regional anesthesia.

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Steps 1:

Small incisions made around the knee.

Camera and instruments inserted.

Steps 2:

Torn ACL or PCL ligament is repaired or reconstructed.

Grafts used for ligament reconstruction.

Steps 3:

Meniscus repair or removal is performed.

Torn section is sutured or removed.

Steps 4:

Incisions are closed with stitches or staples.

Dressing and bandage applied.

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Hospital Stay

Outpatient procedure (same-day discharge).

Pain management with medications.

Gradual Mobility

Use of sling for 2-4 weeks.

Gradual range of motion exercises.

Medications

Painkillers and antibiotics to prevent infection.

Anti-inflammatory drugs for swelling.

Follow-Up Care

Physical therapy to restore strength.

Regular check-ups and imaging.

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Arthroscopic ACL/PCL Repair

Minimally invasive.

Faster recovery with smaller scars.

Open Knee Surgery

Traditional surgery for complex tears.

Larger incision with better ligament access.

Meniscus Repair or Meniscectomy

Preserves or removes the damaged meniscus.

Reduces knee pain and instability.