Best ACL Surgeon in Jaipur – Why Choose Dr. Vikram Sharma?
Dr. Vikram Sharma is a leading ACL surgery specialist in Jaipur, India, trusted by athletes, sportspersons, and patients across Rajasthan for advanced arthroscopic ACL reconstruction, Jewel ACL surgery, and complete sports injury rehabilitation.
Head of Sports Medicine & Consultant Arthroscopic Surgeon at Fortis Escorts Hospital, Jaipur.
An experienced and best ACL reconstruction doctor in Jaipur, offering advanced arthroscopic ACL reconstruction and personalized rehabilitation for patients with sports and knee ligament injuries.
BCCI Dope Control Officer and Sports Medicine Specialist for the Rajasthan Cricket Association.
President of the Indian Association of Sports Medicine, Rajasthan Section, and Raj Arthroscopy Society.
Internationally trained by the International Olympic Committee (Switzerland), UPMC Pittsburgh (USA), and FIFA.
Consultant for the Badminton World Federation, Rajasthan Para Athlete Association, and Rajasthan Weightlifting Association.
Holds Diplomas in Sports Injury (UK) and Sports Nutrition (UK).
21+ years of experience with over 14,000 sports injury surgeries, including national and international athletes.
Injuries to the Anterior Cruciate Ligament (ACL)
A common mechanism of ACL injury is a direct blow to the front of the knee or a fall onto a bent knee, often occurring in football, soccer, or basketball. Other contributing mechanisms include car accidents and slips and falls, among other trauma to the knee. Early diagnosis by an experienced best ACL injury specialist in Jaipur can help prevent further knee damage and improve recovery outcomes — consult a trusted best orthopedic ACL doctor in Jaipur Rajasthan.
Knee Anatomy Diagram
The ACL is one of the strongest stabilizing ligaments of the knee; an injury to it is a tear or sprain of that ligament, a very common injury in any activity, including sports, particularly those with quick changes of direction, jumping, or contact. It's due to both contact and non-contact sports.
These are types of torsion injuries with greater propensities in soccer, basketball, wrestling, Kabaddi, skiing, or similar games.
Besides, in routine, injuries caused by slipping on stairs, injuries while dancing, two-wheeler accidents, and so on may be ACL injuries. Watch our Master Video with all the details about ACL. If you experience any of these injuries or symptoms, consult an experienced ACL reconstruction surgeon in Jaipur City for an accurate diagnosis and timely treatment.
How ACL Breaks
These injuries are primarily caused by non-contact mechanisms, i.e. sudden change of direction or stop, or landing while attempting to jump in a wrong way. The common causes of this ACL injury are
- Sudden twisting of the knee
- Swelling, which usually occurs within hours of injury, though swelling is late and also almost insignificant compared to an ACL injury
- Direct contact, like when someone is tackled in football
Such injuries occur with twisting or rotation of the knee and simultaneously with an attempt to plant the foot firmly on the ground. Examples are sudden turning on the court or field or jumping or landing with a twisted knee.
Hyperextension is when the knee is over-extended; in some games, an athlete throwing a jump lands on the knee, stretching beyond its normal range of motion. A direct contact type of Injury, such as football with a tackle, can cause a tear in the ACL.
Early consultation with a top ACL doctor in Jaipur Rajasthan India can help ensure timely diagnosis, appropriate treatment, and a faster recovery.
Sudden symptoms of ACL damage are
This is because understanding ACL signs and symptoms is very important; the symptoms are very specific, and you can predict an ACL tear even before an MRI only with the help of these symptoms.
- Usually very bad, especially at the knee.
- Swelling will typically begin a few hours after the time of Injury.
- Pain or a popping sensation or noise at the time of Injury.
- Another mentionable symptom is limited knee mobility.
- The instability or feeling of the knee is going to give way.
- Intolerance to weight-bearing on the affected limb.
- Bruising and swelling at the knee.
Late or Chronic Signs and Symptoms
- Weakness in the gracile thigh
- Cyclical instability
- Knee pains in chronic cases
Clinical Trials
Normally, an evaluating doctor will perform both a physical and imaging test, such as an X-ray or MRI, to diagnose an ACL injury.
The physical examination test may include-
- Lachman test
- Pivot-shift test
- Anterior Drawer Test
Diagnosis of ACL injury
- A general physical examination is utilised to detect the ACL injury diagnostically.
- Relying on an X-ray, an osseous injury is usually always ruled out.
An MRI is more of a gold standard investigation and is accurate in affirming the ACL tear and assessing the extent of Injury. Damage to soft tissue can be represented by an MRI, as well as bones, along with their ligaments, tendons, and cartilage.
ACL Tear Treatment in Jaipur – Treatment Protocols
This Injury is treated differently in different people due to variations in the extent of damage in addition to patient needs.
Minor Injury and less demanding knee- this is the type of Injury and condition where the tear of your ligament is minor and only minor Injury with no symptoms, especially in low demand knee, which means if you are a simple office goer and old age person.
Non-surgical treatment can be attempted - This includes physiotherapy, bracing, and pain management. Physiotherapy in the case of partial Injury and low-demanding knee focuses on specific muscle strengthening and proprioception. In this method, a gradual return to sports and activity is tried.
Surgery: Most patients with an ACL tear may require surgery, particularly those who want to return to sports or have knee instability. This can involve reconstruction of the ACL with one of the grafts described in the treatment section. In Jewel ACL Reconstruction in Jaipur, a piece of your body tissue can be used to replace or enhance the torn tissue and create a new ligament. These surgical procedures can be performed using an arthroscope and have a very good chance of success when combined with appropriate rehabilitation.
Rehabilitation: Very important in the recovery of strength and/or range of motion and stability of the affected knee.
However, the specific treatment plan depends on factors such as the patient's age, activity level, occupation, general health, and personal preferences. Consult Dr. Vikram Sharma for personalized ACL tear treatment in Jaipur based on your individual condition and recovery goals.
Chapter 9: Choosing the Graft in Anterior Cruciate Ligament Surgery
ACL Reconstruction Surgery Replacing the damaged ACL with a new ligament called a graft. Some of the most commonly used grafts are:
- Hamstring graft
- Bone-tendon-bone (BTB) graft Patellar tendon autograft Peroneus Longus Graft Click here to know Graft Option and detailed understanding.
Implants used in ACL reconstruction
A significant number of metal or biocomposite implants are put into use for the graft to get fixed at its place. There are numerous varieties of implants, as follows-
What are implants used in ACL surgery- Detailed explainer about Implants and grafts
- Suspensory Implants Two types of Loops are used as follows.
- Fixed Loops implants Loop Implants Self-Adjusting
Screw Implants
Screw implants are designed to hold the position of the implant in the knee joint. The market offers two varieties of screws, that of metallic and bio-composite.Should another extraction of implants be done after so many years of surgery -I know it well.
Is it needed to remove implants years after Surgery – Understand it fully
Our Preference at SportsMed We usually put Adjustable loop implants on the Femoral side ( side of the thigh bone ), and on the tibial side, we use Bio composite of free loop adjustable implants; recently, we have advanced towards Free adjustable loop on the tibia ( leg bone side ), the advantage is that with this novel technique, we can create four-fold of graft so more robust and good sized graft we get.
Common Terms Used for the Classification of ACL Injuries
All the technical terms related to medicines, both in your reports and on the prescription by your doctor, are vast, and the understanding of those will give an idea of the magnitude of the problem, some of which are below.
Full-thickness tear- In this case, the ligament is completely torn. This type of injury may cause considerable instability in the knee and require more aggressive treatment by surgery.
Full-thickness tear: The ACL tears involve a full-thickness tear of the ACL. There is a rip right through the width of the ligament. This is an especially severe injury that might even necessitate surgery, in contrast to the partial thickness tear.
Almost complete The ACL ligament, in the case of a nearly complete tear, is almost completely torn. Such a tear can be accompanied by extreme instability of the knee and even requires surgical repair.
Partial tear - It is a partial tear of the ACL that is mild to moderate. It is an injury wherein the ligament is partially torn. This is the condition wherein treatment can be tried either conservatively or surgically based on the clinical examination and demand of the knee.
Understanding these classifications helps doctors recommend the most appropriate ACL injury treatment in Jaipur based on the severity of the ligament tear and the patient's activity level.
Some other words are
- Anterior translation of the tibia
- Bone contusion
- Mucoid degeneration
Read below an in-depth video that explains your own understanding of an MRI report.
Grading of ACL tear
However, the grading of an ACL tear is required to help identify the degree of Injury and determine appropriate treatment.
Usually, the grading of an ACL tear is determined through physical examination, either through a Lachman test or through imaging studies, such as MRI.
- Grade 1 ACL Tears: A minimum tear is described. The injuries need physical therapy and rehabilitation exercises to allow the knee to heal.
- Grade 2 ACL tears These involve average extent; treatment measures for grade 2 ACL tears may include physical therapy, bracing and, in some surgery cases.
- Grade 3 ACL Tears what is considered a very significant tear; the ligament is essentially wholly torn. Often, with this level of injury, such instability and pain are eventually present in the knee and can become extremely disabling. It is often surgically treated to stabilise the knee and prevent further damage.
Preoperative preparation and prehabilitation in ACL reconstruction.
ACL Ligament Surgery is an elective procedure, and proper preoperative preparation and rehabilitation will require the success of the process. Some of the fundamental guidelines are as follows.
How to prepare yourself for surgery-
Choose an experienced surgeon
Educate yourself on the procedure overall literature and explainers –( you can download our specifically made ACL booklet by clicking the link below) :-
- Prepare your home for recovery-
- Follow preoperative instructions-
- Optimise your health-
- Plan for post-operative rehabilitation-
ACL reconstruction surgery is a planned surgery. Sometimes, you may be advised for a few physiotherapy exercises and this is called prehabilitation exercises.
Avoid always Some common mistakes that are made by many ACL injury patients – You must Watch Video
What is done in ACL surgery, and which technique is better
This is quite a common query of the patients – what is the best technique, and what needs to be used? We have narrated all common techniques for better understanding.
- Anatomical ACL Reconstruction
- Remnant-Preserving ACL Reconstruction
- Double Bundle ACL Reconstruction
- Single Bundle Augmentation
- ACL Stump Repair All-Inside ACL Reconstruction
- All-Inside with FiberTape
- Bridge-Enhanced Anterior
- Cruciate Ligament Repair (BEAR)
Video in Depth on ACL Surgical Techniques Review
Our Preferred technique – We at sportsmed perform Anatomical remnant preserving ACL reconstructions; we use both conventional methods and all inside to make tunnels. The advantage of remnant preserving ACL is that the new ligament graft union will be faster, and the old torn ligament helps to develop this new graft. We follow anatomical guidelines, so we will try to copy native ACL attachment sites. As far as the issue of implants is concerned- we are using an adjustable loop at the femur ( thigh Bone ) and a free adjustable loop with a button at the leg bone tibia – this has the advantage of utilising graft best, and only a single muscle graft is needed. Sometimes, we use tape when there is high demand and graft size is less.
Why surgery was needed in complete ACL tears is the most common question, and with this explanatory video, we have tried to touch each part in detail. we believe well-informed and educated patients recover well as also-
Fibertape - Miracle or Just an Assistive Implant
Amongst the most frequently asked questions would be how to use fibre tape with ACL graft. Every second patient wants to know this, so we are trying to resolve this myth for you.
What is Fibertape?
Fibre tape is a synthetic implant made up of polyester and polyethene fibres. Brand Fiberatpe is in common use, so we are using the same term, mentioning polyethene fibers tape as Fiberatpe, although other implant companies are also making similar products. It is designed to provide extra support to the injured ligament. The implant is surgically placed along with the graft during the reconstruction procedure.
Know the concept of Fiberatpe or Internal Brace.
Indications and Advantages
Fibre tape is used in several conditions in orthopaedics, like ACL reconstruction. The benefit of fibre tape is that it provides extra support for the injured ligament. As long-term results are not available, its usage cannot be proved.
Disadvantages and Risks
This being an additional implant, care is required as sometimes this may lead to infection; over-tightening may create a problem in flexion and related complications.
Exploit Bust myths using video-detailed Fibertape.
ACL Revision Surgery and Retears
In some instances, the ACL may tear again or fail after the primary surgery. ACL revision surgery, also known as re-do ACL surgery, is an aggressive procedure that is used in the management of these failed or returned ACLs.
- Inadequate rehabilitation -
- Overuse or returning to high-risk activities, too
- Not suitable for the patient
- Re-injury due to trauma
Causes of failure of initial surgery- There are many causes of retear or failure of surgery.
Challenges in Revision Surgery.
The challenges and risks of revision surgery are always high; the following points should be known about recovery after revision surgery.
- Longer recovery time
- Higher risk of graft failure
- Surgical expertise required
- Limited graft choice
Update your knowledge about the Retear of ACL and treatment options with our educational
Special Emphasis in Revision Surgery
Tunnels formed for primary ACL at times can be expanded and if that belief is there by the surgeon, then at times further study through a CT scan may be needed and on this CT scan, the exact current diameter of tunnels formed during the prior surgery is measured, and planning for surgery is done accordingly. In revision surgery, the surgeon does not have enough freedom to create new tunnels but shall have to follow or modify previously created tunnels.
Women sports persons commonly suffer injuries in the ACL, often called the anterior cruciate ligament. It has been noted that females are more vulnerable to ACL injury than their male counterparts. The biomechanical, hormonal, and neuromuscular factors have been cited as reasons for such a scenario. In fact, females are very sensitive to Injury in some phases of their menstrual cycles that can change the levels of hormone and ligament laxity. Moreover, the narrower intercondylar notch increases the vulnerability of females to injury from the ACL.
Lastly, female athletes often jump and pivot on their ground and pivot on their ends more frequently than male athletes, and usually with a greater knee extension plus an internally rotated position of their hip activity that requires the ACL to absorb more stress.
Why Women Are More Prone to ACL Tear
Women sportspersons commonly suffer ACL injuries. Females are more vulnerable to ACL injury than their male counterparts due to biomechanical, hormonal, and neuromuscular factors. Females are particularly sensitive to injury in certain phases of their menstrual cycle, when hormone levels and ligament laxity change. A narrower intercondylar notch also increases vulnerability. Female athletes often jump and pivot with greater knee extension and internally rotated hip positions, placing more stress on the ACL.
Injury Prevention Strategies
Prevention is better than cure, and the same goes for the case of ACL tears. Injury prevention strategies, such as neuromuscular training, correcting muscle imbalance, improving balance and proprioception, and optimizing movement patterns, especially landing techniques, can significantly reduce the risk of ACL injuries.
SportsMed – Injury Prevention Program for Female Athletes: Through this dedicated educational program, we create awareness among sportspersons and coaches about the preventable factors responsible for ACL tears in female athletes.
For customized treatment for female sportspersons, the surgical technique varies depending on graft choice, tunnel placement, internal brace augmentation, and several other important considerations during surgery. For expert ACL tear treatment in Jaipur, Dr. Vikram Sharma provides personalized treatment plans based on each patient's condition and activity level.
Frequently Asked Questions (FAQs)
1. What are the common symptoms of an ACL tear?
Common symptoms of an ACL tear include a popping sound during the injury, knee swelling, pain, difficulty in walking, and a feeling that the knee is unstable or may give way. Getting an early evaluation from an ACL specialist can help in choosing the right treatment.
2. Is ACL surgery necessary for every ACL tear?
No, ACL surgery is not needed for every patient. The treatment depends on the severity of the ACL injury, knee stability, daily activities, and lifestyle requirements. An experienced ACL surgeon can suggest the most suitable treatment option based on your condition.
3. How is ACL reconstruction surgery performed?
ACL reconstruction surgery is performed by replacing the torn ligament with a graft taken from the patient's own tendon or a donor source. In some cases, advanced techniques like Jewel ACL synthetic graft and FiberTape internal brace augmentation may be used to provide extra support and improve knee stability during recovery.
4. How long does it take to recover after ACL reconstruction surgery?
Recovery time after ACL reconstruction surgery varies from person to person. With proper physiotherapy, rehabilitation, and regular follow-ups, most patients gradually regain knee strength, movement, and stability over a few months. Return to sports in isolated ACL injury can be established in 3–4 months for non-contact sports and 6 months in contact and complex sports involving twisting and turning.
5. Can an ACL tear heal without surgery?
In some cases, partial ACL tears can be managed with physiotherapy, exercises, and rehabilitation. However, if a complete ACL tear causes knee instability or repeated knee giving-way, ACL reconstruction surgery may be recommended for better recovery.
6. Why choose an ACL surgeon in Jaipur for ACL injury treatment?
Choosing an experienced top ACL surgeon in Jaipur, Rajasthan helps you get the right diagnosis, a clear treatment plan, and proper recovery guidance according to the patient's demand and needs. If needed, a knee injury doctor in Jaipur can also support you through surgery using various new techniques like Jewel Synthetic Graft or internal brace FiberTape support, guidance on physiotherapy, and follow-up care so you can return to daily activities safely.
More Resources on ACL Injury
Explore our educational videos and patient resources to learn more about ACL injury diagnosis, treatment, and recovery.
- Book a Consultation
- Patient Feedback & Testimonials
- Educational Videos
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