Arthroscopic ACL Reconstruction

Arthroscopic ACL reconstruction offers a minimally invasive solution for those with significant knee instability and injury. This article explores the procedure, candidates, preparation, recovery, and more to help you understand what to expect.

If you’re in Zanesville, OH, and considering addressing an ACL injury, Orthopaedic Associates of Zanesville is here to support you. Contact us today to learn how we can help with your knee concerns.

About Arthroscopic ACL Reconstruction

Arthroscopic ACL reconstruction is a surgical treatment that uses arthroscopic techniques, using tiny cameras and instruments via small incisions, to reconstruct the anterior cruciate ligament (ACL). The ACL, located inside the knee joint, is essential for knee stability, especially during twisting or pivoting movements. When the ACL is completely torn or partially torn, it may lead to knee instability, risking further injury or meniscus tears.

This reconstruction surgery, sometimes referred to as anterior cruciate ligament reconstruction or ACL reconstruction, uses graft tissue, either from your own body or a donor, to replace the injured ACL. This approach helps restore knee joint stability and reduce future graft failure rates when done carefully.

A tennis player enjoying his sport after ACL reconstruction in Ohio.

Types of ACL Reconstruction Surgery Procedures

There are several ACL reconstruction surgery techniques and graft options:

  • Patellar tendon autograft: A strip of tendon is taken from your own knee between the kneecap and shin bone. This method has long-term data on successful outcomes.
  • Hamstring tendons autograft: This procedure harvests from the hamstring tendons. This technique is associated with less anterior knee pain and greater knee extensor mechanism.
  • Quadriceps tendon autograft: A newer alternative using part of the quadriceps tendon.
  • Allograft tissue: Donor tissue (such as allograft tendon) that eliminates the need for graft tissue harvesting; often used in outpatient procedures.
  • Bridge-enhanced ACL repair: An emerging method where a biological implant promotes ligament repair in cases of a partial tear or recently injured ACL, rather than traditional graft replacement.
 

Most orthopedic surgeons choose grafts based on patient age, activity level, and tissue quality, as each has different risks, like graft failure, donor-site pain, or slower recovery.

Candidates for the Surgery

Not everyone with an ACL injury requires ACL surgery, but those who may be suitable include:

As always, treatment decisions are personalized. Your surgeon will consider your goals, lifestyle, imaging findings like MRI results, and how well the knee stabilizes under physical evaluation, like the pivot shift test.

Reasons for the Surgery

The main reasons to proceed with ACL reconstruction are:

Many patients report improved outcomes when surgery is done soon after injury, especially when combined with structured rehabilitation.

Preparing for the Surgery

Preoperative preparation plays a key role in the success after ACL reconstruction. Here’s what many surgeons and physical therapists may recommend:

Many patients who prepare thoroughly report a smoother postoperative experience.

The Procedure

Arthroscopic ACL reconstruction is usually an outpatient procedure performed under general anesthesia or nerve block, lasting one to two hours. Steps include:

  1. Diagnostic arthroscopy: A small camera inspects the knee joint to confirm the ACL tear and assess damage to the menisci or cartilage.
  2. Graft harvest: If using an autograft, tendons are harvested with minimal inflammation.
  3. Tunnel creation: Bone tunnels are drilled into the thigh bone (femur) and shin bone (tibia) to anchor the new ACL ligament.
  4. Graft placement and fixation: The graft tissue is threaded through the tunnels and fixed with screws or suspensory devices, replicating the natural ACL position.
  5. Closure: Small incisions are closed; a sterile dressing and sometimes a leg brace are applied.
 

Thanks to small incisions and arthroscopic techniques, recovery is often less painful and may result in fewer severe complications than open surgery.

Recovery From the Surgery

Recovery from ACL reconstruction surgery is a gradual, multi-phase process aimed at regaining good knee function:

Many patients report improved knee joint stability and function when they follow a structured rehabilitation plan. Compliance with physical therapy has been shown to reduce the risk of graft failure and additional injuries.

Take the Next Step Toward Lasting Knee Stability and Recovery

Arthroscopic ACL reconstruction is a surgical option that may offer lasting knee stability, reduced symptoms, and a chance to return to an active lifestyle. With proper graft choice, arthroscopic techniques, and dedicated rehabilitation, many individuals regain good knee function and lower risk of further injury.

If you’re in Zanesville, OH, and facing an ACL injury or instability, our specialists at Orthopaedic Associates of Zanesville are among the top doctors combining orthopedic and sports medicine expertise. We can guide you through diagnosis, choosing between graft options, and designing a tailored recovery plan.

Contact our office today to discuss whether arthroscopic ACL reconstruction may be right for you.

Medically reviewed by Benjamin R. Pulley, MD, FAAOS

 

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