

Restore normal or almost normal stability in the knee.It may have fewer risks than open surgery.Īrthroscopic surgery is done under regional (such as spinal) anesthesia or general anesthesia.It can be done at the same time as diagnostic arthroscopy (using arthroscopy to find out about the injury or damage to the knee).It uses smaller incisions than open surgery.It makes it easy to see and work on the knee structures.Many orthopedic surgeons use arthroscopic surgery rather than open surgery for ACL injuries because: And they may try to change their activity levels to protect their knees from further injury. These people may choose nonsurgical treatments. Surgery may not be the best treatment for people with medical conditions that make surgery a greater risk. In adults, age isn't a factor in surgery, but your overall health may be. footnote 1 Many experts recommend starting exercises to increase range of motion and regain strength shortly after the injury. footnote 1 Some experts believe that surgery should be delayed until the swelling goes down, you have regained range of motion in your knee, and you can strongly contract (flex) the muscles in the front of your thigh (quadriceps). Surgery that's done right away after the injury has been linked with increased fibrous tissue leading to loss of motion (arthrofibrosis) after surgery. In reconstruction of a partial or complete tear of the ACL, the best time for surgery is not known. In some cases, it is done by cutting a large incision in the knee (open surgery). (This is a separation of the ligament and a piece of the bone from the rest of the bone.) In this case, the bone fragment connected to the ACL is reattached to the bone.ĪCL surgery is usually done by making small incisions in the knee and inserting small tools for surgery through these incisions (arthroscopic surgery). Repair surgery typically is used only in the case of an avulsion fracture.Sometimes the quadriceps tendon from above the kneecap is used. The most common grafts are autografts using part of your own body, such as the tendon of the kneecap (patellar tendon) or one of the hamstring tendons. ACL reconstruction surgery uses a graft to replace the ligament.Surgery for anterior cruciate ligament (ACL) injuries reconstructs or repairs the ACL.
