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Scar Tissue Impacts After Surgery – Info from a Beverly Hills Orthopedic

The formation of scar tissue after orthopedic surgery is a concern for most patients. The reality is that incisions will leave some type of scar, but it is possible to minimize scarring. Dr. Raj utilizes the best surgical techniques and technologies that can reduce the appearance and formation of scars.

 

Scars are a result of your body’s natural healing process. When you have an injury, the process of inflammation causes your blood to carry white blood cells and microscopic fibers to the injured area. White blood cells attack bacteria and other microorganisms, and fOrthopedic Doctor Los Angelesibers begin to wall off and repair the damaged area. The fibers form a strong mesh over the damaged area, tougher often than the surrounding skin.

 

Scar tissue can be unsightly, and it can sometimes inhibit movement or cause more serious problems. Post-surgical scar tissue can unfavorably alter joint range of motion, depending on the scar tissue’s location. Post-surgical scar tissue and adhesions can cause discomfort or pain, despite the fact that most scar tissue itself is not sensitive to pain. Scar tissue occurring after surgery may pull on other areas; compress nerves, blood vessels, and organs; and limit physiological functioning. This can cause pain or dysfunction. In fact, scar tissue can restrict many layers of muscle and connective tissue, which can cause varying degrees of pain or discomfort.

 

logoScar tissue is weaker, less elastic, and more prone to re-injury than normal, healthy tissue. This can lead to chronic pain if it affects the functioning of other structures–especially nerves and blood vessels. Painful post-surgical scar tissue may also indicate the presence of an infection in the involved area, which should be evaluated by a physician as soon as possible.

 

If you are considering orthopedic surgery, schedule an appointment with Dr. Raj, one of the best Orthopedic Surgeons in Beverly Hills and Los Angeles, CA, Dr. Raj provides the ultimate in state-of -the-art quality orthopedic care available and is always on the cutting edge of the latest surgical and nonsurgical technologies.

 

Read more online at: http://www.wisegeekhealth.com/what-is-scar-tissue.htm

Finding the Best Orthopedic Surgeon in Beverly Hills & Los Angeles

If you have sustained a severe injury to one of your joints your doctor will more than likely recommend that you meet with an orthopedic surgeon. An orthopedic surgeon is somebody who specializes in surgical (and nonsurgical) procedures of the bones, joints, tendons and ligaments. They are the most qualified person to help you rectify any joint problems you may be experiencing. But finding the best Los Angeles and Beverly Hills orthopedic surgeon can be difficult.Knee Specialist Los Angeles

Meeting for a Consultation

Before you allow an orthopedic surgeon to operate on you, it is important that you are comfortable with them.  This consultation is generally reserved to address your current situation as well as assess your qualifications for a surgical procedure.

But during this time you should also meet with them to see how you feel. If you initially are put off by something perhaps as innocuous as a personality conflict you should trust your instincts and look for somebody else. The orthopedic surgeon that you end up working with should be somebody you trust entirely. This is just one of the strong points of Dr. Raj at Beverly Hills Orthopedic Institute. His bedside manner is comforting and compassionate.

Surgeon Qualifications

It’s important to check the credentials of your orthopedic doctor such as Board Certifications. Dr. Raj, for instance, is Board Certified in three countries and has been named the top orthopedic doctor in Los Angeles for several years in a row.

He is an ABC News Medical Correspondent and a WebMD Expert.

total-knee-replacement2-193x300Insurance Qualifications

Of course you also want to make sure that the orthopedic surgeon you work with is somebody covered by whatever healthcare insurance plan you have. You can check this by asking your health care insurance providers for a list of orthopedic surgeons in Los Angeles who are covered under your plan. Out of Network coverage may be fine as well.

Surgical Statistics

If you are concerned about the complications associated with your surgical procedure it is imperative that you work with an orthopedic surgeon who has extended expertise and has been working successfully for many years. You may just want to ask the doctor if the procedure under consideration is something the surgeon performs on a regular basis.

 

Dr. Raj at Beverly Hills Orthopedic Institute is the top orthopedic doctor in Southern California, and has extensive experience in hip and knee replacement, along with minimally invasive arthroscopic procedures. Call (310) 247-0466 today!

Dr. Raj Interviewed by Huffington Post Regarding Strength Training

Top Beverly Hills and Los Angeles orthopedic surgeon, Dr. Raj, was recently interviewed by the Huffington Post for an article on strength training benefits. As a specialist in sports medicine and joint replacement, Dr. Raj knows all too well the benefits of strength training and the medical conditions it can prevent.

Strength_to_Power _ Jenn_Zerling

The article, written by fitness expert Jenn Zerling (of JZ Fitness), presented specific exercises for helping individuals develop strength, balance and power.

Dr. Raj stated:

“Strength is defined as one’s ability to resist force — more particularly, one’s ability to slow the progression of raj_bioosteoporosis and other degenerative joint diseases as they age. While genetics should be considered, if you choose the right training program, then you can attain your highest strength potential, which will reduce the risk of falling, which causes fractures.

Falls are one of the leading causes of death in people over the age of 65. With the appropriate training program in place, a person can improve strength, balance, flexibility, and power, which will ultimately decrease their risk of falling and preserve their overall strength as they get older.”

All too often, Dr. Raj sees individuals with decreased bone mineral density due to lack of activity who sustain fractures due to falls. With proper strength training, balance can be optimized, and the incidence of falling will dramatically decrease.

For years, Dr. Raj has been interviewed frequently by the nation’s top publications including USA Today, Shape Magazine, Men’s Health and more. He is an ABC News Medical Correspondent and four years in a row been named a Top Doc Los Angeles orthopedic doctor!

The Benefits of Arthroscopy with a Beverly Hills Orthopedic Surgeon

benefits-of-minimally-invasive-spine-procedures

The practice of medicine saw amazing developments in the 20th century, and orthopedic surgery was no different. Arguably, joint replacement surgery and arthroscopic surgery were the two most important innovations in orthopedic surgery in the last 100 years.

Arthroscopy, a minimally invasive alternative to standard open surgical techniques and now the most commonly performed orthopedic surgical procedure, was once used as a diagnostic tool. It has evolved into a therapeutic tool capable of treating a wide range of injuries and disorders. The benefits of orthopedic arthroscopic surgery make it the best option in most cases.

The benefits of minimally invasive surgeries include:knee arthroscopy

  • Less postoperative swelling than open techniques
  • Reduced pain
  • Reduced risk of complications
  • Quicker recovery times
  • Less scarring
  • Little to no time spent in a hospital

Many injuries, particularly those that at one time would have been career ending for athletes, can now be addressed with arthroscopy allowing a quicker return to full function. In addition, almost all arthroscopic procedures can be performed in an outpatient setting, allowing patients to recover comfortably at home. It is not unusual for patients to go back to work or school or resume daily activities within a few days.

Athletes and others who are in good physical condition may in some cases return to athletic activities within a few weeks. However, keep in mind that people who have arthroscopy can have many different diagnoses and preexisting conditions, so each patient’s arthroscopic surgery is unique to that person. Recovery time will reflect that individuality.

At Beverly Hills Orthopedic Institute, minimally invasive procedures are used whenever possible. While arthroscopy is generally less risky than open surgical procedures, the procedure is still invasive and requires some type of anesthesia. Some procedures and surgeries may not be suitable for every patient. Dr. Raj will discuss your personal options before any surgery.

Read more about this online at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3117522/

March 12th, 2015|Dr Raj : Sports Medicine Doctor Los Angeles & Beverly Hills|Comments Off on The Benefits of Arthroscopy with a Beverly Hills Orthopedic Surgeon

ACL Reconstruction – Should I have it Done?

The anterior cruciate ligament (ACL) is a commonly injured knee structure. Around 200,000 people injury the ACL each year, and Top Orthopedic Surgeon Los Angeleshalf of these cases require ACL reconstruction surgery. The risk of ACL injury is greater for people who participate in high-impact sports, such as football, basketball, soccer, and skiing. About half of ACL injuries occur along with a meniscus tear, articular cartilage injury, or trauma to another ligament of the knee.

The mechanism of ACL injury is often associated with slowing down (deceleration) coupled with pivoting, cutting, side-step maneuvers, out of control play, and awkward landings. Only 30% of ACL injuries are the result of a direct blow or contact with another player. Female athletes are more at risk for ACL tears.

So, if you have suffered an ACL injury, you may be wondering, “Should I have ACL reconstruction or not?” It is a natural reaction to question the need for surgery. There are some things to consider before surgery, and a visit with a Los Angeles sports medicine surgeon is recommended. Find out if you are a candidate for ACL reconstruction surgery by answering these questions.

  • Are you involved in sports? Active athletes who play a sport that requires turning, pivoting, and/or cutting are encouraged to have surgical ACL reconstruction.

 

  • Are you an active adult? Adults who do heavy manual work or jobs that require turning and cutting should consider surgical repair of an ACL injury.

 

  • Do you have functional instability? Any patient with a torn ACL who has an unstable knee has the risk of developing secondary knee damage. Therefore, he/she should have the ACL reconstruction procedure.

 

  • Do you have other ligament or tendon damage? The “unhappy triad” that is often seen in football players and sACL tearkiers involves injuries o the ACL, the medial cruciate ligament (MCL), and the medial meniscus. In cases where there are combined injuries, such as the unhappy triad, surgical repair is warranted for the best outcome.

 

  • Is the ACL only partially torn? The prognosis is better for a partially torn ligament compared to a completely torn one. In addition, the rehabilitation/recover period is shorter, with some patients using the knee within three months. Complete ACL ruptures do not have as high of success rate following surgery.

 

  • Is the patient a child, teen, or elderly person? The surgical reconstruction of the ACL is not indicated for children or teens whose growth plates are still open, people who live sedentary lifestyles, those who have complete tears who are planning to stop playing high-demanding sports, and people with no instability symptoms.

 

ACL Reconstruction Surgery with a Beverly Hills Orthopedic Surgeon

ACL reconstruction surgery is often done using the arthroscopic technique. The surgeon uses an arthroscope (flexible tube with a camera) that is inserted through small incisions made around the knee. Also, the doctor uses small instruments to make repairs through these same incisions. A graft is used to replace the torn ACL, which can come from the patient (autograft) or a cadaver (allograft). Common tendons include the hamstring, patellar, or quadriceps.

The meniscus and cartilage injuries are shaved and repaired, and the torn ACL stump is removed. The surgeon drills bone tunnels into the upper and lower leg bones so the graft can be positioned. The graft is held in place using screws, posts, washers, and/or staples. Variations of this surgery are done, depending on the preference of the surgeon or when special circumstances present. The incisions are sutured closed, dressings are applied, and a postoperative brace is positioned on the knee.

Rehabilitation and RecoveryACL repair

During the first couple of weeks, the surgical wounds are kept clean and dry. Physical therapy begins immediately after the ACL reconstruction, as stronger graft fixation allows for accelerated rehabilitation. The surgeon may order use of the postoperative brace, as well as a range of motion machine. The goals of rehabilitation are to:

  • Reduce knee swelling
  • Regain full range of motion of the knee joint
  • Maintain mobility of the kneecap
  • Prevent pain
  • Strengthen the hamstring and quadriceps muscles
January 5th, 2015|Dr Raj : Sports Medicine Doctor Los Angeles & Beverly Hills|Comments Off on ACL Reconstruction – Should I have it Done?

PRP Therapy for Tennis Elbow in Los Angeles

Tennis elbow is caused by inflammation within the tendon that is located in the elbow region. When this condition occurs, it can be very difficult to use the arm without experiencing pain.

The condition of tennis elbow occurs due to excessive use of the elbow painarm, which causes the small tears to develop over time and allows the areas of the arm that are kept together by the elbow to break away from the support. Without treatment, it can lead to further tearing, and the tendon can actually rip completely.

While the use of surgery to repair the tendon was one a common method of treatment, platelet-rich plasma (PRP) therapy is now being used as a successful treatment for the condition, which allows the area to be free from pain, and also encourages healing of the tendon.

How PRP Therapy Works

PRP therapy is commonly referred to as platelet-rich plasma therapy, and it is used for tennis elbow, along with many other conditions that occur due to tennis elbowdamage in the tendons, ligaments, and small tissues of the body.

When you have an injury occur to one of these areas, it is your body’s natural response to send out platelets to where the damage has occurred, which helps to encourage healing in the area. While this process is completely naturally by the body, it can take a long time for the tendon within the elbow to heal, and supportive gear should be used in order to support the elbow and keep the area from becoming even more damaged, which will often eliminate healing all together.

The use of PRP therapy involves taking a sample of your own blood, and then placing it inside of a machine, which works to split the different pieces of your blood apart and allows the platelets to be collected.

The platelets are collected, put into a syringe, and when they are in their Stem Cells Beverly Hillscompressed form, they are injected into the tendon within the elbow area and the surrounding tissue. By providing the arm with the highly concentrated amounts, the area will heal rapidly, and pain relief can be experienced right away.

PRP Duration and Effectiveness

When you use PRP for tennis elbow, it will provide you with pain relief within the first 48 hours, but many patients say that they experience pain relief immediately or within one or two hours. However, the length of time it takes to actually heal the area will vary, which is dependent upon the amount of damage that is present in the area, as well as how often the area is rested while in the healing process.

While many people can go back to their regular activities after having PRP PRP-2therapy, it is essential that the arm does get the proper amount of rest in order for it to heal. Other than resting the arm, other forms of therapy may be used in order to help speed up the recovery process.

Physical therapy is a common form of treatment used along with PRP for tennis elbow, because it allows you to learn the stretches that are needed to strengthen the area within the elbow, which will promote healing and make the therapy as effective as possible.

Final Thoughts

Prior to having PRP therapy done, your Beverly Hills orthopedic doctor will be able to answer any questions you may have regarding the therapy process. Generally, the therapy takes less than an hour to complete, and there is no recovery time needed after the therapy, which allows you to go back to your normal everyday activities right away.

November 21st, 2014|Dr Raj : Sports Medicine Doctor Los Angeles & Beverly Hills|Comments Off on PRP Therapy for Tennis Elbow in Los Angeles

Surgical Repair of a Clavicle Fracture (Collarbone)

Around four percent of fractures affect the clavicle (collar bone), most of these are treated with conservative measures. However, many clavicle fractures benefit from a surgery called open reduction and internal fixation (ORIF).

This surgery is done on moderate to severe clavicle fractures. EpidemioClavicle-Fracture-Type-Blogical studies proved that approximately 80 percent of clavicular fractures occur in the middle third section of the bone, whereas, 15 percent occur in the distal third and only five percent occur in the medial third aspect of the clavicle.

Non-operative treatment of clavicular fractures can lead to a deformity of the shoulder and difficulty with joint function. Many reports regarding complication rates of displaced clavicle fractures in adult patients show that outcomes are much less satisfactory than for younger people.

Malunion or nonunion of the clavicle pieces lead to several issues, such as deformity, pain, weakness, decreased function, and neurovascular symptoms. There is increasing recognition of poor outcomes following these fractures that have led to a renewed interest in internal fixation of an adult displaced fracture of the clavicle.

When assessing a patient with a clavicular fracture, the upper arm is clav_fx_orifevaluated for evidence of vascular compromise by comparing peripheral pulses, color, temperature, and blood pressure of the injured extremity with the other extremity. When the comparison yields no deviations or variances, an angiogram is not necessary. Angiogram evaluation is done to assess for vascular injury only, and in high-energy impact trauma patients, x-rays of the chest are done to assess for rib fractures and pneumothorax.

Indications for a clavicle fracture surgery include:

  • High level athlete who wants to get back on the field faster.
  • Associated vascular injury
  • Open fracture
  • Progressive neurological deficits
  • Torn coracoclavicular ligaments with distal fracture
  • Serious medialization of the shoulder girdle
  • Gross displacement that can lead to skin breakdown
  • Multiple injuries
  • Torn coracoclavicular ligaments with distal fractures

ORIF Surgical Technique

The ORIF surgery is performed under general anesthesia, and Beverly Hills orthopedic surgeons often use a regional nerve block along with it to boost postoperative pain control.

The patient is operated on in the beach-chair position. An incision is made over the center of the fracture site, and the subcutaneous tissue is raised as a flap, with the underlying myofasica reflected upward. After the ends of the fracture are fixed with plates, wires, and/or screws, the incision is sutured and a dry sterile bandage is applied.

human-collarboneThe patient is moved to a recovery room for stabilization. Once stable, most patients can be discharged to home with the operative side immobilized in a sling or shoulder immobilizer.

Pendulum exercises are done during the first postoperative week, with active-assisted motion done at two weeks. This allows the patient to improve function and restore independence to do activities of daily living. Additionally, sutures are removed in 10 to 14 days following surgery.

The orthopedic specialist in Los Angeles will have the patient return for follow-ups at two to four week intervals during the first couple of months after the ORIF procedure. Standard x-rays are done to visualize the hardware and assess fracture healing. When there is no loss of reduction on x-rays, the physical therapist begins strengthening activities and active and passive range of motion.

Dr. Raj is a top Beverly Hills Orthopedic Surgeon, and offers treatment for all types of orthopedic conditions including collar bone fractures. Dr. Raj is Double Board Certified, and provides operative and nonoperative treatments including:Best Los Angeles Orthopedic Surgeons

  • Pain Medications
  • Bracing
  • Stem Cell therapy
  • Surgical Fixation

 

November 18th, 2014|Dr Raj : Sports Medicine Doctor Los Angeles & Beverly Hills|Comments Off on Surgical Repair of a Clavicle Fracture (Collarbone)

Arthroscopic Shoulder Instability Repair

A shoulder is said to be “unstable” when it frequently slips partially or all the way out of position (dislocation). Shoulder instability is also called subluxation. The shoulder is a ball and socket joint, with the humerus head being the ball (upper region of the arm bone), and the shoulder blade cavity being the socket (the glenoid).

When the shoulder is unstable, the humerus head will slip out of position. Shoulder subluxation is Shoulder doctor Los Angelescaused by injuries to the labrum, joint capsule, rotator cuff, and/or glenohumeral ligaments.

Shoulder instability is represented by labral tears that are traumatic and involve the inferior, posterior, and the anterior aspects of the labrum, which represent a unique population of the glenoid fossa. A recent clinical study evaluated the clinical results of the patients who had to undergo arthroscopic repair for at least a 270 degree labral tear.

The Procedure

A new arthroscopic technique is used to repair and stabilize the shoulder after it dislocates or if it is unstable. The arthroscopic surgery minimizes pain, reduces complications, and lessens recovery time.

The Beverly Hills sports medicine surgeon will make tiny incisions around the shoulder region so he/she can insert the arthroscope and tiny instruments to make necessary repairs. The loose or torn Shoulder Arthroscopyligaments are reattached to the joint using suture anchors, tiny implant devices. These little anchors can relocate, tighten, and hold the injured joint structures in position. Once the suture anchors are positioned, they will disintegrate on their own.

For many patients, shoulder stabilization by arthroscopic technique is used to repair tears of the biceps tendon, tighten the shoulder capsule, or repair rotator cuff injuries. The procedure takes between one to two hours to complete. Most patients have general or regional anesthesia so that pain is minimized.

After Surgery

Once you have the arthroscopic shoulder surgery, your arm will be in an immobilizing sling for a period of time. This decreases the risk of injury to the repaired joint. You should have someone available to drive you home, and are not allowed to lift much. The immobility time for the shoulder is betweeBest Los Angeles Orthopedic Surgeonsn three to six weeks, so have someone who can assist you with bathing, dressing, and other activities.

The office staff will give you a prescription for pain medicine and instructions on use of a cold pack for discomfort. You must leave your bandages in place after the procedure, and the surgeon will advise you when to remove these. The incisions must be kept dry for around 10 days, so no bathing or swimming until that time. Once home, you will visit a physical therapist to learn activities to strengthen your shoulder and improve flexibility. The therapist will teach you pendulum exercises you do on your own.

The orthopaedic surgeon will want you to return for a follow-up visit within 10 days following the shoulder stabilization arthroscopic procedure. This is done to evaluate your surgical site, discuss your progress, and manage your recovery. Be sure to notify the office staff if you experience increased pain, severe numbness, excessive bleeding at the surgical site, or a temperature.

October 18th, 2014|Dr Raj : Sports Medicine Doctor Los Angeles & Beverly Hills|Comments Off on Arthroscopic Shoulder Instability Repair

An Overview of Stress Fractures of the Leg

Lower extremity stress fractures are quite common for sports athletes and those who exercise frequently. Around 50 percent of stress fractures occur in the fibula or tibia (the two lower leg bones). A stress fracture is a partial fracture caused by repetitive loading of the leg. Most of these fractures have a gradual onset unlike acute fracture where the bone is broken all the way through. Although painful, some people continue to participate in sports or exercise believing that the pain is related to a tendon or muscle injury rather than bone trauma. If left untreated, stress fractures can turn into acute fractures.stress fracture3

Who is at Risk for Stress Fractures?

Athletes who participate in sporting activities are at a high risk of lower extremity stress fractures. This is because of jumping and/or running that puts pressure on the bone. There is a higher incidence of leg stress fractures in distance runners and those who participate in track and field activities. Also, stress fractures of the fibula and/or tibia are seen in individuals who play volleyball, soccer, baseball, basketball, and softball. These fractures are related to the type of shoes the athlete wears, the amount of running and jumping done, and the surfaces the individuals compete on.

Classifications of Stress Fractures

Stress fractures of the lower extremities are either critical or noncritical. Noncritical fractures are usually located in the middle aspect of the fibula or tibia. They are considered noncritical because they heal within six to eight weeks. Critical stress fractures, however, do not heal well and have a non-union of the bone. Even after a recommended period of rest. These types of stress fractures may need to be surgically repaired to enhance healing. Critical stress fractures of the lower extremities are often related to poor local blood supply to the front aspect of the tibia.stress fracture2

Signs and Symptoms

Stress fractures of the lower extremities will cause an acute onset of pain, which usually occurs after a long training session. The patient will describe a throbbing or aching pain that is worse late at night after activity is over. The individual will not likely have a history of a single episode of injury and may complain of gradual pain over time. The person will also describe point tenderness over the stress fracture site.

The pain of a leg stress fracture often diminishes with rest but often returns with athletic activity. As the level of activity increases, the pain increases, which is especially true of weight-bearing activities like jumping, jogging, and running. Also, the individual may experience swelling over the fracture site that is associated with heat radiating to the front of the leg. The hot spot and point tender spot usually correspond.

Diagnosis

If a patient experiences symptoms, the physician will take a detailed history and perform a physical examination. A stress fracture of the leg is not usually seen on a routine x-ray. For this reason, if the physician suspects this injury, he/she will order either an MRI or bone scan (or both).

Causes

There are many factors that contribute to a lower extremity fracture, such as sudden increase in training and/or mileage, training on hard surfaces, and insufficient shock absorption due to worn or poor quality shoes. Most stress fractures occur during the first few weeks of training. When weight-bearing bones are loaded beyond capacity, the bone becomes injured and breaks down.

Treatment

The treatment of a lower extremity stress fracture depends on the classification. Non critical stress fractures respond well to a short period of rest with no weight-bearing for six to eight 5thMT-Oblweeks. Ice and NSAIDS are often used to lessen inflammation and relieve pain. During the rest period, the athlete can only perform activities as allowed by the Los Angeles orthopedic specialist.

Dr. Raj at Beverly Hills Orthopedic Institute also offers stem cell procedures to help stress fractures heal. This can help individuals avoid surgery a significant portion of the time.

For nonunion, critical stress fractures, surgical intervention is often necessary. This may include use of one of the following procedures:

  • Medullary nailing of the tibia
  • Plates and screws
  • Excision of the fracture area
  • Bone transplantation
  • Excision and drilling of the bone

 

August 29th, 2014|Dr Raj : Sports Medicine Doctor Los Angeles & Beverly Hills|Comments Off on An Overview of Stress Fractures of the Leg

9 Myths about ACL Reconstruction from a Beverly Hills Orthopedic

The anterior cruciate ligament (ACL) is one of four major knee ligaments used for stabilization of this joint. The ACL is the most significant ligament for rotational stability of the knee. Even after an ACL injury, the patient can still walk, climb stairs, and jog, but side-to-side activity is difficult and the knee will “give way.” When a tear to the ACL occurs, the patient often reports they hear a pop and feel a sharp shooting pain in the knee. The knee is often swollen after this type of injury, and it may become quite stiff.ACL

Anterior cruciate ligament (ACL) reconstruction surgery is done to rebuild the ligament in the center of the knee with the patient’s own tissue (autograft) or a donor’s tissue (allograft). The ACL keeps the tibia (shin bone) in place, and when it is torn, the knee will give way during exercise, walking, or physical activity. Here are some common myths about ACL reconstruction.

Myth #1: The surgeon must cut the knee open to perform ACL reconstruction.

During the last three decades, orthopedic surgeons have perfected ACL reconstruction techniques. Most procedures are now done by knee arthroscopy. With this procedure, a tiny camera (called an arthroscope) is inserted into a small incision made at the knee region. This camera is connected to a viewing monitor in the surgical room, so the surgeon can view inside the knee to make repairs.

Myth #2: ACL injury occurs more commonly in men than women.

Statistics show that female athletes have ACL injury rates four times higher than men. Also, female athletes have a 25 percent chance of injuring the ACL a second time following reconstructive repair.

Myth #3: ACL repair rehabilitation takes longer than a year.

Depending on the individual, rehabilitation and recovery is anywhere from four to six months. However, this depends on the extent of ACL damage, the type of surgery, the expertise of the surgeon, and the patient’s participation and attitude during recovery. Within six weeks, the patient is moving around fine with good range-of-motion of the knee. However, it will take several months before an athlete can return to sporting activities.

Myth #4: The bone-patellar tendon-bone (BPTB) is the strongest and best graft.

The BPTB is only one-half as strong as the double-looped semitendinosus and gracilis (DLSTG). Research shows that the DLSTG is the stiffest, strongest, and best graft to use for ACL reconstruction.

ACL GraftMyth #5: The ACL is usually torn during contact sports from blunt trauma.

The most common method of ACL tearing is non-contact. This occurs when the athlete is moving from side-to-side and puts stress on the ligament. Also, when an athlete comes to a sudden stop, the muscles still are firing, and the knee becomes still. This force causes a ruptured ACL. Also, when muscles and ligaments are fatigued, they are more likely to suffer tearing and injury.

Myth #6: The ACL reconstruction surgery is lengthy and requires a long hospital stay.

ACL reconstruction and repair is done on an outpatient basis, which means the patient goes home the same day of the procedure. Most likely, he/she will wear a brace post-operatively for two to six weeks, depending on the orthopedic surgeon’s orders.

Myth #7: The chances are high of re-injuring the knee following ACL repair.

ACL surgery and rehabilitation has progressed over the last 20 years and is continuing to improve. This surgical procedure is very successful, and patients have a 90 to 95 percent chance of returning to complete activity with no problems. However, re-injury does occur, and around 50 percent of athletes return to their elite level of activity.

Myth #8: ACL reconstruction is only performed on severe torn ligaments.

ACL reconstructive surgery is done to restore stability and movement of the knee following a torn ligament. While not all individuals with a torn ACL repairligament require surgery, active people and those who have persistent discomfort require the procedure. ACL reconstruction is recommended when:

  • The patient is young and active.
  • The individual is an athlete who wishes to return to sports.
  • The person suffers from persistent pain of the knee.
  • The injury causes the patient’s knee to buckle during walking or other routine activities.

Myth #9: The ACL occurs most often during impact with another player.

The ACL is a common knee injury of people who participate in high-impact sporting activities, such as soccer, hockey, football, skiing, and football. The majority of these injuries occur without impact to another player. According to the American Academy of Orthopedic Surgeons (AAOS), as many as 70 percent of ACL tears occur when the athlete pivots or twists during sports play. They report that there are around 200,000 ACL injuries each year in the U.S.

August 8th, 2014|Dr Raj : Sports Medicine Doctor Los Angeles & Beverly Hills|Comments Off on 9 Myths about ACL Reconstruction from a Beverly Hills Orthopedic