What is anterior cruciate ligament (acl) surgery ?

Anterior Cruciate Ligament (ACL) Surgery

What is anterior cruciate ligament (ACL) reconstruction surgery?

The anterior cruciate ligament (ACL) is one of four knee ligaments that connect the upper leg bone (femur) with the lower leg bone (tibia). When you injure or tear your ACL, your knee is less stable. It may "give out" when you do not expect it and then become stiff and swollen.

Surgery can help your knee feel better. But in some cases, the knee may not be as strong as before it was injured.

This type of surgery replaces your damaged ACL with a new one. The new one is called a graft. Most of the time, the graft is a tendon taken from your own knee or hamstring. But it may come from a donor.

After surgery, most people can return to their normal activities.

Why is anterior cruciate ligament (ACL) surgery done?

The goal of ACL surgery is to:

  • Restore normal or almost normal stability in the knee.
  • Restore the level of function you had before the knee injury.
  • Limit loss of function in the knee.
  • Prevent injury or degeneration to other parts of the knee.

How is anterior cruciate ligament (ACL) reconstruction surgery done?

Your doctor makes several small cuts (incisions) around the knee. Then the doctor puts a lighted tube, called an arthroscope or scope, into one of the incisions. A camera at the end of the scope sends pictures from inside the knee to a TV monitor in the operating room. The doctor watches the monitor to do the surgery.

The doctor puts surgical tools through the other incisions. Small holes are drilled into the upper and lower leg bones where these bones come close together at the knee joint. The holes form tunnels for the graft. The doctor takes the graft and pulls it through these tunnels. Then the doctor attaches the graft with screws or staples.

Next the doctor closes the incisions with stitches or tape. And you may get a temporary surgical drain placed in your knee.

You will not feel pain during the surgery. You will get medicines to make you sleep or to numb your leg.

Your doctor also may repair other injured parts of your knee. These may include ligaments, cartilage, or broken bones.

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