Anterior Cruciate Ligament (ACL) repair surgery is a uncommon procedure performed to repair a torn ACL in the knee joint. The ACL is a crucial ligament that stabilises the knee during activities like running, jumping, and pivoting. Injury to the ACL often occurs during sports or activities involving sudden stops or changes in direction.
There is growing evidence that in a small select group of patients an ACL repair is an option compared to a conventional reconstruction.
ACL repair surgery is typically performed arthroscopically, using small incisions and a camera to guide the surgical instruments. During the procedure, the ACL is assessed. If appropriate the ACL is then repaired using specialised equipment.
Before surgery, patients may need to undergo pre-operative tests and evaluations. It's essential to follow any instructions provided by the surgical team regarding fasting, medication, and lifestyle changes leading up to the surgery.
After ACL repair surgery, patients typically require a period of rest and immobilisation to allow the knee to heal properly. Physiotherapy and rehabilitation exercises are crucial for restoring strength, flexibility, and range of motion in the knee. It may take several months for patients to fully recover and return to their normal activities.
Rehabilitation plays a vital role in the success of ACL repair surgery. Physiotherapy sessions will focus on strengthening the muscles surrounding the knee, improving balance and coordination, and gradually reintroducing functional movements. It's essential for patients to follow their rehabilitation program diligently to achieve the best possible outcome.
Like any surgery, ACL repair carries risks and potential complications, these include:
- Infection
- Blood clots
- Damage to surrounding tissues
There is also a risk of re-injury or failure of the reconstructed ligament, especially if patients do not adhere to their rehabilitation program or return to sports too soon
The outcomes of ACL repair surgery can vary depending on factors such as the patient's age, activity level, and the extent of the injury. However, many patients experience significant improvement in knee stability and function following surgery, allowing them to return to their desired activities with reduced risk of further injury.
ACL repair surgery is a highly effective treatment for restoring knee stability and function in individuals with a torn ACL. By following the recommended pre-operative preparations, post-operative care, and rehabilitation program, patients can maximize their chances of a successful outcome and return to an active lifestyle.
Not all ACL tears are suitable for repair and Dr Shales will assess your knee and imaging to decide whether this is appropriate for you.
Here are a number of the questions we often get asked.
Patients can usually start light activities and sports-specific drills within 4 to 6 months after surgery, with full return to sports typically occurring around the 9 month mark.
The surgery typically takes about 1 to 2 hours, depending on the complexity of the injury and the chosen surgical technique.
