ACL Reconstruction Surgery in Singapore

ACL reconstruction surgery is among the highest performed orthopedic surgical procedures in the world. ACL surgery is performed for treating a broken or damaged ligament of the knee. The ACL is that broken ligament, and it stands for anterior crucial Ligament. The ligament is not as strong as other muscles, and its position makes it vulnerable to damage. The ligament cannot withstand strong jerks.

When a person stops suddenly while running or makes a sharp turn, the jerk gets the ligament to its breaking point. The tissue fibers get damaged and sometimes get detached. This state is known as ACL injury and is common in sports. An ACL injury is highly painful and requires treatment for pain reduction and healing. An ACL injury can appear more frequently in females because of the larger Q angle in knee joints and an unfavorable hormonal difference. ACL injuries are not very dangerous but can lead to the end of a bright sports career if not treated properly and in the nick of time.

Doctors perform tests and analyze the injury before choosing the way of treatment. If the damage is low, then there is a possibility that the injury can be healed through regular physiotherapy sessions. The patient is just enrolled in a rehabilitation program that lasts for a long time. This method is cheaper but not suitable for sportspersons who will want to get back to their daily schedule as soon as possible. In these cases, ACL reconstruction surgery is perfect and highly effective.

Doctors can perform the surgery in a day, and the patient is good to walk and run within two or three days. For the surgery, doctors send a camera inside the knee to inspect the broken ligament. This ligament is replaced with a new tendon. This tendon is called graft, and it supports the knee until a new ligament grows naturally in place of the old one. After graft placement, a person can walk normally like before without pain.

ACL surgeries are so common that you can find these services in any orthopedic center around the world. However, surgery needs to be performed with skills and accuracy to prevent any more injuries in the future. The graft placement is a delicate process, and you should choose a skilled doctor for your surgery. Talking of skilled doctors, Singapore is among the best country for having perfect reconstruction surgery. Singapore is arguably the country with the best health care services in Asia. With renowned hospitals who have always worked hard towards keeping up with technology and constant development, you should consider Singapore as the first option if you have enough budget and can travel to Singapore with ease.

Cost Comparison

Singapore is a rich country with advanced technologies and a higher standard of living. Known throughout the world for its environment-friendly approach and hi-tech lifestyle, Singapore is costly when it comes to health care services. ACL reconstruction services can cost you anywhere between 10,000 and 15,000 US dollars. This is much higher than the global average. Singapore, however, aces in technology and success rate. It might lag in terms of cost, but it is right at the top when it comes to the results of surgery. If money is not a big issue, then Singapore is a great location for orthopedic surgeries.

The cost structure fluctuates between different hospitals. There are smaller clinics that provide treatments at global average costs of 6,000 US dollars. But the best of the hospitals may demand a hefty amount of US dollars and one should be well prepared for that beforehand.

Treatment and Cost

5

Total Days
In Country

2 No. Travelers

2 Day in Hospital

3 Days Outside Hospital

Treatment cost starts from

USD 19000

Hospitals

Anterior cruciate ligament (ACL) reconstruction refers to the replacement of the damaged ACL with a tissue to facilitate normal functioning of the knee. ACL is a major stabilizing ligament in the knee, which connects the femur to the tibia. ACL helps provide proper movement of the tibia. ACL also facilitates pivoting or sudden change in the direction of the leg, preventing the damage to the knee.

 

Damage to the ACL Surgery 

The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:

  • Collision with a football
  • Slowing down while running
  • Landing incorrectly after a jump
  • Twisting of the knee and the foot in opposite direction

 

Initial Treatment for Anterior Cruciate Ligament Tear

The ACL may not require surgery when the knee is stable when the ligament is not torn completely, or even when you don’t have to strain your knees by active sports. The alternate treatment in such a situation is “RICE” – Rest, Ice, Compression, and Elevation.

Physiotherapy, exercise, and braces for legs can help provide support to the knee. Exercises such as swimming, running in a straight line, and playing golf can be preferred by active individuals if they do not wish to return to an active sports life.

General anaesthesia or local anaesthesia will be given before ACL reconstruction surgery. The tissue to replace the damaged ACL will be taken from the kneecap or hamstring tendons of your body, or from a donor. The surgery is usually performed with the help of knee arthroscopy.

ACL repair involves the use of a camera inserted into the slit made in the knee. A computer connected to the camera facilitates viewing of the inner ligament, by which the physician can perform the surgery. Other incisions are made to incorporate the required equipment and then the ACL reconstruction surgery is performed.

  • The torn ligament is removed with the shaver.
  • If the patient’s tissue is used, the surgeon would make a larger cut and remove the tissue.
  • The knee bone is drilled and the tendon is now implanted into the position where the old ACL was present.
  • Screws and other instruments are used to attach the new tendon to the bone.
  • The bone tunnels would gradually fill in as the bone grows, which holds the ligament in place.
  • Small incisions made in the area of the surgery are closed with sutures and sterile dressing.

You will be sent home on the same day of the surgery. You will be instructed to use knee braces or crutches after one to four weeks of the surgery. The physician prescribes pain medications if required. Physiotherapy could help retain the integrity of the knee faster.

  • It may take a minimum of 6 months for any individual to recover after the surgery, depending on the individual’s rate of recovery.
  • If pain and swelling are observed, an ice pack can be applied over the area. But there should be no direct contact between the ice with the skin as it can cause damage to the skin.
  • You should follow the physician’s recommendations to recover soon and without any complications.
  • People who have a desk job can return to their duties in a week’s time and people involved in active exercises or who are athletes should avoid returning to their work for a minimum of six months.
  • Playing sports such as basketball after the surgery might not be possible and physician’s advice is recommended. 

Pros

  • Fast recovery
  • Pain relief
  • Normal working of the knee
  • Returns stability of the knee

 Cons

  • Blood clot in the legs
  • Weakening of the knee
  • Failure of relief from pain
  • Stiffness in the knee
  • Limited movement of the knee
  • Tear in the newly transplanted tendon

Frequently Asked Questions

First of all, a good candidate for ACL reconstruction surgery is a person with high ACL damage. If the physiotherapy and rehabilitation program does not work, then ACL reconstruction is the last option. Doctors can also perform ACL reconstruction surgery if the patient wishes to go back to a normal lifestyle as soon as he can. Doctors avoid performing surgery on someone with a chronic disease like cancer.

To be a good candidate for surgery in Singapore, you need to be financially strong and stable. The traveling costs, along with high treatment costs, can be a huge expense. You should look for other great options in the native country if your budget is small.

The average costs of ACL reconstruction in Singapore fluctuate from hospital to hospital. The higher limits go way up to 15,000 US dollars in the country. Some of the best hospitals in the country, including Singapore General Hospital, have costs higher than the 10000 US dollar mark. The country is full of many orthopedic centers, and you can find average hospitals with good results providing ACL treatment services at 5,000 US dollars. These hospitals are fairly good and can provide great individual focus to patients.

The treatment standards in Singapore are high, and every hospital aims to meet the standards set by top hospitals of the country. Singapore is home to many great orthopedic hospitals that are sought by many international patients every month. Many hospitals have special facilities for international visitors like free accommodation and bilingual support. Orthopedics in Singapore is highly skilled with great educational qualifications and experience. While you are in Singapore, you can have a great tourist experience as well. The country is an overall beauty, and tourists visit Singapore for the human-made beauty of this country which is a great treat to the eyes.

The stronghold of Orthopedic services in the country is their expertize and success rate. The guarantee of positive results is the reason for the elevated pricing of orthopedic surgeries. The success rate of ACL reconstruction surgery is 95% in the country. Many hospitals boast a rate close to 100%. The presence of robotic aid for the precision and availability of world-class experts has made this possible. This is the reason hospitals are flourishing in Singapore despite the sky-high prices.

Singapore has several great hospitals that constantly act as healthy competitors to each other. The most famous and reputed hospital in Singapore is Singapore General Hospital or SGH. This is a public hospital providing its dedicated services in every field of medical science. SGH has the longest operating experience in the country with several Asian records in its name. Orthopedic services are great, but the prices are high. Another hospital we would like to mention is The Raffles Hospital. This stands close to SGH in success rate. This is a private-owned institute with around 35% of patients from foreign countries. Raffles have dedicated facilities for international patients with exemplary results.

Dr. Lim Yeow Wai is a famous reconstruction surgeon delivering his services under Raffles Hospital. He has long experience in treating sports injuries and has worked with national and international teams of Singapore. He is a highly respected doctor in the community. Another big name in orthopedic surgery is Dr. Tho Kam San. He works for Mount Elizabeth Hospital, a large and reputable hospital in Singapore.

Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
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