Owing to advancements in technology,the Orthopedics Department of Post-Graduate Institute of Medical Education and Research (PGIMER) and Government Medical College and Hospital (GMCH),Sector 32,are successfully treating nearly 500 patients every year by performing reconstruction surgeries of the anterior cruciate ligament (ACL) of the knee.
Professor M S Dhillon and Dr Sameer Aggarwal perform the surgery in PGIMER,while Professor Ravi Gupta performs the surgery in GMCH-32.
Talking to Newsline,Professor Ravi Gupta,said,In the last few years the technique for performing this surgery has improved. Before that,injury to ACL was treated only with physiotherapy. But now,a simple surgical procedure of about one hour followed by extensive physiotherapy for six months can help the patient return to normal lifestyle.
The surgery,for which a patients knee was earlier plastered for about three months,has now advanced enough for the patient to start physiotherapy just an hour after surgery and start walking the next day.
If the patient starts with physiotherapy on the first day,there is a better chance that the movement of the operated knee will be as good as normal,said Professor Gupta.
When asked about the importance of physiotherapy in this surgery,Professor Raj Bahadur,head of department of Orthopedics said,Following injuries to the knee joint,particularly to football and kabaddi players,there is an ACL injury. Earlier,orthopedic doctors stressed on physiotherapy which included muscle build-up. But ever since the arthroscopic surgeries of ACL started,the quality of life for patients with these injuries has improved. It is desired that the patient continues with physiotherapy.Gurjeet Singh,an international kabaddi player who underwent surgery in March 2013 from GMCH-32,said,I am back to playing my game. My coaches have started training me with muscle building exercises. My knee has recovered and I am hoping to play an international game soon. Many of my colleagues have also undergone the same surgery and are doing fine.
Manpreet Singh,a national-level wrestling player said,Though I am still under the desired recovery period after the surgery,I have started with my training with doctors permission. Muscle recovery is a must after this surgery.
Both GMCH and PGI handle about 350 cases of ACL surgeries,of which 30 patients are international-level kabaddi players. According to Dr Sameer Aggarwal on an average five ACL surgeries are performed in a week at PGI.
Talking about the recovery of patients,Dr Sameer Aggarwal said,One should opt for an ACL surgery only if they are ready to devote at least six months to recovery. There are people who come for consultation with sedentary jobs and can depend on physiotherapy for recovery. But for athletes who have an active lifestyle,the surgery becomes necessary.
Dr Praveen Taneja,a private orthopedic doctor in the city said,Many patients who had undergone ACL surgeries from GMCH and PGIMER come to me for consultation. ACL injury is always accompanied with some damage to nearby tissues. ACL surgeries are successful,but orthopedics is yet to advance for other surgeries.