Knee Arthroscopy with ACL Reconstruction

.1. What is Knee Arthroscopy with ACL Reconstruction?
It is a minimally invasive knee procedure in which an arthroscope is used to examine and treat the joint while the torn ACL is reconstructed using a tendon graft.

2. When is this surgery recommended?
It may be recommended for significant ACL tears causing persistent instability, particularly in active individuals, athletes, or patients with associated meniscus, cartilage, or other ligament injuries.

3. How is the procedure performed?
Small incisions are made around the knee to introduce a camera and surgical instruments. The surgeon assesses the joint, treats associated injuries when necessary, prepares the ACL attachment sites, and positions and fixes the tendon graft.

4. What graft options are available?
Common grafts include the patient's hamstring, patellar tendon, or quadriceps tendon. Donor tissue may be considered in selected cases. Graft selection depends on factors such as age, activity level, anatomy, and previous surgery.

5. What associated knee problems can be treated during arthroscopy?
Meniscus tears, certain cartilage injuries, and other intra-articular problems can often be assessed and treated during the same operation when clinically appropriate.

6. What tests are required before surgery?
Clinical examination and MRI are commonly used to assess the ACL and associated structures. X-rays and routine preoperative investigations may also be required.

7. How long does the procedure take?
ACL reconstruction commonly takes around 1–2 hours, although the operation may take longer when meniscus repair or other additional procedures are performed.

8. What is recovery like?
Rehabilitation usually begins soon after surgery with controlled knee movement, strengthening, and progressive weight-bearing as advised. Return to high-demand sports generally requires several months and completion of appropriate functional rehabilitation milestones.

9. What are the possible risks?
Potential complications include infection, bleeding, blood clots, knee stiffness, persistent pain or instability, graft failure, and complications related to meniscus or cartilage treatment.

10. How can Medavelle help?
Medavelle can coordinate evaluation with an experienced orthopedic or sports-medicine specialist, arrange review of MRI and other records, obtain a personalized treatment estimate, and assist with hospital, travel, and rehabilitation arrangements in India.