SPORTS PROCEDURES

ACL reconstruction

An ACL reconstruction is a surgery to replace a torn/ ruptured anterior cruciate ligament (ACL), which is one of the main ligaments in the knee. The ACL is usually torn or damaged by sporting injuries or trauma in which the knee is involved in sudden stops or changes of direction. This ligament is responsible for stabilising the knee, and thus surgery may most likely be needed if the ligament is torn.

What would surgery entail?

In cases where the ACL is severely damaged or torn, reconstruction surgery is needed to repair the functioning of the knee joint and stabilise the knee. This surgery is done arthroscopically. Under general anaesthesia, a small puncture-like incision is made in the knee to gain access to the ACL. From here, using tiny arthroscopic tools, a graft is harvested, and after removing the damaged ligament, it is replaced with a segment of the newly harvested tendon. Finally, the graft tendon is secured to the thighbone and shinbone using screw and buttons. With the graft in position, the new graft can substitute the torn ligament

What can I expect after surgery?

You will be asked to get up and walk the same day or one day after surgery. This is done to aid mobility and recovery of the joint and is done with the help of crutches or walking aid. Your knee may be placed in a brace, depending on what else is done during the procedure to ensure optimal healing.
You can expect some pain and swelling for the next few days to weeks but will be prescribed pain medication. Dr Bismilla will advise that you keep your leg elevated during recovery and use ice packs to manage pain and swelling. You will need physiotherapy to aid recovery, flexibility and strengthen the muscles around the knee.

You should be able to feel a drastic improvement in the stability and strength of the knee after a full recovery in about 9 months. You should be able to return to sport and intense physical exercise after 9 to 12 months.