Dr. Michael Steingart DO

Details

Steingart Orthopedics, P.C.

Specialties:

Orthopedic Surgery, IME's (Independent Medical Exam)

Website(s):

Deal of the Day

Anterior Cruciate Ligament Knee Surgery (ACL)

Orthopedic Surgeon Dr. Michael Steingart DO offers Anterior Cruciate Ligament ... for a 'Deal of the Day' price of $3200
A Fair Price for this service is $2141 according to the HealthcareBlueBook (see more)




All inclusive Arthroscopic Surgical repair treatment of the anterior cruciate ligament in the knee. Surgery for anterior cruciate ligament (ACL) injuries involves reconstructing or repairing the ACL. ACL reconstruction surgery uses a graft to replace the ligament.  Also inclusive to this procedure is an arthroscopic evaluation and treatment of other areas of the knee including but not limited to the meniscus, patella surface, and bone surfaces which can be repaired arthroscopically. This is generally an outpatient procedure.

This offer includes:

Intraoperative laser if available.

 All Physician Fees for Surgery, Consultation and post-surgical Follow up (up to 3 to 5  visits).


Currently, ACL surgery is done by making arthroscopic  incisions in the knee and inserting instruments for surgery through these incisions (arthroscopic surgery) .
Our practice generally prefers the small incision approach but at times  larger incision access may be needed.
 
This offer does not include required physical therapy, bracing if necessary, anesthesia fees and hospitalization.  However, all these fees will be negotatiated with the help of Steingart Orthopedics.

Additional Information About This Offer:

Background Information:

Why Arthroscopic surgery? 
We prefer arthroscopic surgery rather than open surgery for ACL injuries because: 
  • It is less invasive to the knee and therefore less damage to the collateral structures.  
  • It uses smaller incisions than open surgery. 
  • It can be done at the same time as diagnostic arthroscopy (using arthroscopy to determine the injury or damage to the knee). 
  • It has  fewer risks than open surgery. 
  • Arthroscopic surgery is performed under local, spinal or general anesthesia. ACL surgery is perferred under general anesthesia.

During arthroscopic ACL reconstruction, your physician makes several small incisions-usually two or three- around the knee. Sterile wate solution is pumped into the knee through one incision to expand it and to wash blood from the area. This allows the the Doctor to see the knee structures more clearly. 

We then insert an arthroscope into one of the other incisions. A camera at the end of the arthroscope transmits pictures from inside the knee to a TV monitor in the operating room. Surgical tools are inserted through other small incisions. 

To make the needed connections of the new ligament we will make small holes into the upper and lower leg bones where these bones come close together at the knee joint. The graft is pulled through the two tunnels that were drilled in the upper and lower leg bones. 

The surgeon secures the graft with fasteners and will close the incisions with stitches or tape. The knee is bandaged, and you are taken to the recovery room for 2 to 3 hours. 

Generally we will also "clean up" other problems in your knee, reducing arthritic changes and cartilage damage that generally accompanies ACL tears. 

What To Expect After Surgery 
Arthroscopic surgery is almost always done on an outpatient basis, which means that you do not spend the  night in the hospital.  

Physical therapy will begin almost immediately, and last up to six weeks. 

Why It Is Done?
The goal of ACL surgery is to restore stability to  the knee and the level of function you had before the knee injury. The reconstruction also  limits loss of function in the knee, and prevents injury or degeneration to other knee structures. Not all ACL tears require surgery. After an initial visit we will discuss whether rehabilitation only or surgery plus rehabilitation is right for you. 

If you have already had an initial visit elsewhere but are shopping for price then please make your request for price and we will see if we can accept your request or counter with what we think of as a fair price for care. 

You may choose to have this surgery if you have any of the following diagnoses or ongoing issues:
Completely torn your ACL
Partially torn ACL and your knee is very unstable. 
Have gone through a rehabilitation program and your knee is still unstable. 
Are very active in sports or have a job that requires knee strength and stability (such as construction work), and you want your knee to be as strong and stable as it was before your injury. 
Have chronic ACL deficiency that is affecting your quality of life. Have injured other parts of your knee, such as the cartilage or meniscus, or other knee ligaments or tendons. 

You may choose not to have surgery if you: 
Have a minor tear in your ACL (a tear that can heal with rest and rehabilitation). 
Are not very active in sports and your work does not require a stable knee. 
Are willing to stop doing activities that require a stable knee or stop doing them at the same level of intensity. 
You may choose to substitute other activities that don't require a stable knee, such as cycling or swimming. 
Can complete a rehabilitation program that stabilizes your knee and strengthens your leg muscles to reduce the chances that you will injure your knee again and are willing to live with a small amount of knee instability. 
Do not feel motivated to complete the long and rigorous rehabilitation program necessary after surgery. 

How Well It Works 
Most  people who have ACL surgery return to the full level of activity they had before their injury. 
80% to 90% of people who have ACL surgery have favorable results, with reduced pain, good knee function and stability, and a return to normal levels of activity. ACL repair is usually successful for an ACL that has torn away from the upper or lower leg bone (avulsion). Less than 5% of people who have ACL surgery still have knee pain and instability and may need another surgery (revision ACL reconstruction). 

Risks 
ACL reconstruction surgery is generally safe. Complications that may arise from surgery or during rehabilitation and recovery include: 
Problems related to the surgery itself. These are uncommon but may include: 
  • Numbness in the surgical scar area. 
  • Infection in the surgical incisions. 
  • Damage to structures, nerves, or blood vessels around and in the knee. 
  • Blood clots in the leg. 
  • The usual risks of anesthesia. 
  • Problems with the graft tendon (loosening, stretching, graft rejection, reinjury, or scar tissue). 
  • The screws that attach the graft to the leg bones may cause problems and require removal. Limited range of motion, usually at the extremes. For example, you may not be able to completely straighten or bend your leg as far as the other leg. This is uncommon, and sometimes manipulation under anesthesia can help. Rehabilitation usually attempts to restore a range of motion between 0 degrees (straight) and 130 degrees (bent or flexion). You may lack a few degrees at either end of the range of motion after surgery and rehabilitation. Grating of the kneecap (crepitus) as it moves against the lower end of the thigh bone (femur), which may develop in people who did not have it before surgery. This may be painful and may limit your athletic performance. 
  • Pain, when kneeling,
  • Repeat injury to the graft (just like the original ligament). Repeat surgery is more complicated and less successful than the first surgery.

Created on: 03/04/11
Last modified on: 03/28/11
Verified   Verified

Locations:

Steingart Orthopedics

16601 North 40th Street
Suite 204
Phoenix, AZ 85032

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