ACL Injury
HOW IS THE ACL INJURED?
The ACL ligament is responsible for preventing the shin bone from moving forward or rotating under the thigh bone. When the ligament is subjected to excessive stress, it can tear. This usually occurs during sudden changes in direction or speed while running or landing from a jump. In Iran, the majority of ACL injuries are caused by sports and work related accidents.
WHO NEEDS ACL RECONSTRUCTION?
Some people can cope without an ACL reconstruction, especially if they aren’t involved in pivoting sports, such as netball or rugby. For these people, a guided rehabilitation program, followed by a gradually increasing activity, will enable them to get back to an active lifestyle.
However, if you want to participate in high-demand pivoting sports, or are experiencing ongoing episodes of instability, the usual treatment recommended is surgical reconstruction of the ACL.This surgery involved transferring another tendon into the knee, as a substitute for the torn ACL. Most commonly hamstring tendons or a portion of the patella tendon is used.
The success of an ACL reconstruction surgery depends not only on the surgical procedure itself but also on the patient's participation in the rehabilitation program both before and after the surgery.
Although there are potential risks associated with any surgery, ACL reconstruction surgery is generally considered safe and routine. Serious complications such as damage to major blood vessels or nerves that could be life-threatening are very rare. However, there are specific complications that may arise, such as numbness on the shin, pain while kneeling, and the risk of re-injury.
WHEN CAN I RETURN TO WORK?
The timeline for returning to work and sports depends on various factors related to the individual's activities and the progress of their rehabilitation.
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For sedentary work, return may be possible after 1-2 weeks.
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For light duties that involve being on the feet for extended periods, return may be possible after 4-6 weeks.
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For moderate duties involving carrying loads on uneven ground, climbing ladders, etc., return may be possible after 2-3 months.
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For individuals with very heavy duties or those requiring agility on uneven ground, it may take 4 months or more to return to full duties.
