Arthroscopic ACL Reconstruction

The concept of a Major Orthopaedics, Accident Trauma and Neurocentre was initiated by Dr. Thomas A Chandy the Medical Director and Chief of Orthopaedics. He did his MBBS at St. John's Medical College, Bangalore and moved to the US in 1976 for specialization in orthopaedics.

He did his General Surgery residency at the Bronx - Lebanon Hospital - Albert Einstein Medical School and then 4 years Post Graduation Resident training in 1980 in Orthopaedics at the Jewish Hospital and Medical Centre in New York, he was on the faculty at the same hospital for two years. He is a U.S. Board Certified Orthopaedic Surgeon.

Dr. Chandy did a fellowship at the University of Oklahoma in Arthroscopy, Sports Medicine and knee surgery under Dr. Bill Grana and Don O'Donoher - completed in 1983. He was appointed as the Chief of Orthopaedics at the Claremore Regional Medical Centre, in 1983 and worked there till 1993. At this time, the idea evolved to start a world class Orthopaedics, Sports Medicine Neuro and Accident hospital on an international standard. He is a U.S. Board Certified Orthopaedic Surgeon.

Dr. Thomas A Chandy - Director & Chief of Orthopaedics who is specialized in knee surgeries has successfully done more than 3,000 ACL Reconstructions and 3,000 joint replacements in his 18 years in the U.S. and 13 years at HOSMAT and in addition numerous other orthopaedic operations such Arthroscopic surgeries of Knee and Shoulder and Paediatric Orthopaedics and Trauma.

What is Anterior Cruciate Ligament?

The anterior cruciate ligament (ACL) is the major stabilizing ligament of the knee. The ACL is located in the center of the knee joint and runs from the femur (thigh bone) to the tibia (shin bone), through the center of the knee. In this position, it functions to prevent a buckling type of instability of the knee. It is important for daily functions activity and sports

How does ACL Injury Occur?

Usually the tearing of the ACL occurs with a sudden direction change or when a deceleration force crosses the knee. The patient often feels or hears a popping sensation, has the rapid onset of swelling, and develops a buckling sensation in the knee when attempting to change direction.

Symptoms

Initially, the symptoms are pain and fairly immediate swelling. After the pain and swelling subsides, patients complain of instability or a feeling of insecurity. The knee feels loose. Some people live in fear of their knee giving out because they are unable to predict the motions that cause the instability.

Diagnosis & Treatment

Orthopaedic Surgeons may conduct physical tests and take X-rays or an MRI to determine the extent of damage to your ACL. Most of the time, you need reconstruction surgery. HOSMAT is the only hospital to have a KT 1000 orthro meter in India. This instrument helps in the diagnosis of the ACL Tear. The doctor replaces the damaged ACL with strong, healthy tissue. A strip of tendon from under your knee cap (patellar tendon) or hamstring may be used. The doctor threads the tissue through the inside of your knee joint with the arthroscopic method, without opening the knees and secures the end to your thighbone and shinbone.

In a few cases the ACL is torn cleanly from the bone and it can be repaired. People over 50 years of age and People with less activity may be treated non surgically with good physiotherapy and muscle strengthening exercises.

Outcome

Dr. Thomas A Chandy - Director & Chief of Orthopaedics who has specialized in knee surgeries has done more than 4,000 successful Arthroscopic ACL Reconstructions. ACL surgery tightens your knee and restores its stability. It also helps you avoid further injury and get back to playing sports. After ACL reconstruction, you will need to do rehabilitation exercises to gradually return your knee to full flexibility and stability.

HOSMAT Physiotherapy centre is the renowned physiotherapy, sports medicine and occupational therapy department (7200 sq. ft), It is the one of the largest in India. It works in co-ordination with the rehabilitation and convalescent centre, and provides a major thrust in treating:

  • Orthopaedic Injuries
  • Sports Injuries
  • Arthritic Patients
  • Joint Replacement Surgery
  • Neuro Rehabilitation
  • Neurological disorders

HOSMAT is a specialized hospital for Orthopaedics and Sports Medicine and also one of the select hospitals in India to be recognized by ISO 9001 2000 of its kind.

HOSMAT Sports Medicine Center conducts a 6-month Fellowship in Sports Medicine. The center has gained recognition and is on the exclusive panel of National Cricket Academy, Karnataka State Cricket Association, Karnataka State Football Association, Karnataka State Hockey Association, Bangalore Turf Club, Karnataka State Golf Association, Karnataka Olympic Association, Sports Authority of India etc...

One of the exclusive facilities available at HOSMAT is a unique computerized isokinetic device called CYBEX that measures the strength and power of muscles of a sports person, apart from CYBEX there are many other isokinetic devices for each joint.

Many prominent sports personalities have undergone Arthroscopic ACL Reconstruction including Moshrafe Mortaza, the Bangladesh Fast bowler who very successful in the recent World Cup 2007. Some prominent sports personalities treated at HOSMAT are Andrew Flintoff, Rahul Dravid, Anil Kumble, Javagal Srinath, Robin Uthappa, Syed Kirmani, and Leander Paes.