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Knee ligament surgery (PCL), or posterior cruciate ligament surgery (PCL Surgery), is a surgical procedure to repair or reconstruct a ligament in the knee. It may involve reattaching the ligament fibers that are torn. In some cases, additional tendon or other tissue is required in order to reconstruct ligaments that are severely damaged. The surgery may be followed by physical therapy for enhancing mobility and strength in the affected knee.
The PCL is one of the ligaments connecting your thigh bone to the lower leg bone. This ligament helps to stabilize your knee during movement. The PCL can be injured due to an accident. When the injury is severe and the PCL is torn, surgery is needed to reconstruct or repair it. PCL surgery is also recommended if the PCL is disconnected from the bone, more than one ligament in the knee is affected, how well your knee moves and your ability to move around or perform activities are affected, or if other types of treatment fail.
The pricing for Knee Ligament Surgery (PCL) largely pivots on a myriad of variables such as the intensity of the disorder, the unique surgical methods used, the proficiency of the surgeon, and the clinic where the intervention is conducted. Thus, delivering an exact quote without a thorough analysis of these factors can be challenging.
It's crucial to note that the overall expenditure generally includes not just the operative procedure, but also pre-intervention discussions, anesthesia charges, after-surgery management, physical recovery, and subsequent appointments. Beyond these direct expenses, there might also be related indirect expenditures like extended absence from work and transportation costs for patients acquiring treatment away from their residence.
A posterior cruciate ligament can be performed as a minimally invasive procedure. Your surgeon will start by making small incisions around your knee. Then paths will be created in the incisions to insert surgical tools. The surgery can be done to:
Repair the PCL – if there is enough ligament that is still intact, your surgeon will secure the damaged ligament back onto the bone. Sutures will be used to repair any tears in the ligament. Sutures will also be used to secure the ligament to the bone/.
Reconstruction – during reconstruction, tendon tissue from a donor cadaver or another part of your body is used. Any damaged ligaments that remain in the knee are removed from the knee joint. Your surgeon will create small incisions on the surface of the shinbone inside the knee and the thighbone. Then, your surgeon will thread the additional tendon through the incisions and uses staples or screws to secure it. Your surgeon will test your knee’s range of motion once the graft is securely in place.
When either the repair or the reconstruction is completed, your surgeon will close the skin with stitches and place bandages on the knee.
There are two types of anesthesia that may be used during PCL: spinal anesthesia and general anesthesia. With spinal anesthesia, you will be awake throughout the procedure but won’t feel anything in your legs. You may also be given a sedative to help you relax. With general anesthesia, you will be asleep and unaware of anything throughout the procedure.
The length of time required for Knee Ligament Surgery (PCL) in Tunisia fluctuates depending on various considerations. These encompass the kind of anesthesia implemented, the general status of your health, and the specific surgical method employed. In most instances, patients are permitted to leave on the same day if the operation was carried out with local anesthesia or as a day procedure.
Nevertheless, a handful of patients may be required to remain in the hospital for several days, particularly if the operation was intricate or if they possess other pre-existing health complications. In addition, it's advised that patients remain in close proximity to the hospital for a minimum of two weeks post discharge, as the initial consultation following the surgery generally transpires during this period.
PCL surgery usually takes around 2 hours to complete. Typically, you need to stay in the hospital for at least one night, plan to stay in Tunisia for at least 1 or 2 weeks after surgery to allow time for your body to heal and to attend follow-up checkups.
Recovery time following a Knee Ligament Surgery (PCL) varies depending on several individual factors, including your overall health, the severity of the ligament damage, and the specific type of procedure employed. You can gradually return to your normal activity as recommended by your surgeon. For office work, you may be able to return to work in 2 to 3 weeks. However, you need to wait at least 3 months if you do physical work. You can generally start taking part in sports within 6 months. Complete recovery can take around six to nine months.
The aftercare for PCL will focus on rehabilitation and pain relief. You will need to take part in formal physiotherapy after surgery. The first few physiotherapy appointments are designed to help you control the swelling and pain. Within three weeks, your physiotherapist may begin to focus on a range of motion exercises. It is important that you visit your doctor and physiotherapist on a regular basis until you recover completely. You can always choose to do the physiotherapy at home instead of in Tunisia. Physiotherapy is important to get movement, reflexes, and strength back into your knee.
Besides physiotherapy, the following are the aftercare instructions of PCL surgery:
Immediately after surgery, your surgeon may also prescribe pain medication. Make sure to take your medications as and when prescribed by your surgeon.
You may need to use a knee immobilizer and crutches during early recovery to decrease stress on the knee but keep you mobile.
While resting, put pillows below your knee to keep it elevated above your feet.
Avoid climbing up the stairs.
Eat healthy nutritious food to speed up your recovery.
Use ice packs to reduce swelling.
Ask family members/friends to help you and look after you during the early stages of recovery.
Follow all post-operative instructions from your surgeon.
The results of Knee Ligament Surgery (PCL) depend on many things. These include how skilled the doctor is, how bad the ligament injury is, and how well the patient follows their recovery plan. But generally, Knee Ligament Surgery (PCL) has a good success rate, with many people getting their knee strength back after the surgery. PCL surgery has a high success rate of about 90%.
Remember, a good surgery result isn't just about the operation itself. It also depends a lot on the patient doing their part during recovery. This means sticking to their exercise plan, taking their medicine, and keeping all their appointments with their doctor.
If the injury is severe or if you have persistent knee instability despite other treatments, you would not be suitable to have other alternatives than surgery. However, in most cases, surgery is not required if the injury is not severe. In this case, you have the option to undergo physical therapy. During physical therapy, a therapist will teach you exercises that will help improve your knees function and stability, as well as to make it stronger. You can also take over-the-counter (OTC) pain relievers to help relieve pain and reduce swelling.
Ahead of your Knee Ligament Surgery (PCL), your health expert will effectuate a comprehensive appraisal, which is indispensable for the formulation of surgical methods. This includes acquiring a meticulous medical chronicle and implementing a physical inspection. Moreover, imaging procedures like radiographs, MRI, or CT scans are performed to acquire a precise perception of the knee's internal arrangement. There might also be routine preoperative evaluations such as blood screenings or a chest radiograph to evaluate your general well-being.
Furthermore, you'll engage in a conversation with your health professional concerning the surgical operation, potential challenges and complications, and potential results. This is an appropriate moment to voice any uncertainties or inquiries regarding the process. It's crucial to inform your health specialist about any medications (comprising nonprescription supplements) you are presently using since some may need to be paused before the operation.
Subsequent to your Knee Ligament Surgery (PCL), you'll likely regain consciousness in a Post-Anesthesia Care Unit (PACU), where they'll meticulously monitor your vital signs during your recovery from anesthesia. There may be an experience of discomfort in your knee for which analgesics will be prescribed. You will also observe a bandage or dressing around your knee safeguarding the surgical incision. Depending on your health condition and the sophistication of the operation,
With regards to symptoms, injury in the posterior cruciate ligament can cause disability and knee instability. You may also experience pain and swelling due to the injury. If left untreated, you might also be at a high risk of eventually developing arthritis. Before PCL surgery, you cannot walk normally or enjoy sports due to the symptoms that your PCL injury brings. After surgery, any pain and swelling should be gone. You can also enjoy activities again and the risk of developing arthritis is significantly reduced.
While potential risks are rare, PCL surgery does carry some risk such as:
If your recovery is not progressing as expected or if you experience fever and chills, increasing pain, that cannot be controlled with medications your surgeon prescribed, and persistent nausea or vomiting, it is important that you call your doctor right away.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Tunisia is one of the few countries which can cater to everyone and it manages to combine climate, golden beaches, history, and shopping for an “all-around” experience. It has a high standard of healthcare and an excellent reputation for cosmetic surgery. Cosmetic and plastic surgeons are regulated by the Tunisian Ministry of Health and the private clinics have state-of-the-art equipment and English-speaking staff. Tunisia welcomes an ever-increasing number of medical tourists each year, many of whom travel for Knee Ligament Surgery (PCL) procedures. Medical Tourists travel from all across the globe, particularly from Europe and neighboring African countries with an inferior healthcare system. Popular medical tourism destinations outside of the capital, Tunis, include Sousse and Mahdia
The North of Tunisia has a subtropical Mediterranean climate with mild rainy winters and hot summers. The South and inland areas have a tropical desert climate.
The weather is relatively comfortable throughout the year. Summer starts in June and lasts until August. The average temperature is between 28 °C to 32 °C with July and August being the hottest months. The heat is not as bad on the coast because of the seaside breeze. Be aware that July to September is the jellyfish season.
The heat decreases in autumn and the weather is somewhat more comfortable. There are occasional rain showers in September. The temperature in October can be like summer during day time, but cold at night. October has more rain than September. The season lasts for three months from September to November with an average temperature of around 19 °C to 29 °C.
The weather in winter can be uncertain. The average temperature is between 16 °C and 18 °C, but it can drop to 7 °C at night and below 0 °C in highlands and deserts and a clear sky is rare during this season.
Spring comes in March and the temperature can rise to 20 °C. Mornings and nights are cold; there is still a high probability of rains and thunderstorms at the end of this season.
Tunisia has several international airports. The main airport is Tunic-Carthage International Airport. It has international connections with major European countries and the Middle East. The airport is the hub for Tunisair, Tunisair Express, and Nouvelair. Other airports that have international flights are Enfidha-Hammamet, Monastir Habib Bourguiba, Djerba-Zarzis, and Tabarka-Aïn Draham.
Taxis and buses are available to get to the city center from Tunis Airport. The SNT bus line departs every 30 minutes from the airport, the ticket costs less than 1 TND. There is also the TUT bus which departs every 15 minutes and is more luxurious and expensive.
Airport taxis are available at the airport taxi stand and are usually metered. Always make sure that the driver turns the meter on before riding the taxis. A journey to the city should cost around 5 TND. An extra cost will be added if you have baggage.
Getting around in Tunisia can be done by several transportation modes. Tunisair Express provides domestic flights between Tunis, Tozeur, Djerba, and Gabes. The Train is also available and the national train company in the country is SNCFT that runs modern and comfortable trains from Tunis to Sousse, Sfax, and Monastir. There are three classes of service that tourists can choose. The fare from Tunis to Sousse is between 6 to 10 TND. The long-distance bus is an economical option to travel between big cities such as Tunis, Hammamet, and Nabeul. The buses usually depart every 30 minutes.
Citizens of 97 countries (including Australia, China Singapore, the United States, and Russia) can visit and stay in Tunisia for up to 90 days without a visa. Other nationalities are advised to check with their local Tunisia embassy. Tunisia provides an online visa application for nationalities that needs a visa to enter. The eVisa will simplify the process of obtaining travel authorization to enter the country.
Local Currency: the local currency is the Tunisian dinar (TND). 1 USD converts to 2.61 TND.
Money & Payments: ATMs can be found in most cities and in all tourist areas. Many ATMs have withdrawal limits of 400 TND. Credit cards (MasterCard and Visa) are accepted in major cities and tourist areas. They can be used for shops, car hire, or top-end accommodation. Always make sure to carry cash if you want to travel outside major cities. Tipping is not necessary but will be appreciated.
Local Language: Arabic is the official language of Tunisia. French is very common due to the country’s former status as a French protectorate. English is still very limited except in the tourist areas and expensive hotels.
Local Culture and Religion: Islam is the major religion with 98% of the population identified as Muslim. There is a small group of Christian and Jews. Since most of the population is Muslim, always remember that the dress code is important in Tunisia.
Public Holidays: Tunisia celebrates major Islam holidays. The country hosts several annual festivals throughout the year such as The International Festival of the Sahara, Yasmine Hammamet Festival, and the International Festival of Carthage.