ACL Reconstruction

ACL knee injuries can happen whilst taking part in sports such as skiing, tennis, squash, football and rugby. They are a common types of knee injury where your ACL ligament is torn or ‘ruptured’.

An ACL rupture may stop you from doing your normal activities or sports as your knee loses its full range of motion, becomes unstable and painful. Your knee may give way or it may feel like it is giving way. ACL repair surgery, known as ACL reconstruction, may then be recommended to rebuild your torn ligament.

The benefits of successful reconstruction ACL surgery are that your knee should be stabilised and therefore not give way anymore. ACL keyhole surgery aims to relieve your pain and allow you to be more active and return to playing some or all of your sports such as football, rugby, netball or skiing. It also reduces your risk of further knee injury.

ACL reconstruction surgery is a usually performed as a keyhole procedure so that it is less invasive than if it were performed using open surgery. This means patients benefit from less pain, minimised risk of infection and, a faster recovery.

Arthroscopic ACL reconstruction is carried out under general anaesthetic or a spinal anaesthetic and typically takes about an hour.

Your surgeon will then make small cuts in the skin over your knee and insert a thin, flexible tube with a light and camera on the end of it, known as an arthroscope, to see inside your knee.

The remnants of your torn ACL are removed and replaced using a graft usually taken from taken from your patellar tendon or hamstring. Sometimes a graft from a donor will be used.

The replacement ligament graft is fixed into place with special screws drilled into holes in your bones.

ACL reconstruction is a surgical operation and therefore carries the general risks of surgery including: excessive bleeding, wound infection, developing a blood clot or, an unexpected reaction to the anaesthetic.

Complications specific to ACL reconstruction surgery include:

• Graft failure when the graft tears.
• Kneecap break.
• Nerve damage.
• Knee joint infection.
• Numbness.
• Knee joint remains unstable.
• Stiffness or less movement than you had before your injury.

If you decide to pay for your treatment, Ramsay offer an all-inclusive Total Care package, where a single one-off payment at a pre-agreed price, delivering direct access to all the treatment you need for complete reassurance. You can also spread the cost of your treatment with finance options available.

An ACL Reconstruction may be covered by your medical insurance policy. We advise you to check directly with your insurance provider and get written confirmation before commencing treatment.

You may be able to go home the same day as your surgery or it may be recommended for you to stay overnight following your ACL reconstruction treatment.

One of our experienced physiotherapists will give you guidance on exercises and a rehabilitation programme to help you recover as quickly as possible.

You will need to follow your knee surgeon’s advice regarding driving and going back to work as everyone’s recovery rate is different.

An ACL reconstruction recovery typically takes approximately 6 months but it can take up to a year. Most people return to their sporting activities six months after their operation.