Anterior Cruciate Ligament (A.C.L) Surgery

Historically ACL surgery has been done purely arthroscopically for over 20 years. The operation is usually performed as a day procedure but some patients may stay overnight. The re-rupture rate is approximately 4 per cent and this has many relating factor including age of the patient, activity level and collagen disease.

Prior to the ACL surgery the knee arthroscope is inserted into the joint and a visual inspection is made. Any associated pathology may be addressed at this stage. The formal ACL surgery then begins with obtaining the ACL graft, which is usually the hamstring by hands. The graft is placed in a 4-strand configuration and tied at both ends. Bony tunnels are made in the femur and tibia and the graft inserted usually with a endobutton and a bioabsorbable screw in the tibial surface. The appropriate tension is made during the surgery.