Sports Injury Center, Gurgaon

It develops due to twisting injury, commonly during sports injury or sometimes even while dancing or sudden jerk while walking. Most Meniscus Tear heal without Surgery. However, in cases of Horizontal tear, Complex or Radial tear or Bucket handle tear, surgery may be warranted. The procedure involves a key-hole surgery performed by arthroscope, and patients are able to resume normal activity within 24-48 hours.

ACL Reconstruction is advised to patients with persistent knee instability despite physiotherapy trial of at least 6 weeks. In cases of road traffic accident patients with high energy trauma who develop ACL tear along with variable injury to other ligaments and bony contusions, we prefer to wait for approximately 10-12 weeks before offering ACL reconstruction surgery. This allows adequate time for healing of other structures, before ACL reconstruction is undertaken. ACL reconstruction is commonly performed as Arthroscopy assisted procedure, with minimal scar. 

Osteochondral lesion is a small area of bone and cartilage loss from the articular surface. Common causes include, sports related injury or poor blood supply. If un-treated, such lesions may lead to development of full thickness cartilage loss, and eventual arthritis. Arthroscopic Chondroplasty can be performed in such cases, to allow cartilage regrowth, and delay the development of full blown arthritis. Arthroscopic Chondroplasty procedure involves Microfracture/ Abrasion chondroplasty/ Laser.

It include the Medial Collateral Ligament, and the Lateral Collateral Ligament. Collateral ligaments provide angulatory stability against varus/ valgus (sideways) stress. Injuries to collateral ligaments of the knee may commonly occur due to fall while running or in cases of road traffic accidents, such as fall from bike. Most collateral ligaments injuries are partial rupture of ligaments. MRI of the knee joint is the best way to diagnose the extent of injury. Most cases of Collateral ligament injuries around the knee can be satisfactorily managed with bracing and rest. However, in some cases with complete tear of ligament, surgical intervention may be indicated.

Rotator cuff is a group of 4 muscles surrounding the Shoulder joint. Most patients develop rotator cuff tear after sports injury, or some jerk to shoulder joint.
Patients report pain & stiffness of shoulder joint. Untreated, it may lead to Frozen Shoulder, and difficulty in lifting objects.
Partial tears respond well to PRP & GFC injection; complete tear in young patients often needs surgery.

It is a minimally invasive procedure for correction of internal derangement of the knee. This procedure is performed by making a small ‘5 mm’ size cut on both sides of the knee joint. These portals are used to insert an arthro-scope with camera, and another is used for instruments to perform the required procedure. It is usually performed under spinal anaesthesia. 

Carpal tunnel syndrome occurs due to compression of Median nerve at the wrist joint. Patient of CTS complain of pain and numbness in Thumb and fingers. 
Clinical assessment and Nerve conduction studies help in diagnosis.
For Gr I & II CTS, conservative methods like medications, physiotherapy or injections may help. Grade III cases often need surgical decompression to prevent permanent nerve damage

Tennis Elbow is a repetitive stress disorder leading to degeneration of ECRB muscle fibers near the Elbow attachment. Patient find it difficult to hold objects or open a lock & key or play sports. 
Early cases respond well to 7-10 days of physiotherapy with bracing. Resistant cases may need Injection treatment. Steroid injections have been used in past, but considering the local damaging effect of steroids, we now advise for Platelet rich plasma or Growth factor concentrate treatment ( safe & biological).

Platelet Rich Plasma Therapy ( PRP ) Platelet rich plasma is gaining worldwide usage & acceptance in Orthopedic Injuries & resistant Orthopedic ligament & tissue inflammation. Principle of PRP Therapy : During any tissue injury, platelets are usually the first responders that aggregate at the site of injury, to start inflammation & initiate the process of healing. PRP concentrate is prepared by centrifugation of peripheral blood sample to extract a platelet rich concentrate. This sample is usually devoid of Red Blood cells & White Blood Cells. In a standard prepared sample, the platelet concentration is 4-5 times of peripheral blood. This concentrate is then injected in the tissue under local anesthesia. We recommend two or three sessions of PRP therapy for large joints like Knee & Shoulder; and at least two sessions for Tennis Elbow, Plantar Fascitis, Achilles Tendinitis, Augmentation of ACL Repair.

Advantages : 1. PRP utilizes patient’s own blood concentrate, so the risk of reaction to blood components is negligible. 2. This procedure can be done on Out-Patient basis in the clinic; typically requiring 45- 60 min from sample preparation to injection.

Indications : Meniscus / Ligament Tears in Gr I/ II ; Early Knee Arthritis Gr I, II, III; Shoulder Rotator Cuff tear; Resistant Tennis Elbow; Plantar Fascitis ; Chondromalacia Patellae; and a variety of Orthopedic problems have shown good to excellent results in several studies performed across the world.

For more information about the types of Biological and Regenerative treatment and cost, please click here