The ACL (anterior cruciate ligament) is arguably the most injured knee ligament. Dr. Ayman Daouk is a highly respected orthopedic surgeon in Orlando. He specializes in diagnosing and treating ACL injuries at his practice Daouk Orthopaedics in the Doctor Philips area. He offers the most up to date surgical ACL reconstruction including ALL INSIDE TECHNIQUE utilizing different graft types.
Although surgery if often recommended for active patients with ACL injuries, Dr. Daouk never recommends surgery if it is not required. He takes a holistic view of your activity level, lifestyle, level of injury, potential activities you are involved in, your age, and your personal preferences to help you make a decision regarding your condition.
Keeping all these aspects in view, the doctor will recommend the best treatment option and design a customized rehab program for you. The timing of the operation is also a crucial factor in obtaining the best results and preventing stiffness post-surgery. Working closely with a licensed physical therapist, we will be sure that you have all the tools necessary to achieve the best results of the Orlando ACL reconstruction.
The knee is a modified hinge joint with the greatest range of movement in flexion (bending) and extension (straightening). The knee joint is made up of muscle, tendons, cartilage, bones, ligaments, blood vessels, and nerves. In addition, a fibrous joint capsule made entirely of collagen encircles the end of each bone of this joint. All these structures together provide the knee with the proper function and stability.
The knee joint is positioned between the two longest bones in the human body, the femur and tibia. Its unique position and its role in weight bearing makes it especially vulnerable to injuries.
The primary knee stability is achieved through knee ligaments, while muscles around the knee play a smaller role, although both work together to help the knee function normally. The knee is reinforced by two collateral ligaments, one on the inner side and another on the outer side, as well as two stronger ligaments (the cruciate ligaments). All these ligaments help prevent abnormal motion.
The ACL is considered the main stabilizer of the knee, contributing to about 85% of the knee stability. It connects the tibia (leg bone) to the femur (thighbone) and helps prevent instability (abnormal movement) occurring between these two bones. Specifically, the ACL provides excellent rotatory stability and easy movement, allowing sudden changes in direction or pivoting to happen seamlessly.
Dr. Daouk offers:
A strain or twist in the knee can cause:
ACL Reconstruction is all about timing. Unrepaired ACL injuries are often accompanied by some damage to the knee’s other soft tissue structures as well as instability. Most patients will not be able to return to sports with a complete ACL tear. Sometimes patients choose to defer the operation. However, without the ACL to stabilize the knee, it is possible that more damage may occur to other structures in the knee, such as the meniscus or joint cartilage. Dr. Daouk generally recommends that younger, active patients consider getting the surgery done sooner rather than later to restore their stability and to minimize the risk of further injury.
Dr. Daouk is a highly experienced, board-certified, and fellowship-trained orthopedic surgeon in Orlando. He is renowned for his expertise in ACL reconstruction and repair. The doctor is thorough in his treatment approach, which is evident from the moment you go in for your first consultation. He would typically follow these steps:
In most cases, he can make a diagnosis with the above history, exam, and tests. Since many different types of injuries can occur in the knee joint, he will go through all these steps before diagnosing whether you have a torn or damaged ACL.
Dr. Daouk will recommend RICE and usually medications for the immediate treatment of this injury. It is an acronym for:
In some cases, Dr. Daouk may drain excess fluid from the joint to reduce pressure. Once the initial symptoms of the ACL injury have subsided and he establishes the diagnosis, the surgeon will consider your activity levels and the history of the knee injury to determine the most suitable treatment plan. The two standard ACL injury treatment options are:
This treatment works only for about 20% of patients. The ones that do well without any surgery are:
These patients may expect a reasonably good outcome by learning to adjust and cope with their ACL injury. However, it is essential to note that a torn ACL will not heal by itself, and in most cases, surgery is the best solution.
If you have suffered an ACL injury, your family physician may recommend that you consult an arthroscopic knee surgeon. Arthroscopy is a minimally invasive surgical procedure used in ACL repair and reconstruction. In this technique, small incisions are made around the knee, and Dr. Daouk performs the surgery through the camera using specialized instruments.
The doctor has vast experience performing these surgeries and often recommends it to his patients as a less-invasive alternative to conventional open knee surgery.
Dr. Daouk is recognized among his peers as a highly skilled Orlando orthopedic surgeon and has been an active member of the Arthroscopy Association of North America since 2004. ACL reconstruction, repair, and revision are his sub-specialties.
At his practice, the doctor and his skilled, well-trained team are focused on a single goal – to optimize their patients’ quality of life and get them back to their previous activity levels. The Daouk Othopaedics team is dedicated to providing the best care for each patient.
If you are suffering from pain, discomfort, or any other issues with your knee joint and feel there may be an ACL tear, schedule an appointment today at Daouk Orthopaedics.