ACL Reconstruction using an autograph my own patella tendon from the injured knee. I look at it this way, I need my knee the rest of my life and I'm young, so I don't want to have continuing pain or problems.
The expense is worth it, even with my insurance. My daughter had ACL surgery after a cheerleading accident. The pain block didn't take and we had to stay overnight following the procedure. The expense wasn't in the procedure itself but from the hospital. The facility is owned by the doctors group that did the surgery. I felt sure that when the bills were submitted through the PPO that adjustments would follow however apparently this one slipped through indetected.
A tear of the anterior cruciate ligament ACL , one of the four main ligaments in the knee that connect the femur to the tibia, is one of the most common knee injuries. There is a relatively high incidence of ACL injury in athletes who participate in sports such as basketball, skiing and soccer, and studies have shown that female players have ACL injuries at higher rates than male players in some sports.
Whether to get ACL reconstruction can be a difficult decision, and depends on the individual. Typical costs:. ACL reconstruction usually would be considered medically necessary and covered by health insurance. For patients covered by health insurance, out-of-pocket costs typically include a hospital admission fee, copays for pre- and post-surgical doctor visits, a copay or coinsurance for the surgery and anesthesia.
Related articles: Knee Replacement , Hip Replacement. Before surgery, the patient usually must undergo several weeks of physical therapy.
During the operation, the surgeon will either prepare the graft, if from a cadaver or harvest it from another area of the patient's body.
Then the surgeon places an arthroscope in the knee to examine the joint. Any cartilage injuries are repaired, then the surgeon removes the torn ACL stump, drills into the femur and tibia, puts the ACL graft in place and attaches it. The surgeon then checks to make sure the graft has good tension and the knee has full range of motion. Additional costs:. Pain medication usually is prescribed during recovery. Injury or graft failure could result in the need for a second ACL reconstruction.
For surgery, most hospitals will negotiate a discounted fee for patients who pay with cash or a credit card instead of using insurance. Shopping for acl reconstruction:. First, it is important to decide whether you want to have the surgery and consult with a doctor. Some people choose to wait and see if months of physical therapy can help resolve the problem.
However, if you wait too long, you could develop chronic ACL deficiency where the knee becomes unstable and might give out periodically, and a doctor might be unable to operate successfully.
Your family doctor or sports medicine doctor can refer you to a board-certified orthopaedic surgeon and the American Board of Orthopaedic Surgery[ 3 ] offers a surgeon locator by state. Possible complications of ACL reconstruction include: a life-threatening blood clot; infection; knee pain; knee stiffness or loss of motion, which has been reported in between 5 and 25 percent of cases; and weakness or numbness in the leg or foot.
There is no evidence that higher costs result in better outcomes for patients. It pays to shop around. I have always made sure that the my fees are reasonable and transparent.
As a result I frequently treat patients from South Australia as well as those travelling from interstate and overseas who have done their research on pricing and quality. An increasing number of people are choosing to "self insure" or pay for their own surgery, so they don't have to wait and can get back to work and sport as soon as possible.
This includes all the private hospital fees and implant costs as well as the surgical and anaesthetic fees. A proportion of my fee and the anaesthetic fee attract a rebate from Medicare. In knee arthroscopy surgery procedure , a small incision is made on your knee; through which a camera is inserted. This camera is connected to a monitor that displays the affected ligament along with other neighboring tissues.
A shaver like instrument is used to remove the torn ligament. When an autograft is being used, a cut is made large enough to pass it through channels made in your bones so that it reaches desired location. Finally you have a new ACL at the center of your knee. To hold this new ligament, surgeons connect it to nearby bones, by means of screws. The channels that were made in bones will gradually fill with time.
This will further tighten the new ligament in its position. The ACL surgery is concluded with stitches wherever necessary. Knee braces and crutches are required for 1 to 4 weeks post surgery.
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