A quick guide to ACL reconstruction

Written in association with: Mr Shibby Robati
Published:
Edited by: Aoife Maguire

Esteemed consultant orthopaedic surgeon Mr Shibby Robati discusses everything you need to know about ACL reconstruction, including the best graft options, how you can improve your chances of a successful ACL reconstruction and how the procedure works in his practice.

 

 

Do I need ACL reconstruction surgery for my torn ACL?

 

Whether you need surgery for your torn ACL depends on several factors, including your age, activity level, the sports you participate in, and the stability of your knee. Generally, we prefer that patients first undergo a course of physiotherapy. If physiotherapy does not improve your condition, then we consider proceeding with surgery.

 

What type of graft is best for ACL reconstruction?

 

There are several graft options available for ACL reconstruction, including hamstring grafts, patellar tendon grafts, and quadriceps grafts. Personally, I prefer using a hamstring graft for primary cases and reserve quadriceps grafts for revisions or redo surgeries. Occasionally, patients have specific preferences, and I am always willing to discuss the pros and cons of each graft type with them.

 

How long is the recovery time after ACL reconstruction?

 

ACL reconstruction can be quite painful, so in my practice, I use keyhole techniques to help you return home the same day. I expect your wound to be fully healed in about two weeks, at which point you can begin your physiotherapy regimen diligently. By three months, you should be able to start running on the spot.

 

At six months, you can begin running, twisting, and participating in non-contact sports like tennis. By nine months, I anticipate you will be ready to resume contact sports such as football and rugby.

 

What are the risks of ACL reconstruction surgery?

 

Like any surgery, ACL reconstruction carries some risks, although they are generally small. One of the primary concerns is the potential for the graft to rupture. Fortunately, there are several measures you can take to minimise this risk. Other possible complications include stiffness, a patch of numbness near the scar, and blood clots. We implement various precautions to reduce the likelihood of these issues.

 

What can I do to improve my chances of a successful ACL reconstruction?

 

To maximise the success of your ACL reconstruction, it's crucial to adhere strictly to your physiotherapy protocol. Think of your exercises as a daily routine, much like brushing your teeth. Avoid returning to your usual sports activities too soon, as this significantly increases the risk of graft rupture.

 

Additionally, if you smoke, reducing or quitting altogether can greatly enhance your healing process. Finally, you should use common sense and avoid activities that could jeopardise your recovery.

 

 

If you require ACL reconstruction and would like to book a consultation with Mr Robati, do not hesitate to do so by visiting his Top Doctors profile today.

By Mr Shibby Robati
Orthopaedic surgery

Mr Shibby Robati is a consultant specialist in complex hip/knee conditions and sports based in the Hampshire area, with expertise in complex knee and hip surgeries, as well as sports injuries. His services include targeted joint injectionship replacement, knee replacement, ACL reconstruction, knee arthroscopy and cartilage/meniscal repair surgery. Mr Robati consults privately at Healthshare Clinic Winchester and at The Mottistone Suite, St Mary's Hospital.

Mr Robati has trained in a number of hospitals across the UK as well as internationally in world renowned North Sydney Orthopaedic and Sports Centre (NSOSC) in Australia. He has published in peer-reviewed journals, received awards and grants for furthering orthopaedic research, and authored the orthopaedic chapter of a popular surgical textbook. Additionally, he serves as a Clinical Lecturer and Orthopaedic Lead at the Surgical Sciences BSc programme at Kings College London Medical School.
 
He emphasises exhausting nonoperative measures before considering surgery and works closely with physiotherapists and other healthcare professionals. Mr Robati advocates for enhanced recovery for his patients and supports day case hip/knee replacement surgery and ACL reconstructions when suitable.

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