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A comprehensive guide on ACL Reconstruction Surgery in India

16 Jun, 2024

Blog author iconDr. Divya Nagpal
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Dealing with a torn ACL can be more than just physically challenging—it can disrupt daily life and aspirations, especially for athletes and active individuals. Without proper treatment, it can lead to further complications, affecting mobility and overall quality of life. Considering surgery abroad adds another layer of complexity, from finding the right expertise to managing costs. India has emerged as a leading destination for ACL reconstruction surgery, offering world-class medical care, skilled surgeons, and cutting-edge facilities at a fraction of the cost compared to Western countries. This comprehensive guide dives into everything you need to know about ACL reconstruction surgery in India: from the procedure itself and top doctors to hospitals renowned for their expertise. Whether you're seeking relief from knee instability or looking to restore full function, this guide equips you with essential insights to make informed decisions about your health and recovery journey.

ACL Reconstruction Surgery Procedure in India

ACL reconstruction surgery in India involves replacing a torn anterior cruciate ligament with a graft to restore knee stability and function. The procedure is typically minimally invasive and allows for faster recovery. Here’s a detailed look at the process:


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Procedure

1. Pre-operative Assessment: A thorough assessment includes physical exams, imaging tests (like MRI), and consultations with the orthopaedic surgeon to tailor the treatment plan.


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2. Anaesthesia: The surgery is performed under general or regional anaesthesia to ensure patient comfort and a pain-free experience during the procedure.


3. Graft Harvesting: The surgeon selects a graft, which can be either an autograft (from the patient's own tissue, such as the patellar tendon or hamstring tendon) or an allograft (donor tissue).


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4. Arthroscopic Surgery: Small incisions are made around the knee, and an arthroscope (a small camera) is inserted to provide a clear view of the knee joint. Specialized instruments are used to remove the damaged ACL and prepare the site for the new graft.


5. Graft Placement: The graft is positioned and secured using screws or other fixation devices, ensuring it is properly aligned to mimic the natural ACL function.


6. Closure: The incisions are closed with sutures or surgical staples, and a sterile bandage is applied to protect the surgical site.


7. Post-operative Care: After surgery, the patient is monitored in the recovery room before being transferred to a hospital room. Pain management, physical therapy, and rehabilitation exercises begin to promote healing and restore knee function.


Indian hospitals use advanced surgical techniques and equipment, ensuring high success rates and minimal complications. Emphasis on patient safety, combined with comprehensive post-operative care, contributes to successful outcomes and quicker recovery times.


Top Doctors for ACL Reconstruction Surgery in India

India boasts a pool of highly skilled and internationally trained orthopaedic surgeons specializing in ACL reconstruction. Renowned for their expertise and experience, these doctors have successfully treated numerous patients from around the world. Some of the top doctors for ACL reconstruction surgery in India include:

1. Dr. Ashok Rajgopal, Medanta


Designation: Orthopedic Surgeon
Country: India

Experience:
  • Years of Experience: 50
  • No. of Surgeries:
  • Dr. Ashok Rajgopal is known for his extensive experience and expertise in orthopaedic surgery, specifically in knee implants and replacements.
  • He holds a unique record of performing 28 total knee replacement surgeries in under 12 hours.
  • He specializes in advanced cement-less implants like Trabecular Metal implants, which are known for their strength, weight ratio, and mechanical characteristics.
  • Dr. Rajgopal is the first orthopaedic surgeon in India to perform virtual total knee replacement using patient-specific instruments for precise alignment and durability.
Professional Contributions:
  • Dr. Rajgopal designs knee implants, including the new "PERSONA" knee system launched in India in September 2013.
  • He serves on a prestigious panel of international knee surgeons developing advanced knee implants like the PERSONA KNEE SYSTEM, which has revolutionized knee replacement surgery.
About:
  • Dr. Ashok Rajgopal is renowned for his contributions to the field of orthopaedic surgery. He has designed several knee implants and holds a unique record in knee replacement surgery.
  • He has revolutionized knee replacement surgery in India by being the first to perform virtual total knee replacement using patient-specific instruments for precise alignment and durability.
  • Dr. Rajgopal is part of a prestigious international panel developing advanced knee implants, contributing to significant advancements in the field.

2.Dr. Ram Chidambaram



Designation: Joint Replacement Surgeon
Country: India

Experience:
  • Years of Experience: 32
  • No. of Surgeries:
    • Over 4500 keyhole surgeries
    • 1100 joint replacements
    • 3000 trauma surgeries affecting the shoulder, elbow, wrist, and hand

About:

  • Dr. Ram Chidambaram is a Consultant Orthopaedic Surgeon with over 32 years of experience. He has developed an exclusive specialist practice in sports medicine and injuries of the shoulder, elbow, wrist, and hand. His mission is to help patients achieve their pre-injury status with near-perfect results.
  • He completed D Ortho, MS Ortho, and DNB Ortho from India. He went to the UK and completed FRCS (Surgery) and FRCS (Tr & Orth) and worked as a consultant shoulder and upper limb surgeon for 10 years. He did a specialist fellowship in the shoulder (UK, USA & France), elbow (Mayo Clinic of USA), and wrist (Yale, USA, Hong Kong & Japan).
  • In 2011, Dr. Ram Chidambaram left behind a flourishing practice in the NHS and relocated to Chennai. He set up his specialist practice in upper limb surgery and within a short span of time, managed to establish this niche as an exclusive orthopedic super-specialty.
  • Dr. Ram Chidambaram is an elected member of the American Association of Orthopaedic Surgeons (AAOS) and the British Elbow and Shoulder Society (BESS). He was elected President of the Shoulder and Elbow Society of India in 2017. He was awarded the presidential gold medal from Dr. Peter Brownson (President, BESS) for services rendered to upper limb surgery and for his role in making the field more relevant in mainstream Indian orthopaedics.
Education:
  • MBBS
  • Diploma in Orthopaedics
  • MS - Orthopaedics
  • DNB - Orthopedics/Orthopedic Surgery

Top Hospitals for ACL Reconstruction Surgery in India

India is home to several world-class hospitals equipped with cutting-edge technology and state-of-the-art facilities, ensuring the highest standards of medical care. Top hospitals for ACL reconstruction surgery in India include:

1. Apollo Hospitals, Chennai

Apollo Hospitals on Greams Road in Chennai was established in 1983 by Dr. Prathap C Reddy. It was India's first corporate hospital and is acclaimed for pioneering the private healthcare revolution in the country. Over the years, Apollo Hospitals has risen to a position of leadership, emerging as Asia's foremost integrated healthcare services provider.

Location

  • Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
  • City: Chennai
  • Country: India

Hospital Features

  • Established Year: 1983
  • Treatment Availability: International

About Apollo Hospitals

Apollo Hospitals has a robust presence across the healthcare ecosystem, including hospitals, pharmacies, primary care, and diagnostic clinics. The Group also has telemedicine units across 10 countries, health insurance services, global projects consultancy, medical colleges, Med-varsity for e-learning, colleges of nursing, and hospital management.

Team and Specialties

  • Cardiology and Cardiothoracic Surgery: Apollo Hospitals hosts one of the largest cardiovascular groups globally, with around 14 world-class institutes, over 400 cardiologists & cardiac surgeons, and 200 heart stations.
  • Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
  • Cancer Care: A 300-bedded, NABH-accredited hospital providing advanced technology in diagnosis and radiation, supported by an oncology team of renowned specialists and well-trained medical and paramedical professionals.
  • Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
  • Transplant Institutes: The Apollo Transplant Institutes (ATI) is one of the largest, most comprehensive, and busiest solid transplant programs globally.
  • Liver Surgery: Equipped with a 320-slice CT scanner, a state-of-the-art Liver Intensive Care Unit & Operation Theatre, and various surgical tools to enable safe & bloodless liver surgery.
  • Neurosurgery: Recognized as a leader in acute neurosurgery, Apollo Hospitals, Chennai, is among the top hospitals specializing in neuro care worldwide.

Infrastructure

With the experience of over one million health checks, Apollo Hospitals has emerged as a key player in the corporate healthcare sector. Over 500 leading corporates, across all industry segments, have tied up with Apollo Hospitals, providing their employees ready access to sophisticated medical facilities at over 64 locations in India. The corporate services initiative of Apollo Hospitals, Chennai, aims to provide world-standard healthcare within the reach of every individual.


2. Fortis Memorial Research Institute (FMRI), Gurugram


Fortis Memorial Research Institute (FMRI) in Gurgaon is a premier multi-super specialty, quaternary care hospital. Known for its international faculty and reputed clinicians, including super-sub-specialists and speciality nurses, FMRI is supported by cutting-edge technology. The hospital aims to be the 'Mecca of Healthcare' for the Asia Pacific region and beyond.

Location

  • Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
  • City: Gurgaon
  • Country: India

Hospital Features

  • Established Year: 2001
  • Number of Beds: 1000
  • Number of ICU Beds: 81
  • Operation Theaters: 15
  • Hospital Category: Medical
  • Treatment Availability: International
  • Status: Active
  • Visibility on Website: Yes

Specialties

FMRI excels in several medical specialities, including:

  • Neurosciences
  • Oncology
  • Renal Sciences
  • Orthopedics
  • Cardiac Sciences
  • Obstetrics and Gynecology

These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.

Team and Expertise

  • International Recognition: FMRI has been ranked No.2 of the 30 most technologically advanced hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many other outstanding medical institutions globally.
  • Patient Care: Fortis hospitals treat over 3.5 lakh patients annually, relying on reputed clinicians, state-of-the-art infrastructure, and world-class technology such as the Da Vinci robot, ensuring patients go home healthy.
  • Innovative Initiatives: FMRI's initiatives range from customized preventive health checks to quaternary care provided by super-specialized clinicians conducting rare and complex surgeries.

About Fortis Healthcare

FMRI is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in India. Fortis Healthcare is known for its commitment to quality healthcare and patient safety, making FMRI one of the most sought-after medical destinations in the region.

For more information or to schedule an appointment, please contact FMRI through the provided email addresses.


3. BLK-Max Super Speciality Hospital

BLK-Max Super Speciality Hospital in New Delhi was established by Dr B L Kapur, an eminent Obstetrician and Gynecologist. Originally set up as a charitable hospital in Lahore in 1930, the hospital was reestablished in post-partition India in Ludhiana and later in Delhi at the invitation of the then Prime Minister. The hospital was inaugurated by Prime Minister Pt. Jawahar Lal Nehru on January 2, 1959.

Location

  • Address: Pusa Rd, Radha Soami Satsang, Karol Bagh, New Delhi, Delhi, India
  • City: New Delhi
  • Country: India

About Hospital

  • History: BLK Super Speciality Hospital was founded by Dr B L Kapur. The hospital celebrated its Silver Jubilee in 1984, marking its status as Delhi's premier multispecialty institute.
  • Services: The hospital offers services in General Surgery, Ophthalmology, ENT, Dentistry, Pulmonology, Intensive Care, Orthopedics, and mother & child care.
  • Capacity: Spread over five acres with 650 beds, BLK is one of the largest tertiary care private hospitals in India.
  • Facilities: Outpatient services are spread across two floors with 60 consultation rooms. The hospital has 17 state-of-the-art modular operation theatres equipped with advanced technology.
  • Critical Care: The hospital has 125 critical care beds in various intensive care units, including Medical, Surgical, Cardiac, Pediatrics, Neonatology, Neurosciences, and Organ Transplant units. Each unit is equipped with high-end patient monitoring devices, ventilators, and dedicated isolation rooms.

Infrastructure

  • Operation Theatres: 17 well-equipped modular operation theatres with three-stage air filtration and gas scavenging systems.
  • Critical Care: The hospital has one of the largest critical care programs in the region with 125 ICU beds.
  • Transplant Centers: Dedicated ICUs for Liver and Renal Transplants with specialized instruments and equipment.
  • Birthing Suites: Specialized birthing suites with telemetric fetal monitors and a dedicated operation theatre adjacent to the labour room.
  • Technology: Advanced Building Management System, automatic pneumatic chute system, Wi-Fi-enabled campus, and top-of-the-line Hospital Information System (HIS) with contemporary electronic medical records (EMR).

ACL Reconstruction Surgery Cost in India (USD)

The cost of ACL reconstruction surgery in India is significantly lower compared to many other countries. Here's a range:

  • Minimum: USD 3,325
  • Maximum: USD 7,000

This variation depends on several factors including:

  • Hospital: Cost varies between private hospitals and public facilities.
  • Surgeon's experience: More experienced surgeons may charge higher fees.
  • City: Tier 1 cities may be more expensive than smaller towns.
  • Graft type: Allograft (donor tissue) might cost more than autograft (your own tissue).
  • Post-surgical care: This can include physiotherapy and medication costs.

ACL Reconstruction Surgery Success Rate in India

Success rates for ACL reconstruction surgery in India are generally high, ranging from 90% to 95%.


Risks and Complications

As with any surgical procedure, ACL reconstruction surgery carries certain risks and potential complications. These include:


a. Infection: Though rare, there is a risk of infection at the surgical site, which may require additional treatment or surgery.

b. Bleeding and Blood Clots: Post-surgical bleeding and the formation of blood clots (deep vein thrombosis) can occur, necessitating prompt medical intervention.

c. Graft Failure: The new ligament graft can fail due to improper healing or excessive stress on the knee, potentially requiring revision surgery.

d. Knee Stiffness and Limited Range of Motion: Some patients may experience stiffness and a reduced range of motion in the knee, which can be managed through physical therapy.

e. Nerve or Blood Vessel Damage: There is a small risk of damage to the nerves or blood vessels around the knee during surgery, which may lead to temporary or permanent complications.

f. Chronic Pain: Persistent pain in the knee, although uncommon, can occur and may require further medical evaluation and treatment.

How can HealthTrip assist with your treatment?

If you're seeking ACL Reconstruction Surgery in India, let HealthTrip be your compass. We support you throughout your medical journey with the following:

  • Access to top doctors in 38+ countries and the largest health travel platform.
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Hear from our satisfied patients

Opting for ACL reconstruction surgery in India provides access to top-tier medical facilities and specialized orthopaedic expertise. With highly skilled surgeons, cutting-edge technology, and a dedication to patient well-being, India delivers holistic solutions for enhancing knee stability and functionality. Whether utilizing conventional procedures or minimally invasive methods, patients can anticipate individualized treatment strategies designed for maximum recovery. India's emphasis on orthopaedic excellence guarantees that those undergoing ACL reconstruction receive exceptional care and attain optimal results, establishing it as a premier choice for this specialized treatment.

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FAQs

ACL reconstruction surgery is a procedure to replace a torn anterior cruciate ligament (ACL) in the knee with a graft to restore stability and function. The graft can be sourced from the patient’s own body (autograft) or from a donor (allograft).