ACL Reconstruction Surgery

ACL tear involves reconstructing the ligament to restore stability of the knee. The tissue used to replace the ACL is usually borrowed from another part of your knee, (or donated tissue could be used.)

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About the Surgery

ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee. 

ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as basketball, soccer, football, downhill skiing and gymnastics.

In ACL reconstruction, the torn ligament is removed and replaced with a piece of tendon from another part of your knee or from a deceased donor. This surgery is an outpatient procedure that's performed through small incisions around your knee joint.

ACL reconstruction is performed by a doctor who specializes in surgical procedures of the bones and joints (orthopedic surgeon).

  • A loud "pop" or a "popping" sensation in the knee.
  • Severe pain and inability to continue activity.
  • Rapid swelling.
  • Loss of range of motion.
  • A feeling of instability or "giving way" with weight bearing.

A patient in preparation for an ACL reconstruction surgery undergoes-

  • Physical therapy on the damaged area to reduce swelling
  • Fasting the night before the surgery.
  • The patient may be advised to stop particular medications a week before the surgery takes place.

The surgery is a straightforward one where: 

  • Two small incisions are made around the knee. One is to insert the camera so that the surgeon has a visual inside the body and the other is to insert small surgical instruments.
  • The damaged ligament is removed and replaced with a graft, either from another part of the patient’s body or alternte sources.
  • Sockets are drilled into the thigh and knee-bone so as to secure the new graft. It is nothing but a base on which the new ligament will form.

Post surgery, the doctor recommends certain actions so that the patient can effectively recover, those being:

  • The first few days the patient is confined to the bed. While on the bed, the treated leg is elevated with ice being constantly applied on the knee to reduce swelling and pain. 
  • Once the patient can start walking, crutches are used so as to not apply any weight on the treated leg.
  • Knee braces are wrapped around the knee.
  • Painkillers will be prescribed at the discretion of the doctor.

  • The patient is allowed to return to whichever sports they play. However, there is a chance the graft may fail.

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FAQs and Related Articles

Yes, ACL Reconstruction is major surgery. The duration of surgery is 2 to 3 hours and you may take up to six months to recover from it.
You will recover from ACL Reconstruction in stages. After 3 days, you will be able to walk with crutches. After rehabilitation and physiotherapy, you can go back to your regular life. This can take anywhere from 3 weeks to 3 months. The doctor may allow you to return to sports after 6 Months.
Your ACL may get torn or injured due to high pressure on them. This may be caused due to sudden movements or in vehicular accidents. If the injury is small then the injury may heal naturally else you ACL Reconstruction is necessary.
The patient will be under anaesthesia during the surgery, Hence the patient will not experience any pain. After the surgery, the patient may have pain for which the doctor may prescribe medicines (which will have painkillers).
Between 1 and 2 weeks unless otherwise instructed by your doctor. When you gain muscle control of your leg and feel secure, you can discontinue the crutches.
One to two weeks for a desk-type job; up to three months for moderately physical work; up to six months for strenuous physical work.
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