ACL Reconstruction

Anterior Cruciate Ligament (ACL) reconstruction is a surgical procedure performed to repair a torn or damaged ACL, which is one of the major ligaments in the knee joint. The ACL helps stabilize the knee and is crucial for maintaining normal joint function. When the ACL is injured, typically due to sports-related activities or traumatic events, it can lead to instability, pain, and limited range of motion in the knee.

ACL reconstruction surgery is a common orthopedic procedure, and it aims to restore the strength and stability of the knee joint. Here is an overview of the ACL reconstruction procedure:

Preoperative Assessment: Before the surgery, a thorough evaluation is conducted, which may include physical examinations, imaging studies (such as MRI), and a discussion of the patient's medical history and goals for the surgery.


Anesthesia: The procedure is usually performed under general anesthesia, which means the patient is asleep and pain-free during the surgery.


Incisions: The surgeon makes small incisions around the knee to access the joint. In some cases, the surgery may be performed arthroscopically, which involves using a tiny camera (arthroscope) and specialized instruments through smaller incisions. This minimally invasive approach reduces scarring and may lead to a quicker recovery.


Graft Selection: The damaged ACL is replaced with a graft. The graft can be sourced from various places, including the patellar tendon (from the patient's own knee), the hamstring tendons, or a cadaver donor (allograft). The choice of graft depends on factors like the patient's age, activity level, and surgeon's preference.


Graft Preparation: The selected graft is prepared and sized appropriately for the patient's knee.


Tunnel Creation: The surgeon creates bone tunnels in the tibia (shinbone) and femur (thighbone) to secure the graft.


Graft Fixation: The graft is threaded through the bone tunnels and secured in place using screws, staples, or other fixation devices. This new ligament replaces the torn ACL and provides stability to the knee.


Incision Closure: The incisions are closed with sutures or staples, and a sterile dressing is applied.

After the surgery, patients typically undergo a rehabilitation program that includes physical therapy to help regain strength, stability, and range of motion in the knee. The length and intensity of the rehabilitation program may vary depending on the patient's condition, the type of graft used, and other factors.

ACL reconstruction is a highly successful procedure that aims to restore knee stability and function. However, it is important to follow the surgeon's post-operative instructions carefully and commit to the rehabilitation process to achieve the best possible outcome. Recovery time varies, but many individuals can return to their previous level of physical activity after several months of rehabilitation.

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ACL Reconstruction