Anterior Cruciate Ligament (ACL)

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Anterior Cruciate Ligament (ACL)

Puerto Vallarta & Riviera Nayarit

Bring Movement Back to your Life ! – Relief Pain, Improved Mobility !

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Dr. Max Greig - Orthopedic Doctor Specialist in Hip, Knee, Shoulder & Spine

More than 25 years Experience in Orthopedic 

The ACL is one of the most commonly injured ligaments of the knee.

Approximately half of ACL injuries occur along with damage to the meniscus, articular cartilage, or other ligaments.

Injured ligaments are considered sprains and are graded on a severity scale.

 

Grade 1 Sprains. The ligament is mildly damaged in a Grade 1 sprain. It has been slightly stretched but is still able to help keep the knee joint stable.

Grade 2 Sprains. A Grade 2 sprain stretches the ligament to the point where it becomes loose. This is often referred to as a partial tear of the ligament.

Grade 3 Sprains. This type of sprain is most commonly referred to as a complete tear of the ligament. The ligament has been torn in half or pulled directly off the bone, and the knee joint is unstable.

Partial tears of the anterior cruciate ligament are rare; most ACL injuries are complete or near complete tears.

Nonsurgical management of isolated ACL tears is likely to be successful or may be recommended in patients:

  • With partial tears and no instability symptoms
  • With complete tears who don't experience symptoms of knee instability during low-demand sports and are willing to give up high-demand sports
  • Who do light manual work or live sedentary (inactive) lifestyles

Surgical Treatment.- Who Should Consider ACL Reconstruction Surgery?

  • Active adult patients who are involved in sports or jobs that require pivoting, turning, or hard-cutting, or who perform heavy manual work are encouraged to consider surgical treatment. This includes older patients who have previously been excluded from consideration for ACL surgery.
  • Activity level, not age, should determine whether surgery should be considered.
  • In young children or adolescents with ACL tears, early ACL reconstruction creates a possible risk of growth plate injury, leading to bone growth problems. However, recent studies support early ACL reconstruction, as delaying treatment can lead to a higher rate of future meniscus or cartilage injuries.
  • A patient with a torn ACL and significant functional instability has a high risk of developing damage in other areas of the knee and should therefore consider ACL reconstruction.
  • It is common to see ACL injuries combined with damage to the menisci, articular cartilage, collateral ligaments, joint capsule, or a combination of the above. The "unhappy triad," frequently seen in football players and skiers, consists of injuries to the ACL, the MCL, and the medial meniscus. In cases of combined injuries, surgical treatment may be necessary and generally produces better outcomes. As many as half of meniscus tears may be fixable, and they may heal better if the repair is done at the same time as the ACL reconstruction.

Rebuilding the ligament. Most ACL tears cannot be sutured (stitched) back together. To surgically repair the ACL and restore knee stability, the ligament must be reconstructed. Your doctor will replace your torn ligament with a tissue graft. This graft acts as a scaffolding for a new ligament to grow on.

Grafts can be obtained from several sources. Often they are taken from the patellar tendon, which runs between the kneecap and the shinbone. Hamstring tendons at the back of the thigh are a common source of grafts. Sometimes a quadriceps tendon, which runs from the kneecap into the thigh, is used. Finally, cadaver graft (allograft) can be used.

Reconstruction Surgery Benefits

The primary benefit of reconstruction surgery is that it’s the only way to restore full stability and functionality to a knee joint affected by a torn or ruptured ACL.

 

In and of itself, this makes the decision to have surgery a relatively easy one for most athletic or active people who don’t want a long-standing knee condition to slow them down.

Why most of the North American Patients prefer Mexico, Puerto Vallarta & Riviera Nayarit to get Orthopedic Assistance?

  • Medical and Hospital Quality. Avant-garde hospital infrastructure.
  • Personalized Attention. High standards of qualified human capital.
  • Affordable Prices. Cost Savings up to 60 %.
  • Wait times are non-existent. Get your surgery done and plan it with one or two weeks in advance. Get back to your normal activities soon.
  • Travel Time. Oportunity to recover in a beautiful and safe beach destination.
  • Cultural affinity. Most Friendly People in Mexico. it´s safety.
  • Geography. it´s beauty¡ Due to it´s location, Mexico is the perfect option for patients traveling from North America, US and Canada and South America.

Are you considering a THR Total Hip Replacement ?

Let us guide you through the process with personal care, professionalism and experience !

Send us an email:

orthopedicdoctormx@gmail.com

To have easier communication with specialist please provide the following information:

 

  • Copies of the most recent medical reports

  • Copies of imaging reports (x-Rays, CT scans, ultrasound and/ or MRI’s, etc)

  • A small narrative from the patient telling his/hers story and symptoms that helps the specialist to understand patient conditions

    Images of the affected area

  • (For visitors ) Possible dates you can travel to Puerto Vallarta or Riviera Nayarit

  • Patient Full Name

  • Phone Number

Send us an email:

orthopedicdoctormx@gmail.com

We will get back to you soon !

About Dr. Max Greig

Orthopedic Surgery – Specialist in Hip, Knee, Spine & Shoulder

  • In addition to completing school and orthopaedic surgical training in Guadalajara, Mexico, Dr. Greig concluded a rotation and specialized training in Muenster, Germany as well as a rotation in Edinburg, Texas
  • Among his many civic duties Dr. Greig finds time to donate surgical services to crippled children at a Puerto Vallarta orphanage and he recently completed his term as Medical Director to Puerto Vallarta’s first medical school
  • Born in Mexico to North American Parents, Dr. Greig maintains a close relationship to the Mexican population and to both U.S. and Canadian expatriate communities in Puerto Vallarta. The U.S. Consulate General has recognized him on several occasions for his assistance to tourists and expatriates.

Academy & Associations

  •  
  • International Affiliate Member of the American Academy of Orthopaedic Surgeons (AAOS)
  • Mexican Board Certified Orthopedic Surgeon (CMOT)
  • Member of the American Association of Hip and Knee Surgeons (AAHKS)
  • Active Member of the Mexican Federation of Orthopedics and Traumatology (AMOT-FEMECOT)
  • Former Scholar of the German Academical Exchange Program (DAAD)
  • German Fellowship in Joint Replacement and Shoulder Surgery at Uni-Klinik Muenster
  • Sports Medicine visiting Fellowship at Edinburg,Texas
  • Member of the Mexican Association of Arthroscopic Surgeons (AMECRA)
  • Member of the Arthroscopy Association of North America (AANA)
  • Member and Past President of the Puerto Vallarta College of Orthopedic Surgeons
  • Graduate of the Orthopedics residency Program University Hospital of Guadalajara (Hospital Civil de Guadalajara)
  • Active Member of the Society of Orthopedic Surgeons of the University Hospital of Guadalajara (Hospital Civil de Guadalajara)
  • Member of the CMQ Hospital System in Puerto Vallarta, Jalisco, Mexico
  • Staff member of several private hospitals throughout Mexico
  • Founding member of Medical School at Puerto Vallarta Campus University of Guadalajara
  • Author of the book on “MEXICO: World leader in Medical Tourism”

Testimonials

Total Hip Replacement “The hospital was spotless, the staff was professional and very helpful and don’t worry, English is spoken by many. My surgery went without a hitch… Dr. Max and his professional and caring staff made my hip surgery the best decision I could have ever made…” J. R.,
John R
Usa
Knee Arthroscopy “I was immediately impressed with Dr. Max Greig, my surgeon in PV, Mexico. His training in Guadalajara as well as Germany and his dual citizenship with the US and Mexico all relieved me of all pre-surgery anxiety.” R. R.,
Ruth. R.
Arizona
“I have had two total knees with Dr. Max and cannot sign his praises loudly enough. My experiences in the hospital where without a glitch, I loved my nurses and recovered 100%.”
Jan Rowen
Usa
Total Knee Replacement “I had a knee replacement surgery in Puerto Vallarta, Mexico done by Dr. Max Greig. My knee is in terrific shape, no complaints the surgery was very successful, I am able to do many things including golf and yoga and all kinds of different sports” M. S.,
M. S.
Canada
“… thank you to Dr Max Greig, Orthopedic Surgeon, for coordinating the recent donation of several ‘walkers’ to assist local handicapped people of limited economic means to have more mobility. Dr Max explained that this donation complies with his philosophy of contributing to the well being of the people of Puerto Vallarta.”
Ambito Newspaper
Puerto vallaarta
“…Buenos Dias Dr. Max, It has been 9 months since you performed surgery on my right shoulder for supraspinatus tendon tear and removal of spur. I am very happy to tell you what a difference the surgery made to my lifestyle. Since the surgery I have been able to sleep through the night. This was a big bonus as I lacked sleep for many years prior to seeing you. Also I am able to do many house chores and have started using weights to build my muscles. In addition, I have been walking without pain ever since you injected the cocktail into my ichmus tendon. I am also using weights to increase strength and muscle tone to my legs. I can only speak of you in the highest regard for helping me get my life back. You are very dear to my heart and I am very grateful for all you have done for me. Hopefully we will meet again soon. Big hugs to you,…” N.K.
Nick.K
Alberta Canada
Rotator Cuff “Dr.Greig was exactly what I hoped for, a trilingual Mexican native of Canadian and German decent. Doc laid out the game-plan, examined my shoulder for ideas. and took my MRI CD for homework.” P. H.,
Phil H
Canada
As a nurse who provided aftercare for one of his patients, I can say the surgical site was beautiful! I've seen his OR and completely impressed with the care delivered.
Melissa Leech Kimble
Texas Usa
“…this year, I decided to stop lying to myself about the need for knee replacement. I mean, how long can one say, I’m too young to need THAT? In my case, I could have had the surgery done anywhere, and in fact, I investigated surgeons in the US, Singapore and then here in Puerto Vallarta. I chose Dr. Max Greig based on his credentials and credibility. Dr Max made me feel the most comfortable, and was most willing to spend the time answering questions. Clearly, Dr. Max is focused on building relationships, not just cutting people up. His natural warmth and charisma contribute to a great bedside manner.”
W.H.
Puerto Vallarta

Contact Dr. Max Greig

CMQ Hospital Riviera Nayarit

Av. Héroes de Nacozari 280 Bucerías, 63732 Riviera Nayarit, Nay.

Send us an email

orthopedicdoctormx@gmail.com

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