ACL Reconstruction Surgery in Tunisia

Anterior Cruciate Ligament is one of the four ligaments that stabilize the knee joint or hold the joint from getting misplaced. The four ligaments are anterior and posterior cruciate ligaments as well as medial and lateral collateral ligaments. These are capable of stabilizing and allowing the joint to perform the necessary functions of the body. The cruciate ligaments primarily support the conjunction of the thigh bone and the shin bone, mostly in case of sudden jerks and jumps that concentrates the impact on the knee. These ligaments absorb the impact and prevent the knee from getting damaged. However, if the impact exceeds the limit of sustenance, the ligaments may tear and need reconstruction surgeries. An ACL reconstruction is most common among athletes who play basketball, football, soccer, badminton, long jump, high jump and other sports that involve higher physical involvement of the lower limbs. 

What is Anterior Cruciate Ligament (ACL) Reconstruction?

Anterior Cruciate Ligament (ACL) Reconstruction involves correction of the torn anterior ligament which is essential for supporting the knee joint. The procedure involves replacing the damaged tissue surgically in order to restore the normal functioning of the knee. The procedure can either be performed by open surgical method or arthroscopic method, depending on the type and extent of damage incurred. The reconstruction can be achieved via two ways:

  • Complete removal of the torn ligament
  • Preservation of the damaged ligament, wherein, the tissue is inserted into the pressed ligament. 

Ideal Candidate for Anterior Cruciate Ligament (ACL) Reconstruction

Although ACL reconstruction is pretty common, yet it is not performed on anyone with a knee injury. The ideal candidates for ACL Reconstruction surgery is decided, if the individual:

  • Is a sportsperson or is actively partaking in physical activities
  • Suffers from persistent pain which interferes with the daily activities and results in loss of mobility
  • Children or young adults whose growth plates have locked 
  • Physiotherapy and other conventional treatments are unresponsive

Factors Affecting the Cost of Anterior Cruciate Ligament (ACL) Reconstruction

In general, acl surgery cost varies from a minimum of $1000 and may exceed $16000. One of the prime factors that determine the cost is the country where the procedure is being availed. Apart from that, the key factors affecting the acl reconstruction surgery cost are:

  • Extent of injury incurred
  • Approach of reconstruction surgery implemented
  • Medical benefits necessary
  • Proficiency and experience of the surgeons involved
  • Follow up treatments required
Treatment and Cost

5

Total Days
In Country

2 No. Travelers

2 Day in Hospital

3 Days Outside Hospital

Treatment cost starts from

USD 7500

Hospitals

About the Anterior Cruciate Ligament (ACL) Reconstruction

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.

How is Anterior Cruciate Ligament (ACL) Reconstruction performed?

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.

Recovery from Anterior Cruciate Ligament (ACL) Reconstruction

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

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? Are they JCI certified? What is the quality of the support staff in the hospitals?
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.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
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  • 360-degree Hospital Review
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  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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