
Arthroscopic ACL surgery is a minimally invasive procedure meant to recreate the anterior cruciate ligament in patient with ACL deficient knees. The procedure is performed arthroscopically through tiny cuts made around the knee joint. In cases of acute tears especially when the ligament gets detached from its attachment site over the bone, it is repaired (ACL repair) with the help of sutures and metallic implants such as buttons or screws. Your surgeon may augment the repair with strong suture called internal brace. In case of chronic tears, your surgeon will reconstruct the ligament (ACL reconstruction) with a tendon graft harvested from your own body. Multiple graft options are available as hamstring tendon, quadriceps tendon, bone patellar tendon bone graft, peroneus tendon. The surgeon will decide the graft option based on your functional demand. Based on the chronicity and status of laxity of you knee joint, you may have another procedure to further stabilize your knee by reconstructing the restraint on the outer aspect of the joint (ALL reconstruction) using another tendon called ilio-tibial band (lateral tenodesis). Following the procedure, you will be guided through the physical therapy. You are expected to get back to normal routine in about two to three months and return to sports in six to nine months. Occasionally, the reconstructed ACL tear again with the injury when you may be considered for revision surgery (revision ACL reconstruction) either in one stage or two stage when you will be undergoing similar procedure using a different graft option.
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Anterior cruciate ligament (ACL) tear revision
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Posterior cruciate ligament (PCL) tear
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Medial collateral ligament (MCL) injury
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Multi-ligament tear
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Meniscus tear
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Meniscus root tear
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Cartilage injury – repair/ osteochondritis dissecans
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Knee deformity or malalignment – varus/ valgus/ rotational
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Patellar tendon tear
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Quadriceps tendon tear
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Patellofemoral instability
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Patellofemoral arthritis
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Knee arthritis in young
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Knee arthritis
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Failed primary total knee replacement
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Joint preservation surgery
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Arthroscopic ACL repair/ reconstruction/ Revision ligament reconstruction
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Arthroscopic PCL reconstruction
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Multi-ligament reconstruction
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Meniscus surgery –partial meniscectomy/ repair (root tear/ rim lesion)
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Meniscus transplant
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Chondroplasty
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Microfracture
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Nanofracture
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BMAC
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Autologous chondrocyte implantation (ACI)
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Osteochondral Autologous Transfer Surgery (OATS) or mosaicplasty
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Osteochondral allograft transplant
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Patellar tendon repair/ quadriceps tendon repair
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MPFL reconstruction
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Tibial tuberosity transfer
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Trochleoplasty
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De-rotation or rotational osteotomy (Proximal tibial/ Distal femur)
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High tibial osteotomy
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Distal femoral osteotomy
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Patellofemoral joint replacement
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Total knee replacement