ACL Tears
The Anterior Cruciate Ligament (ACL) is the most commonly injured ligament in the knee. The ACL provides rotational stability and is often injured with twisting or hyperextension of the knee. Patients often feel a “pop” in their knee followed by swelling and a buckling sensation. Diagnosis of an ACL tear is made with a combination of knowing your symptoms, medical history, physical exam, and imaging studies such as an MRI.
Do I need ACL surgery?
Non-operative treatment with rest, ice, compression, and elevation followed by physical therapy is an option for older patients who are willing to modify their activities to avoid pivoting, cutting, twisting, and turning.
Younger and more active patients often require surgery to restore stability to the knee. ACL Reconstruction surgery also protects the knee from further injuries to the surrounding structures.
ACL Reconstruction Surgery
ACL reconstruction surgery is performed in an ambulatory surgery center using minimally-invasive techniques. The ACL is reconstructed using a graft which is often harvested from either the patellar or hamstring tendons. In some cases, an allograft (cadaveric donor) may be a consideration. The graft is then positioned in an anatomic position and secured. Commonly associated injuries to the meniscus or cartilage can be addressed during the procedure as well. Surgery generally takes approximately one hour and patients return home after the procedure.
ACL Reconstruction Rehabilitation
Much of the success of ACL reconstructive surgery depends on the patient’s dedication to rigorous physical therapy. The individual’s willingness and ability to complete the post-op protocol will determine the success of the ACL reconstruction surgery. Patients can expect rehabilitation to continue until the knee is stable and strong, rather than for a limited amount of time.
ACL Reconstruction Results
ACL reconstruction surgery will restore normal or almost normal stability in the knee. It will reduce pain, prevent further injury or damage to other knee structures, and restore the level of function the patient had before the injury. With proper rehabilitation, many athletes are able to return to their sport 6-9 months after surgery.