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In the human body, knee is one of the largest joint of the body including the thigh bone (Femur) articulates with leg bone (tibia) and there is another bone in front called as knee cap (Patella). The joint is stabilized by major ligaments, two collateral ligaments on inside and outside the knee joint. Two cruciate ligaments running criss cross from anterior to posterior (ACL) and posterior to anterior (PCL).
ACL is the main restraint to anterior translation of the tibia in relation to femur. It is one of the commonest ligaments to be injured in sports particularly
It can be injured in isolation or can be associated with collateral ligaments or meniscus Injury depending upon the force or mechanism of injury.
On examination there is effusion of knee joint instability as demonstrated by Drawer’s test and Lach man’s test.
Diagnosis is confirmed with MRI which tells about the extent injury. The extent of injury helps us to formulate strategy regarding the correct line of treatment.
A standing X-ray of lower limb tells us about the overall alignment of the knee joint.
For Arthroscopic reconstruction the patient is admitted in the hospital on the day of surgery itself. Some routine blood investigation, ECG etc. are performed. After preparation patient is taken up for surgery on the same day. Typically the surgery lasts for around one hour.
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