The Long Journey Back From An ACL Tear
Few knee injuries are as severe or impactful as an anterior cruciate ligament (ACL) tear. The resulting pain and instability make walking and running difficult. For individuals like athletes, performing at the highest levels with this injury is nearly impossible. After diagnosis, ACL reconstruction is best to restore knee function. Some cases can benefit from arthroscopic ACL surgery. This innovative approach can provide immediate and long-term results.

What’s the big deal with an ACL tear?
The ACL is a critical ligament located in the knee that connects the thigh and leg bones. This ligament, along with the posterior cruciate ligament (PCL), provides stability and irregular movement. A sudden twist, fall, collision, or blow to the knee can rupture this ligament. The result is a popping sensation followed by pain, swelling, and instability. ACL tears often require extensive treatment, with most cases needing surgery.
Let’s get confirmation
A doctor or orthopedic surgeon can confirm the injury through a series of tests. A physical examination of the knee will determine if there is an extensive knee injury. An additional magnetic resonance imaging (MRI) scan will confirm if the ACL and any other tissue is damaged. The ACL injury will be graded between 1-3. Grade 1 is considered a sprain, grade 2 a partial tear, and grade 3 is a complete rupture of the ligament. Most grade 2 tears and almost all grade 3 tears require ACL surgery.
Turning to surgery
Surgery in the form of ACL reconstruction can restore knee mechanics and function. The procedure first removes the damaged ligament and tissue. A new tendon is inserted into the ACL space, which is anchored to the bones using screws and other surgical components. ACL repair can be done with a large, open incision. However, most patients receive arthroscopic ACL surgery. This process uses an arthroscope, a long, thin device with a light and camera attached to the end. Through incisions the size of a buttonhole, the ACL reconstruction is performed effectively.
Arthroscopic vs open surgery benefits
Arthroscopic ACL surgery uses smaller incisions versus a single incision several inches long at the front of the knee. The tiny access points lower the healing time while significantly reducing blood loss. For patients, this also reduces the chances of infection or complications. Arthroscopic surgery is an outpatient procedure that allows the patient to leave the hospital the same day. Outpatient surgeries are more convenient for patients and facilitate a faster recovery. Some patients also report less postoperative pain and fewer scars after healing. While arthroscopic surgery has many benefits, the procedure is not for everyone. The surgeon will determine if this technique is appropriate based on health, availability, and injury severity.
Bouncing back from surgery
ACL surgery removes and replaces the damaged ligament but does not immediately restore stability and knee function. Extensive physical therapy is required to improve mobility and range of motion. A physical therapist will help the patient perform stretching and strengthening exercises. These exercises increase in intensity as the weeks progress. ACL recovery can take up to 6 months. However, for athletes, an additional 3-6 months are required to return to fitness. Arthroscopic surgery can play a role in reducing the timeline and facilitating a smooth recovery.
Turn injury into triumph with arthroscopy
An ACL tear can mean months without running, jumping, or performing some work activities. The injury is especially devastating for athletes in contact sports like football, basketball, and soccer, affecting performance. An ACL tear is not a permanent injury. With arthroscopic surgery and a new graft, surgeons can help restore knee function. The benefits of minimally invasive surgery will extend into recovery, allowing patients to return stronger than ever.
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