SERVICES
KNEE | SURGICAL PROCEDURES
Acl Reconstruction
What is ACL reconstruction?
The surgical procedure known as anterior cruciate ligament (ACL) reconstruction uses a graft to repair a torn or damaged ACL in the knee. One of the main knee ligaments, the ACL, aids in stabilising the joint and preventing it from giving way while engaging in physically demanding activities. When the knee is suddenly twisted or extended, such as during a sports injury, a tumble, or a car accident, an ACL tear may follow. The injury may result in severe knee discomfort, swelling, and instability, making engaging in physical activity or carrying out regular activities challenging. The damaged or torn ligament must be removed and replaced with a graft made of the patient's tissue—such as the hamstring or patellar tendon—or, alternatively, from a donor.
How does Dr van Niekerk perform the procedure?
Under general anaesthesia, ACL reconstruction is commonly done as an outpatient treatment. The procedure can be carried out using arthroscopic techniques, which entail several minute incisions in the knee joint, a tiny camera, and specialised tools. The surgeon will remove the ACL during the operation. The patellar tendon, hamstring tendon, or quadriceps tendon are frequently used as grafts, along with other parts of the patient's own body or those from donors. Following preparation and positioning, the graft is placed in the location of the original ACL and fastened with screws or other hardware.
What is recovery like?
The initial healing phase usually lasts a few weeks, during which you will be advised to rest the knee and keep it as elevated as possible to help with pain relief and minimise swelling. You will be instructed to walk with crutches for the first several weeks following surgery to prevent weight bearing on the knee. Physical therapy is crucial to healing and usually starts a few days after surgery. Physical therapy enhances the range of motion of the knee and the strength and stability of the knee. For a few weeks following surgery, you will be required to wear a knee brace to help preserve the knee as it heals. A few weeks after surgery, you can start engaging in light, low-impact activities, depending on your progress. More demanding workouts and activities can be introduced gradually as the patient's strength and range of motion improve. In order to guarantee a secure and effective recovery, it's crucial to adhere to the post-operative instructions provided by Dr van Niekerk and your physical therapist and to attend all scheduled follow-up sessions.
FAQ
ACL reconstruction surgery can be done in one to two hours, while more complicated cases may require more time.
A full recovery and return to normal activities could take several months to a year.
After surgery, people with less physically demanding occupations may be able to go back to work in one to two weeks. In contrast, others with more physically demanding employment may need several weeks or months off. Depending on your unique situation, Dr van Niekerk and the physical therapist will typically give detailed directions on when you can return to work. It is crucial to adhere to these guidelines precisely and avoid returning to work too soon, as doing so increases the risk of re-injury and slows the healing process.
