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Last Updated on November 18, 2025 by Ugurkan Demir
Are you worried about an ACL tear and looking for a guide to ACL replacement surgery?At Liv Hospital, we know how vital it is to fix your knee and get you back to your active life. Our team uses the latest methods to treat ACL injuries, focusing on your needs.
ACL replacement surgery is a top choice for fixing knees with ACL tears. It uses small cuts and a tendon graft from you or a donor. This graft replaces the torn ACL, helping your knee work better.
It’s important to know about ACL injuries to choose the right treatment. This could be either non-surgical or surgery. The ACL is a key part of the knee, helping it stay stable.
The ACL is a ligament that keeps the knee stable. It connects the thigh bone to the shin bone. A healthy ACL is key for both athletes and non-athletes, allowing for many activities without knee problems.
ACL tears often happen during sports or activities that involve sudden stops or changes in direction. Common causes include:
These actions can put too much stress on the ACL, causing a tear.
People with an ACL injury may feel a range of symptoms. These include:
| Symptom | Description |
|---|---|
| Pain | Immediate pain at the time of injury, often accompanied by a popping sensation |
| Swelling | Rapid swelling due to inflammation |
| Instability | Feeling of the knee giving way or being unstable |
| Loss of Function | Difficulty bearing weight or performing activities |
Not every ACL injury needs surgery. Conservative treatment works for some, like those with partial tears or who are less active. This treatment includes physical therapy, bracing, and avoiding activities that stress the knee.
We look at how severe the injury is and the person’s health and activity level to decide the best treatment.
Before ACL replacement surgery, a detailed pre-surgical evaluation is key. It checks the patient’s health and knee function. This step is essential for the best surgery results.
MRI is a main tool in this process. It shows how bad the ACL injury is and if other parts of the knee are damaged. X-rays help see if the knee is aligned right and if there’s wear and tear.
These tests give surgeons the info they need. They help plan the surgery for the best results.
Checking a patient’s overall health is also important. This includes looking at their medical history and doing physical exams. More tests might be needed to check heart health, diabetes, and other factors.
This helps surgeons know any risks. They can then prepare the patient better for surgery.
Pre-surgery physical therapy is often overlooked but very important. Physical therapy improves knee movement, strengthens muscles, and reduces pain. It makes surgery easier and helps with faster recovery.
The timing of ACL replacement surgery varies. It depends on injury severity, other knee damage, and the patient’s health and activity level. Some might need surgery quickly to prevent more damage. Others might wait until they’re ready.
Surgeons and patients work together to find the best time for surgery. They consider each person’s unique situation.
The ACL replacement surgery has several key steps. Surgeons must carefully follow these steps for a successful outcome. We will explain the surgery’s essential parts, from anesthesia to removing the torn ligament.
ACL replacement surgery can be done under general or regional anesthesia. General anesthesia makes the patient unconscious. Regional anesthesia numbs the lower body. We talk with our patients to find the best choice for them.
Choosing the right anesthesia is important for comfort and safety. Our anesthesiologists work with our surgical team to keep an eye on the patient’s condition.
The arthroscopic technique is a minimally invasive method used in ACL replacement surgery. It involves making small incisions to insert a camera and surgical instruments into the knee joint. This method allows for a detailed examination of the ACL and surrounding structures.
Using the arthroscopic technique, we can accurately assess the extent of the ACL injury and perform the necessary repairs with precision.
The incisions made during ACL replacement surgery are typically small, thanks to the arthroscopic technique. These incisions are used to insert the arthroscope and surgical instruments. The size and number of incisions can vary depending on the specific requirements of the surgery.
Our surgeons take great care to minimize scarring and promote healing by making precise incisions.
The first step in ACL replacement surgery is the removal of the torn ACL. This is done to make way for the new graft that will replace the damaged ligament. The torn ligament is carefully excised using arthroscopic instruments.
After removing the torn ACL, we prepare the knee joint for the graft by creating tunnels in the tibia and femur. The graft is then secured in place using various fixation methods.
| Procedure Step | Description |
|---|---|
| Anesthesia Administration | General or regional anesthesia is administered to ensure patient comfort. |
| Arthroscopic Examination | A detailed examination of the knee joint is performed using an arthroscope. |
| Removal of Torn ACL | The damaged ACL is carefully removed using arthroscopic instruments. |
| Graft Placement | A new graft is placed and secured in the prepared tunnels. |
Understanding the different graft options for ACL reconstruction is key. The graft used in ACL surgery is vital for success and recovery. It affects how well the knee heals and functions.
Autografts use the patient’s own tissue for the ACL reconstruction. This tissue can come from the patellar tendon, hamstring tendons, or quadriceps tendon. Autografts are often preferred because they reduce the risk of disease transmission and rejection, as the tissue is taken from the patient’s own body.
Using autografts promotes faster healing and integration. The body recognizes the graft as its own. But, harvesting the graft can cause pain or weakness at the donor site.
Allografts use tissue from a donor. This tissue is screened and processed to minimize disease transmission risk. Allografts can be a good option for older patients or those who have had previous grafts, as they avoid the morbidity associated with graft harvesting.
Yet, allografts carry a slightly higher risk of graft failure and slower integration compared to autografts. The risk of disease transmission, though minimal with proper screening, is also a consideration.
Both autografts and allografts have their advantages and disadvantages. The choice between them depends on several factors, including the patient’s age, activity level, and personal preference. A thorough discussion with the surgeon is critical to determine the most suitable graft option based on individual needs and circumstances.
| Graft Type | Advantages | Disadvantages |
|---|---|---|
| Autografts | Faster healing, lower risk of disease transmission | Donor site morbidity, possible pain or weakness |
| Allografts | Avoids donor site morbidity, suitable for older patients or reoperations | Higher risk of graft failure, slower integration |
The decision on which graft to use is made on a case-by-case basis. It considers the patient’s specific needs, lifestyle, and expectations. Surgeons consider factors such as age, activity level, and previous surgeries when recommending a graft type.
The goal is to choose a graft that will provide the best outcome for knee stability, function, and quality of life. A detailed consultation with the surgeon will help in making an informed decision.
Modern ACL surgery has changed the game in orthopedic care. It offers patients a more precise and effective way to treat ACL injuries. We keep learning and improving our surgical methods to get better results.
Anatomic reconstruction is key in modern ACL surgery. It aims to put the ACL back in its natural position and function. This method ensures the graft is placed correctly, providing stability and reducing injury risk.
Advanced imaging and precise surgery help us achieve accurate reconstruction. This promotes better healing and recovery.
The choice between single-bundle and double-bundle ACL reconstruction depends on several factors. Single-bundle uses one graft, while double-bundle uses two. Double-bundle can offer better rotational stability but is more complex.
Research shows double-bundle can be better for some patients. But it’s not always needed for everyone.
Graft fixation is vital in ACL reconstruction. It keeps the graft in place while it heals. There are several methods, including interference screws, cortical buttons, and cross-pins.
Each method has its pros and cons. The choice depends on the surgeon’s preference and the patient’s needs.
| Graft Fixation Method | Advantages | Disadvantages |
|---|---|---|
| Interference Screws | High initial fixation strength, easy to use | Potential for graft damage, limited adjustability |
| Cortical Buttons | Adjustable, low risk of graft damage | Potential for button pull-out, more technically demanding |
| Cross-Pins | High fixation strength, minimal graft damage | Limited adjustability, potentially for pin migration |
Minimally invasive ACL reconstruction is becoming more popular. It aims to reduce recovery time and scarring. These methods use smaller incisions and less tissue disruption.
By combining advanced techniques with minimally invasive methods, we offer patients a smoother and faster recovery.
ACL replacement surgery is a detailed process to ensure the best results. Knowing what happens during surgery can help patients feel more at ease. It prepares them for what’s to come.
The first step is getting the patient ready. The patient lies on their back on the operating table. Their leg is cleaned and covered in a sterile sheet. This setup makes it easy for the team to work on the knee.
Next, the team makes small cuts for the arthroscope. These cuts let the surgeon see inside the knee. They use special tools to check the ACL and other tissues.
Then, the surgeon takes a graft. This graft can come from the patient or a donor. It will replace the damaged ACL. The choice depends on the patient’s needs and health.
After getting the graft, the knee is readied for it. The surgeon removes the old ACL and prepares the bone for the graft. They make sure the knee is clean and ready.
| Surgical Step | Description |
|---|---|
| Patient Positioning | The patient is positioned on their back on the operating table. |
| Arthroscopic Portals | Small incisions are made to insert the arthroscope and surgical instruments. |
| Graft Harvesting | A graft is harvested from the patient or a donor. |
| Knee Joint Preparation | The torn ACL and damaged tissue are removed, and bone tunnels are prepared. |
Understanding ACL replacement surgery helps patients. It shows the detailed work and care in the procedure. Our team is dedicated to giving the best care for our patients’ recovery.
Effective care right after ACL surgery is key to avoiding problems and getting the best results. We’ll guide you through this important time. It’s vital to know what to do during your recovery.
In the recovery room, we watch your vital signs closely after ACL surgery. We check your knee for swelling or bleeding. We make sure you’re comfortable and safe before moving you to your room or home.
Key aspects of recovery room care include:
Managing pain is a big part of post-operative care. We use medicines and other methods to reduce your pain. Our methods might include oral pain meds, nerve blocks, or other types of anesthesia.
It’s essential to follow our instructions for pain medication carefully to avoid overuse or underuse.
Stopping complications is our main goal during the post-operative period. We take several steps to reduce risks, including:
The first 24-48 hours after ACL surgery are very important. Rest with your leg up to reduce swelling. Use ice on the affected area. Follow our pain medication instructions and drink plenty of water.
By following our post-operative instructions and attending follow-up appointments, you can lower the risk of complications. This ensures the best outcome from your ACL replacement surgery.
After ACL replacement surgery, the recovery is split into different phases. Each phase has its own goals and ways to get better. Knowing these phases helps patients move through their recovery smoothly.
The first week is all about resting, managing pain, and doing simple knee exercises. “The first week is all about managing pain and swelling while starting to regain some range of motion,” says our orthopedic specialist. Patients should keep their leg up, use ice packs, and do gentle knee bends.
It’s key to follow your doctor’s post-op instructions for a smooth recovery.
Weeks 2-4 are for early rehab. You’ll do more physical therapy, like exercises for range of motion and strengthening. You’ll start to put weight on your knee and move better.
Our physical therapists create a rehab plan just for you. It meets your specific needs and goals.
Months 1-3 focus on getting stronger. You’ll do more intense therapy, like resistance band exercises and balance training. “Progressive strengthening is key to regaining knee stability and preparing for more advanced activities,” says our rehab specialist.
Be patient and stick with your exercises for the best results.
Months 4-6 are for advanced rehab. You’ll work on agility, sports-specific training, and high-level strengthening. This is important for athletes or anyone wanting to get back to their pre-injury level.
By month 6, most people have greatly improved knee function. They can do their desired activities with confidence.
After ACL reconstruction, a good rehabilitation plan is key. It helps patients get back their knee’s function, strength, and stability. We’ll show you what this process includes.
Physical therapy exercises are vital in the recovery. They are made to boost knee movement, muscle strength, and overall knee health. First, gentle exercises help regain knee movement. Then, as the knee heals, strengthening exercises follow.
Some common exercises include:
Bracing and support are key in the recovery plan. A knee brace helps keep the knee stable and protected while it heals. The type of brace depends on the surgeon’s advice and the patient’s needs.
Choose a brace that:
We track progress against specific goals during rehabilitation. These goals help ensure the patient is recovering well and the knee is getting stronger.
| Milestone | Timeline | Goals |
|---|---|---|
| Immediate Post-Surgery | 0-2 weeks | Reduce pain and inflammation, improve range of motion |
| Early Rehabilitation | 2-6 weeks | Strengthen muscles, improve knee stability |
| Advanced Rehabilitation | 6-12 weeks | Enhance strength, agility, and functional activities |
| Return to Sports | 4-6 months | Achieve full strength, stability, and functional readiness |
Working closely with your physical therapist is vital for a successful recovery. Your therapist will guide you, check your progress, and adjust the plan as needed.
Be active in your rehabilitation by:
ACL reconstruction is usually successful, but it can have risks. Knowing these risks and how to avoid them can help improve results.
Infection is a risk after ACL surgery. We use prophylactic antibiotics and follow strict sterile techniques. Keeping the wound clean after surgery is also key.
“Good surgery and care after it are the best ways to avoid infection,” says ,an orthopedic surgeon. “Patients should keep their wound clean and dry.”
Graft failure is another risk after ACL reconstruction. It can happen for reasons like improper graft placement or inadequate rehabilitation. A structured rehab plan can lower this risk.
Stiffness and loss of motion can happen if the knee isn’t moved enough after surgery. Early physical therapy is key to avoid this. Working closely with a physical therapist is important to regain full motion.
Some people may have chronic pain after ACL surgery. This could be due to graft irritation or underlying conditions like arthritis. It’s important to manage pain well during rehab.
By understanding these risks and taking steps to avoid them, patients can have a better outcome from ACL reconstruction surgery.
ACL replacement surgery is a top choice for fixing knee problems. It helps bring back knee stability and function. With the right care and rehab, most people can get back to their usual activities, even sports.
The results of ACL surgery are mostly good to excellent. How well you do depends on your health, the injury’s severity, and your rehab plan. These all play big roles in your outcome.
Knowing what to expect from ACL surgery helps patients make better choices. We suggest a detailed rehab plan. This way, you can recover well and avoid future issues.
ACL replacement surgery, also known as ACL reconstruction, fixes a torn ACL in the knee. We use a graft to replace the damaged ligament. This helps restore knee stability.
You might need ACL surgery if your knee is unstable, hurts, or makes daily tasks hard. We’ll check your health and knee function to decide the best treatment.
We use your own tissue (autograft) or donor tissue (allograft) for ACL reconstruction. Autografts are often chosen because they lower the risk of disease and rejection.
Single-bundle and double-bundle techniques aim to restore the ACL’s original function. The choice depends on your anatomy and activity level.
Recovery time varies, but most people can get back to normal in 6-12 months. We’ll help you with a rehabilitation plan for a smooth recovery.
Complications can include infection, graft failure, stiffness, and chronic pain. We’ll take steps to reduce these risks and ensure a good outcome.
Yes, physical therapy is key after ACL surgery. We’ll create a plan with exercises to improve knee mobility and strength.
Yes, most people can go back to sports after ACL reconstruction. We’ll guide you through a rehabilitation plan to prepare you for athletic activities.
While you can’t completely prevent ACL injuries, you can lower your risk. Stay healthy, exercise regularly, and use proper sports techniques.
With proper care and rehabilitation, most people enjoy long-term knee stability and function. We’ll keep an eye on your progress for a successful outcome.
You might need ACL surgery if your knee is unstable, hurts, or makes daily tasks hard. We’ll check your health and knee function to decide the best treatment.
We use your own tissue (autograft) or donor tissue (allograft) for ACL reconstruction. Autografts are often chosen because they lower the risk of disease and rejection.
Single-bundle and double-bundle techniques aim to restore the ACL’s original function. The choice depends on your anatomy and activity level.
Recovery time varies, but most people can get back to normal in 6-12 months. We’ll help you with a rehabilitation plan for a smooth recovery.
Complications can include infection, graft failure, stiffness, and chronic pain. We’ll take steps to reduce these risks and ensure a good outcome.
Yes, physical therapy is key after ACL surgery. We’ll create a plan with exercises to improve knee mobility and strength.
Yes, most people can go back to sports after ACL reconstruction. We’ll guide you through a rehabilitation plan to prepare you for athletic activities.
While you can’t completely prevent ACL injuries, you can lower your risk. Stay healthy, exercise regularly, and use proper sports techniques.
With proper care and rehabilitation, most people enjoy long-term knee stability and function. We’ll keep an eye on your progress for a successful outcome.
Hospital for Special Surgery. ACL Reconstruction Surgery: Procedure and Recovery. https://www.hss.edu/health-library/conditions-and-treatments/list/acl-surgery
Mount Sinai. ACL reconstruction. https://www.mountsinai.org/health-library/surgery/acl-reconstruction
