ACL Reconstruction Surgery

ACL reconstruction is typically considered a moderate surgical procedure. While it is more complex than minor surgeries, it is less invasive compared to major procedures like knee replacements. Modern techniques use minimally invasive arthroscopy, which helps reduce recovery time and potential complications.

Recovery typically takes 6 to 12 months, depending on individual healing and adherence to rehabilitation. The process is gradual, starting with pain and swelling management, followed by progressive strength training, mobility exercises, and sport-specific training before returning to high-impact activities.

Living with a torn ACL depends on the severity of the tear and your activity level. A partial tear may be manageable with physiotherapy and bracing, but a complete tear often leads to knee instability, increasing the risk of further cartilage or meniscus damage. If you engage in sports or physically demanding activities, surgery may be necessary to restore stability.

Yes, but it is generally recommended to keep the leg elevated and in a straight position, especially in the initial weeks, to reduce swelling and support healing. Some individuals find it more comfortable to use pillows for support. Your physiotherapist will guide you on the best sleeping position to aid recovery.

Many individuals regain full knee function and return to sports or daily activities after ACL surgery. However, recovery outcomes vary depending on rehabilitation adherence, graft healing, and muscle strength. Some may experience occasional stiffness or discomfort, but with proper physiotherapy and strength training, knee function can be close to pre-injury levels.

Walking with crutches is typically possible within the first few days after surgery. However, full weight-bearing without support depends on individual progress and physiotherapy guidance. Most individuals begin walking more confidently without crutches between four to six weeks post-surgery as knee strength and stability improve.

Yes, but movement is initially restricted to protect the healing graft. Physiotherapy includes gentle bending exercises to gradually restore flexibility. By 6 to 12 weeks, most individuals can bend their knee more naturally as strength and mobility improve.

Climbing stairs is possible within the first few weeks, but it should be done cautiously with support. Initially, individuals are advised to use crutches and take one step at a time. Strength and stability gradually improve over the following weeks, allowing for easier stair navigation.

Complications after ACL reconstruction may present as excessive swelling, redness, or persistent pain that does not improve with rest or medication. Difficulty bearing weight or sudden knee instability should be addressed promptly. Signs of infection, such as warmth, pus, or fever, require prompt medical attention. Unusual clicking or locking that limits movement may also indicate a problem.

A completely torn ACL does not heal on its own and often leads to chronic knee instability. Over time, this instability may increase the risk of cartilage wear, meniscus tears, and early-onset osteoarthritis. If the knee remains unstable, surgery is typically recommended, particularly for active individuals or those whose daily activities are affected by the injury.

The graft used in ACL reconstruction is designed to be durable, but it is still susceptible to wear and potential re-injury, especially if exposed to high-impact activities too soon. With proper rehabilitation and knee care, the graft can function well for many years. However, some individuals may require revision surgery later in life due to wear or additional injuries.

Complete bed rest is not required, but a few days of reduced activity is typically recommended to manage pain and swelling. Light movement helps prevent stiffness and blood clots. Walking with crutches usually begins within the first week, depending on recovery progress. It is important to follow your surgeon’s instructions, as the wound remains fresh and vulnerable during the initial recovery phase.

Inner knee pain can occur, especially if a hamstring tendon autograft is used, as the graft is taken from the inner thigh. Surgical changes, scar tissue, or inflammation may also contribute to discomfort. Proper physiotherapy and rehabilitation usually help reduce pain over time. If pain persists, consult your surgeon for further evaluation.

The most difficult parts of ACL recovery are managing pain and swelling in the early weeks, restoring full movement without stiffness, and rebuilding strength and balance to prevent reinjury. Regaining confidence in knee stability, especially when returning to sports, can also be challenging. A structured rehabilitation plan and commitment to physiotherapy are essential for a smooth recovery.

Most individuals do not feel the screws used to secure the graft. However, in some cases, discomfort may arise if the hardware causes irritation. If this occurs, your surgeon may recommend further assessment, and in rare cases, screw removal may be considered if symptoms persist.

There is no strict age limit for ACL surgery. The decision depends on factors such as overall health, activity level, and personal goals. A doctor or specialist can evaluate your condition and recommend the most appropriate course of action based on your individual needs.

Pain varies between individuals, but it is generally manageable with prescribed medications and proper post-operative care. The initial few days tend to be the most uncomfortable, with gradual improvement over the following weeks.