When Early ACL Reconstruction Is Needed
A serious anterior cruciate ligament (ACL) injury can cause more than just temporary pain. ACL ruptures can cause instability in the knee, holding back athletes and non-athletes alike. Upon hearing an audible pop, individuals affected often feel immediate pain and swelling. In some cases, non-surgical treatment is an option, but other cases require early ACL reconstruction.
ACL injuries
A complex system of ligaments and tendons sustains and supports joints associated with the movement of the knee. In knee structures, the ACL can be a common injury, especially in athletes. There are approximately 100,000-200,000 ACL tears per year in the United States.
A deteriorating meniscus
When the ACL is not providing sufficient support in the knee, the meniscus cartilage pads have a higher risk of injury. The meniscus cushions the joint and allows bones to glide against each other. The menisci are also the knee’s shock absorbers. If ACL tears are left untreated or are treated too late, the meniscus can get torn, and a patient’s risk of developing osteoarthritis can increase.
ACL and meniscus repair
ACL reconstruction and meniscus repair are some of the most commonly performed arthroscopic surgeries. People with a torn ACL are at greater risk of damaging the meniscus. Data shows that 60% of patients with an ACL tear will also have a torn meniscus. Fortunately, almost all ACL reconstruction surgeries have a high success rate.
A torn ACL requires surgical grafting to replace the tissue. While doctors may use the patient’s tendons, human donor tissue can also be used. After the surgery, patients are recommended to attend rehabilitation programs to improve the range of motion, flexibility, and strength of the surrounding muscles. Recovery times can range between 6-9 months.
Early ACL reconstruction is recommended
There are many studies that have found that significant delays in ACL reconstruction can increase the risk of meniscus and cartilage damage. Early ACL reconstruction can improve stability, range of motion, muscle power, and postural control.
Is there such a thing as too early?
There are no standard timelines for when ACL reconstruction surgery should be done. Generally, patients are advised to avoid using the affected leg. Additionally, elevating the leg, applying ice, and taking pain reduction medications can help after an injury.
When to consider early ACL surgery
An ACL reconstruction is typically performed between 3-6 weeks after an injury. Swelling and inflammation must subside before performing the surgery. Getting surgery done too early can increase the patient’s risk of developing arthrofibrosis, or heavy scarring. Doctors consider nearby injuries, pain level, range of motion, and muscle control before moving forward with early ACL reconstruction to prevent complications down the line. Patients with an ACL injury should speak with a healthcare provider about treatment and reconstruction options.
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“Anesthesia staff was outstanding!”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“Everyone was friendly and the place was very clean.”
“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
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“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“Everyone was concerned with my comfort.”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“Everyone was concerned with my comfort.”
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