Arthroscopic Knee Surgery. Arthroscopic Shoulder Surgery. Suite Pensacola, FL service newchoicehealth. Carteret Surgery Center. Fairbanks Memorial Hospital and Denali Center. Sheridan Surgical Center. Frankfort Regional Medical Center. Springhill Medical Center. Harbor Orthopedic and Fracture Clinic. Mercy Hospital Cadillac. Kingsport Day Surgery. Foothills Orthopaedic and Sports Medicine. North Valley Hospital. Saint Mary's Hospital. Pioneer Memorial Hospital. Bloomington Normal Healthcare.
River View Surgery Center. Saint Vincent Memorial Hospital. Shaws Cove Orthopaedics. North Carrier Surgicenter. Institute for Special Surgery. North Arkansas Regional Medical Center. Scott Memorial Hospital. ACL reconstruction is an outpatient surgery that's performed by a doctor who specializes in surgical procedures of the bones and joints orthopedic surgeon.
The anterior cruciate ligament ACL is one of the key ligaments that help stabilize your knee joint. The ACL connects your thighbone femur to your shinbone tibia.
It's most commonly torn during sports that involve sudden stops and changes in direction — such as basketball, soccer, tennis and volleyball. The ACL — one of two ligaments that crosses the middle of the knee — connects your thighbone to your shinbone and helps stabilize your knee joint. Most ACL injuries happen during sports and fitness activities that can put stress on the knee:. A course of physical therapy may successfully treat an ACL injury for people who are relatively inactive, engage in moderate exercise and recreational activities, or play sports that put less stress on the knees.
ACL reconstruction is a surgical procedure. And, as with any surgery, bleeding and infection at the surgical site are potential risks. Other risks associated with ACL reconstruction include:. Before your surgery, you'll likely undergo several weeks of physical therapy. The goal before surgery is to reduce pain and swelling, restore your knee's full range of motion, and strengthen muscles.
People who go into surgery with a stiff, swollen knee may not regain full range of motion after surgery. ACL reconstruction is an outpatient procedure, so you'll be able to go home the same day. Arrange for someone to drive you home. Tell your surgeon about any medications or dietary supplements you take.
If you regularly take blood-thinning medications, your doctor may ask you to stop taking these types of drugs for at least a week before surgery to reduce your risk of bleeding. Follow your doctor's instructions about when to stop eating, drinking and taking any other medication the night before your surgery.
General anesthesia is typically used during ACL reconstruction, so you'll be unconscious during the procedure. ACL reconstruction is usually done through small incisions — one to hold a thin, tube-like video camera and others to allow surgical instruments access to the joint space.
Your surgeon will remove your damaged ligament and replace it with a segment of tendon. Before the actual surgery, the doctor will usually insert an arthroscope into the knee so he can judge the damage to the joint.
Once the doctor has a full understanding of the joint damage, he will harvest and prepare the graft. If the chosen graft is an allograft then the doctor will prepare it for use by thawing it. If the chosen graft is the patellar tendon graft or the hamstring tendon graft the doctor will make an incision in the patient and remove the needed tissue.
Once the tissue is removed, the doctor will prepare it to become the new ACL. The doctor will then prepare the knee to attach the graft. The doctor will drill one tunnel in the end of the femur bone and another into the top of the tibia; the graft will then be attached to the bones with a pin or a screw.
ACL reconstruction cost can be affected by the type of fixation device that is used and if there are any complications during the surgery. ACL knee reconstruction usually takes six months to a year to fully recover from.
It takes about six weeks for the graft to securely attach to the bone. Most patients use crutches for the first couple of weeks after surgery. By the end of the first six weeks after ACL reconstruction most patients have no further need of crutches or a knee brace, can walk up and down stairs, can drive, and can fully extend and bend the knee. From seven to twelve weeks most people are walking and going about their daily activities with no pain at all.
Around twelve weeks after ACL knee reconstruction patients can start jogging again. After the twelfth week, patients are able to be far more vigorous and active; most can safely jump, run and do exercise that is more strenuous.
By the six month, most people are completely healed and able to go back to participating in all the activities they enjoyed before they tore their anterior cruciate ligament.
However, some patients recover slower, and take nine months to a year to completely heal. Before patients get the green light from their doctor to return to unrestrained activity, they must pass a function profile test to ensure that the knee is completely healed. This test is also included in the overall ACL reconstruction cost and is absolutely necessary is it measures things like strength, mobility and balance of the reconstructed knee.
As with any surgery, there is a risk of both major and minor complications from ACL knee reconstruction. All patients suffer from some degree of pain and swelling after surgery; however, the rare person will have permanent pain in the reconstructed knee. It is a long time to wait, but research has shown that is important to wait until now to ensure the long term success of the operation.
There are differing opinions over the use of knee braces as part of ACL surgery recovery. There is little clinical evidence that wearing a knee brace reduces the risk of re-injury however it can help with proprioception and may help increase confidence. Discuss this with your surgeon and physio. Remember, everyone is different, and this is just a guide.
Don't get downhearted because things are taking longer than you had hoped. Follow the advice of your physio and make sure you stick to your personal rehab programme. Ninety percent of people get back to full function following surgery so be encouraged. Knee Swelling September 29, Resistance Band Exs September 30, Knee Injuries October 13, Find Out More.
This site complies with the HONcode Standard for trustworthy health information. Verify here. Excellent work. The explanations are so clear.
Thanks for your help and excellent work. Out of all the others, yours is so informational and easy to read. I will be putting the stretches and exercises into practise.
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