ACL Reconstruction Surgery

ACL Reconstruction Surgery is a specialized orthopedic procedure performed to restore stability and function to the knee after an injury to the Anterior Cruciate Ligament (ACL). The ACL is a key ligament that connects the thigh bone (femur) to the shin bone (tibia) and plays a crucial role in knee stability during movement. ACL injuries are common among athletes and physically active individuals and often require surgical reconstruction to enable a full return to activity.

What is an ACL Injury?

An ACL injury happens when the ligament is torn or overextended, typically as a result of abrupt twisting motions, quick direction changes, incorrect jump landing, or direct knee trauma. Complete ACL tears do not heal on their own and, if untreated, can result in long-term joint damage and recurrent knee instability.oper landing from a jump, or direct trauma to the knee. Complete ACL tears do not heal on their own and may lead to recurrent knee instability and long-term joint damage if left untreated.

Signs and Symptoms

The following are typical signs of an ACL injury:

  • At the time of the injury, sudden knee pain

  • A popping sound or knee sensation

  • Swelling: Usually a few hours after an injury

  • The sensation of the knee "giving way" is known as knee instability.

  • Limited Motion Range

  • Having Trouble Walking or Carrying WeightRisk Factors and CausesACL injuries could be caused by:

Causes and Risk Factors

ACL injuries may result from:

  • Sudden stopping or change in direction  

  • Pivoting or twisting movements  

  • Improper landing after jumping  

  • High-impact sports such as football, basketball, cricket, or skiing  

  • Weak thigh or core muscles  

  • Previous knee injuries

ACL Injury Types

  • Grade I: Slight stretching of the ligaments

  • Grade II: A partial rip

  • Grade III: Total ligament rupture necessitating surgery

Prognosis

An ACL injury diagnosis entails:

  • Clinical Examination: Lachman and Pivot Shift stability tests

  • Imaging tests: MRI to evaluate related injuries and confirm ligament tears

  • X-rays: To eliminate fractures

  • Medical History Review: Mechanism and timing of injury  

Options for Treatment

Non-Surgical Care

  • Suggested for people with low activity levels or partial tears

  • Includes physiotherapy, bracing, pain management, and activity modification  

Surgical Management

ACL Reconstruction Surgery is advised for complete tears, athletes, or patients with knee instability affecting daily life.

ACL Reconstruction Surgery – Procedure

ACL reconstruction involves replacing the damaged ligament with a graft, which may be taken from:

  • Patient’s own tissue (hamstring tendon, patellar tendon, quadriceps tendon)  

  • Donor tissue (allograft), in selected cases  

The surgery is typically performed using arthroscopic (keyhole) techniques, ensuring minimal tissue damage and faster recovery.

Benefits of Arthroscopic ACL Reconstruction

  • Minimally invasive procedure  

  • Less scarring and smaller incisions

  • Reduced postoperative pain Decreased pain following surgery

  • Quicker recovery

  • Enhanced knee function and stability

  • Reduced chance of long-term joint damage

Pre-Surgery Instructions

  • Preoperative Evaluation: Blood tests, imaging, and anesthesia assessment  

  • Physiotherapy, or "Prehab," is the process of strengthening and reducing swelling prior to surgery.

  • Medication: Pay attention to any directions regarding supplements or blood thinners.  

  • Fasting: Avoid food and liquids for 6–8 hours before surgery

Post-Surgery Care

  • Hospital Stay: Usually 1–2 days  

  • Pain Management: Medications as prescribed  

  • Physiotherapy: Begins soon after surgery and is essential for recovery  

  • Knee brace: For initial assistance, it might be recommended.

  • Wound Care: Follow-up visits for dressing and suture removal Wound care: follow-up appointments for suture removal and dressing

Healing and Rehabilitation

Following ACL reconstruction, recovery is methodical and gradual:

  • Basic mobility and pain management for two to four weeks

  • 6–12 Weeks: Improvement in strength and range of motion

  • 4–6 months: Sports-specific training and advanced strengthening

  • Return to sports after six to nine months, depending on a functional evaluation

For the best results, physiotherapy adherence is essential.

Potential Issues (Uncommon)

  • An illness

  • Knee stiffness

  • Graft failure or re-injury

  • clots of blood

  • Prolonged discomfort or edema

Risks are greatly decreased by early rehabilitation and skilled surgical technique.

Why Choose Yatharth Hospital for ACL Reconstruction Surgery?

Our orthopedic specialists at Yatharth Hospital provide exceptional results for ACL injuries by combining cutting-edge arthroscopic technology with evidence-based surgical expertise. We guarantee a safe recovery and long-term knee health with individualized treatment plans and extensive rehabilitation support

Our Medical Expert
Dr. Ashish Sharma
Dr. Ashish Sharma

MBBS, MS

Orthopaedics
Rheumatology and Orthopaedics

Dr. Nikhil Gupta
Dr. Nikhil Gupta

MBBS, DNB (Ortho), Fellowship in Sports Medicine & Arthroscopy (ISAKOS)

Orthopaedics
Rheumatology and Orthopaedics

Dr. Shashank Shekhar Singh
Dr. Shashank Shekhar Singh

MBBS, DNB (Ortho), D-Ortho , FIJR, FIAA

Orthopaedics
Rheumatology and Orthopaedics

Dr. Manish Aroraa
Dr. Manish Aroraa

MBBS, DNB (Orthopaedics)

Orthopaedics

Dr. Ritesh Dang
Dr. Ritesh Dang

MBBS, DNB, M.Ch

Orthopaedics

Dr. Sandeep Tripathi
Dr. Sandeep Tripathi

MBBS, DNB (Orthopedics), Fellowship in Arthroscopy & Arthroplasty

Orthopaedics
Rheumatology and Orthopaedics

Dr. Kapil Tyagi
Dr. Kapil Tyagi

MBBS, MS, MCh

Orthopaedics
Rheumatology and Orthopaedics

Dr. Saurabh Sharma
Dr. Saurabh Sharma

MBBS, MS, FIJR (Ortho)

Orthopaedics

Dr. Ankur Dhiman
Dr. Ankur Dhiman

MBBS, MS, DNB

Orthopaedics
Robotic Surgery

Dr. Nikhil Sachdeva
Dr. Nikhil Sachdeva

MBBS, D.N.B. (Orthopedics)

Orthopaedics

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Frequently Asked Questions

Does ACL reconstruction always have to be done?

Not all the time. It is advised for patients with severe knee instability, athletes, and complete tears.

After ACL surgery, can I walk?

Yes, under the supervision of a physiotherapist, assisted walking typically starts within a day.

Will I be able to return to sports?

Most patients return to sports after 6–9 months, depending on rehabilitation progress.

After surgery, is physical therapy required?

Indeed, physiotherapy is crucial for regaining function, strength, and stability.

After surgery, is it possible for the ACL to tear again?

Re-injury is a possibility, but the risk is decreased with appropriate rehabilitation and activity modification.

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