ACL Reconstruction
This page will provide you with information about having an ACL reconstruction procedure. For further details, please speak to your consultant.
What is the anterior cruciate ligament?
The anterior cruciate ligament, or ACL, is one of the key ligaments in your knee joint that gives it stability. If this ligament is torn (ruptured) it can cause the knee to collapse or ‘give way’ when you make twisting or turning movements.

How does an ACL rupture occur?
A tear or rupture to the anterior cruciate ligament can happen as a result of a twisting injury commonly associated with skiing and playing football. Other parts of the knee can also be injured at the same time; these include damaging the joint surface and tearing the cartilage.
What are the benefits of surgery?
A successful ACL reconstruction should ensure that your knee no longer gives way. It will help you to be more active and hopefully resume some or all of your sporting activities.
What are the alternatives to surgery?
Alternatives to surgery include wearing a knee brace or performing exercises from your physiotherapist to improve the co-ordination and strength of your thigh muscles.
What will happen during the surgery?
An ACL reconstruction takes approximately an hour to an hour and a half with an assortment of anaesthetic techniques available.
One or more cuts will be made around the knee by your surgeon. They may opt for keyhole surgery (arthroscopy) where a camera is used to look inside the knee.
The anterior cruciate ligament will be replaced with an appropriate piece of tissue from another part of the body. It will be secured by fixing its ends into the bone with special screws or anchors.
Risks and complications
Any risks or complications will be discussed in advance of your treatment with your expert consultant.
Recovery
In general, you should be able to go home the same day or the day after the operation.
You may be required to wear a knee brace for a few weeks following the ACL reconstruction.
Intensive physiotherapy will begin once your knee has started to heal and could continue for as long as six months.
With the help of regular exercise you should be able to resume normal activities as soon as possible.
Remember to seek advice from your GP or healthcare professional before starting exercise.
Your knee may never be quite as good as it was before you sustained the original injury.
Summary
An ACL reconstruction helps offer more stability if your knee continually gives way after an ACL rupture. This is beneficial on a daily basis and improves your chances of resuming sporting activities that may not be possible without an ACL reconstruction.
References:
EIDO Healthcare Limited – The operation and treatment information on this website is produced using information from EIDO Healthcare Ltd and is licensed by Aspen Healthcare.
The information should not replace advice that your relevant health professional would give you.
ACL Reconstruction Consultants
Qualifications
MS(Orth) MCh(Orth) FRCS(Orth)
Clinical Interests
Mr Adhikari is a leading Orthopaedic Knee Surgeon with over 20 years experience based in SW London. He deals with surgical...
Qualifications
MS(Orth) MCh(Orth) FRCS(Orth)
Clinical Interests
Mr Adhikari is a leading Orthopaedic Knee Surgeon with over 20 years experience based in SW London. He deals with surgical...
Qualifications
MB BS FRCS (ENG) FRCS (Orth)
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Revision surgery following implant failure
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MB BS FRCS (ENG) FRCS (Orth)
Clinical Interests
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Revision surgery following implant failure
Infected hip and knee replacements
Mako...
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MD FRCS (Orth)
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Adult Knee
Non-operative, injection and surgical techniques
Keyhole arthroscopy surgery and open procedures
Meniscus...
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MD FRCS (Orth)
Clinical Interests
Adult Knee
Non-operative, injection and surgical techniques
Keyhole arthroscopy surgery and open procedures
Meniscus...
Qualifications
MB BCh BAO MMedSc (Anatomy) FRCSI (Trauma)
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Hip and knee surgery, including joint replacement surgery
Knee ligament reconstruction
Pelvic and acetabular and complex...
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MB BCh BAO MMedSc (Anatomy) FRCSI (Trauma)
Clinical Interests
Hip and knee surgery, including joint replacement surgery
Knee ligament reconstruction
Pelvic and acetabular and complex...
Qualifications
MBBS (Lond) MRCS (Eng) FRCS Tr & Orth (Eng)
Clinical Interests
Sports-related knee injuries
Arthroscopic knee surgery specialist
Anterior cruciate ligament rupture, reconstruction...
Qualifications
MBBS (Lond) MRCS (Eng) FRCS Tr & Orth (Eng)
Clinical Interests
Sports-related knee injuries
Arthroscopic knee surgery specialist
Anterior cruciate ligament rupture, reconstruction...
Qualifications
MBChB 2000, MRCS 2006, FRCS(Tr&Orth) 2013
Clinical Interests
Arthroscopic Anterior Cruciate Ligament Reconstruction and Revision ACL Surgery
Arthroscopic meniscal and cartilage...
Qualifications
MBChB 2000, MRCS 2006, FRCS(Tr&Orth) 2013
Clinical Interests
Arthroscopic Anterior Cruciate Ligament Reconstruction and Revision ACL Surgery
Arthroscopic meniscal and cartilage...
Qualifications
MA(Hons) FRCSEd(Orth)
Clinical Interests
Mr Heilpern is a highly experienced specialist knee and shoulder surgeon.
Performs all aspects of knee surgery including...
Qualifications
MA(Hons) FRCSEd(Orth)
Clinical Interests
Mr Heilpern is a highly experienced specialist knee and shoulder surgeon.
Performs all aspects of knee surgery including...
Qualifications
MBBS BSc FRCS (Orth/Tr)
Clinical Interests
Mr Nick Morgan is a Consultant Orthopaedic Knee Surgeon here at Wimbledon Clinics and is dedicated to helping relieve...
Qualifications
MBBS BSc FRCS (Orth/Tr)
Clinical Interests
Mr Nick Morgan is a Consultant Orthopaedic Knee Surgeon here at Wimbledon Clinics and is dedicated to helping relieve...
Clinical Interests
Total hip replacement
Knee replacement
Knee arthroscopy
Fracture fixation
Complete management of traumatic and sports...
Clinical Interests
Total hip replacement
Knee replacement
Knee arthroscopy
Fracture fixation
Complete management of traumatic and sports...
Qualifications
FRCS (Orth)
Clinical Interests
Mr Oliver Templeton-Ward is a Consultant Orthopaedic Knee Surgeon offering expertise in reconstructive surgery for sports...
Qualifications
FRCS (Orth)
Clinical Interests
Mr Oliver Templeton-Ward is a Consultant Orthopaedic Knee Surgeon offering expertise in reconstructive surgery for sports...
Qualifications
MS FRCSEd (Orth)
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Foot surgery and knee and ankle injuries
Ligament reconstruction of the knee and ankle
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MS FRCSEd (Orth)
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Foot surgery and knee and ankle injuries
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Arthroscopic surgery of the...
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FRCSOrth FRCSEd
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Hip surgery, lower limb joint replacement and revision surgery.
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FRCSOrth FRCSEd
Clinical Interests
Hip surgery, lower limb joint replacement and revision surgery.