Last Updated on November 18, 2025 by Ugurkan Demir
ACL (Anterior Cruciate Ligament) surgery is a significant procedure for those with ACL injuries. It’s called ACL reconstruction and aims to make the knee stable again.
Most ACL tear surgeries last about 1.5 to 3 hours. The exact time depends on the injury’s complexity and the surgery method.
At Liv Hospital, we focus on advanced, patient-centered care for the best results. Knowing how long ACL surgery takes helps patients plan their recovery and rehab.
Key Takeaways
- ACL surgery typically lasts between 1.5 to 3 hours.
- The procedure is also known as ACL reconstruction.
- Surgery duration can vary based on injury complexity.
- Different surgical techniques may influence the overall time.
- Liv Hospital provides advanced, patient-centered care.
Understanding ACL Injuries and When Surgery is Needed
It’s important to know about ACL injuries to choose the right treatment. The Anterior Cruciate Ligament (ACL) is key for knee stability. It’s common in athletes and those who are active.
What is the Anterior Cruciate Ligament?
The ACL keeps the knee stable. It links the femur to the tibia. It’s vital for pivoting, sudden stops, or changes in direction. ACL injuries are common in sports like soccer, basketball, and football.
Common Causes of ACL Tears
ACL tears happen for several reasons:
- Sudden stops or changes in direction
- Direct contact or collision, such as in sports
- Jumping and landing incorrectly
- Pivoting with a fixed foot
These actions stress the ACL, causing tears or ruptures.
Diagnosing ACL Injuries
Diagnosing ACL injuries involves physical exams and imaging tests. A healthcare provider may use the Lachman or pivot shift test. Imaging tests like MRI confirm the diagnosis and show injury extent.
When Surgical Intervention Becomes Necessary
Surgery is often needed for those who want to stay active, like athletes. The decision to have surgery depends on the injury’s severity and other knee issues. Surgery involves replacing the damaged ACL with a graft, from the patient or a donor.
Understanding ACL injuries and diagnosis helps make informed treatment choices. It decides if surgery is needed for recovery.
How Long Is ACL Surgery? Typical Duration Explained
Many people wonder how long ACL surgery takes. Knowing what to expect can make them feel less anxious about the surgery.
Average Timeframe for Standard ACL Reconstruction
ACL reconstruction surgery usually lasts 1.5 to 3 hours. This time can change based on the surgery’s complexity and the surgeon’s skill.
- The team’s experience and the techniques used affect the surgery’s length.
- Other procedures, like meniscus repair, can also add to the time.
Breakdown of the Surgical Process
The ACL reconstruction surgery has several important steps:
- Preparation and getting anesthesia
- Harvesting the graft (if using an autograft)
- Examining the knee joint arthroscopically
- Rebuilding the ACL and fixing the graft
- Closing the incision and starting recovery
Each step adds to the surgery’s total time. Our team is skilled in doing ACL reconstructions quickly and safely.
Time Spent in Operating Room vs. Total Hospital Stay
The surgery itself might take 1.5 to 3 hours. But, patients usually stay in the hospital for 2 to 4 hours. This includes getting ready, the surgery, and recovery.
The hospital stay includes preparation, surgery, and early recovery. We make sure patients get all the care they need during their visit.
Factors That Influence ACL Surgery Duration
Knowing what affects ACL surgery time is key. It helps set realistic expectations and get ready for the procedure. Each case is unique, influenced by several factors.
Severity and Extent of Ligament Damage
The damage to the ACL is a big factor in surgery time. More serious injuries might need extra repairs, like fixing the meniscus or cartilage. This can make the surgery longer.
“The more extensive the damage, the longer the surgery is likely to take.”
Patient-Specific Considerations
Things like your health, age, and body shape can also affect surgery time. For example, if you’ve had knee surgery before or have certain health issues, your surgery might take longer. This is because your surgeon might need to take extra steps to ensure your safety.
Surgeon Experience and Expertise
The surgeon’s skill and experience are very important. A skilled surgeon can do the surgery faster and better. They’re good at handling tough cases and making the right changes during surgery. Surgeon expertise is a key determinant of ACL surgery success.
Facility and Equipment Factors
The quality of the surgical facilities and equipment also matters. Modern, well-equipped places can make the surgery go smoother and faster. Efficient use of resources contributes to a smoother surgical experience.
Types of ACL Reconstruction Techniques and Their Timeframes
The method used for ACL reconstruction affects how long the surgery takes and how long it takes to recover. Over time, different techniques have been developed. These allow surgeons to choose the best option for each patient.
Traditional Open Surgery vs. Arthroscopic Approaches
ACL reconstruction can be done in two ways: open surgery or arthroscopic surgery. Arthroscopic surgery is less invasive. It uses small incisions for a camera and tools. This method is popular because it may lead to quicker recovery times and less damage to tissues.
- Arthroscopic ACL reconstruction often means less pain after surgery.
- It results in smaller scars.
- It can help patients get back to normal activities faster.
Graft Selection and Preparation Time
The type of graft used for ACL reconstruction is very important. Grafts can be from the patient (autograft) or from a donor (allograft). Preparing the graft also adds to the surgery time.
- Getting and preparing an autograft can take 15-30 minutes.
- Preparing an allograft is quicker but has other factors to consider.
Single-Bundle vs. Double-Bundle Reconstruction
There are two main ways to do ACL reconstruction: single-bundle or double-bundle. The single-bundle method focuses on the anteromedial bundle. The double-bundle method aims to fix both the anteromedial and posterolateral bundles.
- Double-bundle reconstruction might improve rotational stability.
- It is more complex and takes longer.
- The choice depends on the patient and the surgeon’s preference.
In conclusion, the type of ACL reconstruction technique used affects the surgery time and recovery. Knowing these differences is key to setting realistic goals and achieving the best results.
Combined Procedures: ACL and Meniscus Surgery Duration
ACL reconstruction is often done with meniscus repair. This makes the surgery longer. When both ACL injuries and meniscus tears happen, the surgery gets more complex.
How Long Does ACL and Meniscus Surgery Take?
The surgery for ACL and meniscus repair takes longer than ACL surgery alone. It usually lasts 2.5 to 3 hours. This is because fixing meniscus tears takes extra time.
Several things affect the surgery time:
- The extent of the meniscus damage
- The complexity of the ACL reconstruction
- The surgeon’s experience with combined procedures
Additional Procedures That May Extend Surgery Time
At times, more procedures are needed, making the surgery longer. These can include:
- Repair of other ligament injuries
- Cartilage restoration techniques
- Removal of loose fragments within the knee joint
Each of these procedures needs careful planning and execution. They add to the time in the operating room.
Complex Case Scenarios and Their Timeframes
Complex cases, like multiple ligament injuries or significant cartilage damage, affect surgery time. The team must be ready to handle each problem thoroughly.
A patient with ACL injury, meniscus tear, and cartilage damage might need a 3 hours or more surgery. The team’s skill and the facility’s resources are key in managing these cases well.
Knowing what affects the time of ACL and meniscus surgery helps patients prepare. Talking to their surgical team can give them a better idea of what to expect on surgery day.
Pre-Surgery Preparation Process
Getting ready for ACL surgery is a key step for success. We’ll walk you through the important steps to prepare for your surgery.
Required Medical Evaluations
We do detailed medical checks before ACL surgery. These checks look at your health history, physical condition, and might include blood tests or scans. Our team aims to find any risks or concerns before surgery.
Pre-Operative Physical Therapy Benefits
Physical therapy before surgery is very helpful. It strengthens your knee muscles and improves movement. This can make your recovery better and reduce pain after surgery. Our physical therapists create a plan just for you.
For example, a study on NFL player Cooper’s recovery shows how important preparation is.
Day-of-Surgery Timeline
On surgery day, knowing what to expect can help calm your nerves. Here’s what usually happens:
- Arrive at the hospital or surgical center at the designated time
- Complete any remaining pre-operative paperwork and preparations
- Meet with your surgical team and anesthesiologist to discuss the procedure and address any last-minute questions
- Undergo the ACL reconstruction surgery
- Recover in the post-anesthesia care unit (PACU) until you’re ready to be discharged
Anesthesia Considerations and Setup Time
Anesthesia is key for your comfort during surgery. Our anesthesiologists will talk to you about the best options. The time needed for anesthesia setup is part of the surgery time. Our team works efficiently to avoid delays.
Knowing about pre-surgery prep can make you feel more ready for ACL surgery. Our team is dedicated to giving you the best care and support.
Post-Surgery Recovery Timeline
Knowing the recovery timeline after ACL surgery is key. The process has many stages, all important for the best results.
Immediate Post-Operative Period (First 24-48 Hours)
The first 24 to 48 hours are very important. Patients often feel pain, swelling, and can’t move much. We use RICE (rest, ice, compression, elevation) to help. Managing pain is also a big focus.
- Rest and avoid strenuous activities
- Apply ice to reduce swelling
- Use compression bandages as directed
- Elevate the knee above heart level
Early Recovery Phase (First 2 Weeks)
In the first two weeks, patients work on moving their knee better, reducing swelling, and strengthening muscles. They start with gentle exercises and physical therapy.
Key goals during this phase include:
- Improving knee flexion and extension
- Reducing pain and inflammation
- Enhancing muscle strength around the knee
Rehabilitation Milestones (Weeks 2-12)
From weeks 2 to 12, patients hit different milestones. They do more exercises, work on balance, and start to bear more weight.
Rehabilitation protocols may vary, but typically include:
- Progressive strengthening exercises
- Balance and coordination training
- Functional activities like squatting and lunging
Return to Activities and Sports (3-12 Months)
The last phase is getting back to sports. This depends on how well the patient does, the type of graft, and the sport. It’s very individual.
Criteria for returning to sports include:
- Restoration of knee function and strength
- Adequate range of motion
- Satisfactory performance in functional tests
By following this timeline, patients can get the best results from ACL surgery. It’s important to work with healthcare providers to make the recovery fit each person’s needs.
International Perspectives on ACL Surgery
Looking at ACL surgery around the world shows us many different ways to do it. Each country has its own methods and care plans after surgery. This helps us learn what works best and find new ideas.
ACL Surgery in Singapore
Singapore is known for its top-notch medical care, including ACL surgery. The surgery itself usually takes 1 to 2 hours. But getting ready and recovering can take longer.
Key aspects of ACL surgery in Singapore include:
- State-of-the-art facilities equipped with the latest technology
- Highly experienced surgeons with international training
- Personalized care plans tailored to individual patient needs
- Emphasis on rapid recovery protocols to minimize downtime
Ligament Injury Operations Around the World
How ACL reconstruction is done varies globally. For example:
- In the United States, arthroscopic techniques are often used. This means smaller cuts and faster healing.
- In Europe, some places focus on double-bundle ACL reconstruction. This might help some patients more.
- In Australia, getting ready for surgery with conditioning is a big part of the plan.
Advanced Centers Focusing on Rapid Recovery Protocols
Top medical centers worldwide are now working on quick recovery plans for ACL surgery. These plans include:
- Starting physical therapy right after surgery
- Using new ways to manage pain
- Choosing surgeries that cause less damage
- Creating rehab plans that fit each patient
These efforts mean patients can leave the hospital sooner and get back to their lives faster. We’re seeing a big change towards better and faster ACL surgery everywhere.
Conclusion: Preparing for Your ACL Surgery
Understanding ACL surgery is key for a good outcome. The surgery’s length and recovery depend on several things. These include how damaged the ligament is and the surgeon’s skill.
It’s important to know what to expect before ACL surgery. This means understanding the surgery, how long it takes, and the recovery. Being informed helps patients prepare for a smooth recovery.
We’ve looked at many parts of ACL surgery. This includes the different methods and how long they take. We’ve also talked about the recovery time after surgery. With this knowledge, patients can feel more confident about their surgery.
Being ready is essential for a successful ACL surgery. Knowing what to expect helps patients recover faster. They can get back to their normal life sooner.
FAQ
How long does ACL surgery typically take?
ACL reconstruction surgery usually lasts between 1.5 to 3 hours. But, you might stay in the hospital longer because of recovery time.
What factors can influence the duration of ACL surgery?
Many things can change how long surgery takes. This includes how bad the ligament damage is, your health, the surgeon’s skill, and the hospital’s setup.
How long does ACL and meniscus surgery take?
ACL surgery with meniscus repair takes longer. The exact time depends on how complex the meniscus repair is and your knee’s condition.
What is the difference between traditional open surgery and arthroscopic approaches for ACL reconstruction?
Arthroscopic surgery is less invasive and might lead to quicker recovery. The surgery time and recovery can vary based on the method used.
How long does it take to recover from ACL surgery?
Recovering from ACL surgery is key for good results. It usually takes 3-12 months to get back to sports and activities.
What is the typical rehabilitation schedule after ACL surgery?
The rehab process has several stages. It starts right after surgery and goes through different milestones. A physical therapist will make a plan just for you.
What are the expected post-op care instructions after ACL surgery?
After surgery, you’ll need to manage pain, take care of your wound, and do physical therapy. Following a specific rehab plan is important for recovery.
How long does ACL reconstruction surgery take in Singapore?
In Singapore, ACL surgery times are similar to worldwide standards. The focus is on quick recovery with advanced techniques. Surgery usually lasts 1.5 to 3 hours.
What are the benefits of pre-operative physical therapy before ACL surgery?
Pre-surgery physical therapy can improve your knee’s function and reduce pain. It’s a key part of getting ready for surgery.
How long does it take to return to sports after ACL surgery?
Returning to sports after ACL surgery varies. It depends on your progress and the sport. Generally, it takes 6-12 months to get back to competitive sports.
References
NewYork-Presbyterian (NYP). (n.d.). ACL reconstruction. Retrieved from https://www.nyp.org/orthopedics/acl-reconstruction
