Arthroscopic ACL Reconstruction

The ligament is a rope-like structure connecting two bones together and provides stability to the joint. There are four main ligaments in the knee joint which connects the femur (thigh bone) to the tibia (leg bone). Two are on the sides known as medial and lateral collateral ligament and two inside the joint termed as anterior and posterior cruciate ligaments.

Anterior Cruciate ligament is one of the most commonly injured ligaments. Anterior Cruciate ligament can get injured due to sudden jerk or impact to the knee joint. Anyone playing sports like football, basketball, cricket are prone for this injury. The patient develops pain and swelling immediately after injury with difficulty in walking. Some patients may have a feeling of instability or give the way of the knee joint. Your knee may get locked due to concomitant meniscus injury.

An arthroscopic ACL reconstruction is required in physically active patients. After reconstruction normal knee kinematics is restored. This allows patients to perform sports and other physical activities.

Arthroscopic ACL reconstruction involves replacing the torn ligament with a tendon graft. This is a daycare procedure, where patients get discharged from the hospital on the same day. Mobilization starts immediately and the patient can bear weight on the operated limb with some brace and walking support.

Postoperative rehabilitation Day 1
Walking with support

Arthroscopic View of Torn ACL

Arthroscopic View of Reconstructed ACL

At Knee Hip and Shoulder Clinic we provide comprehensive management of ACL injury and its associated knee injuries. We take care of operative, physiotherapy and rehabilitative part of the procedure as per the international norms. We help you and put every effort to make your operative journey comfortable and successful.

ARTHROSCOPIC ACL RECONSTRUCTION with BONE-PATELLA TENDON-BONE AUTOGRAFT and ALLOGRAFT A torn ACL cannot be sewn back together. Therefore, a new ligament must be put in its place. There are two options for reconstructing the ACL; autograft or allograft. An autograft is the use of your own tissue for reconstruction, in this case, your own patella tendon. The patella tendon is the connection between your patella (knee cap) and your tibia (shin bone.) To take the graft, an incision is made lengthwise along the front of your knee. The central one-third of the tendon is taken with a small amount of bone from your patella, as well as, your tibia. An allograft is the use of tissue from someone other than yourself. In this case, the patella tendon would be taken from a cadaver and put inside your knee as your new ACL. When using an allograft, the incision below the knee is smaller. The knee joint is then entered through two small incisions. A camera is placed inside of your knee to visualize the different structures, such as the torn ACL and the medial and lateral meniscus. While inside the knee joint, any damage to them can be addressed with arthroscopic instruments. In order to reconstruct the ACL, one tunnel is drilled in the femur (thigh bone) and one in the tibia. The graft is put into place via these tunnels. The graft is secured with bioabsorbable screws. Your new ACL will take some time to incorporate itself into its new surroundings. Therefore, you are placed in a post-operative brace following surgery to protect the knee and the graft.