The Anterior Cruciate Ligament (ACL) is an essential stabilising ligament in the knee. When the ACL is torn, it doesn’t heal naturally, often resulting in knee instability.
Fortunately, ACL reconstruction is a commonly performed surgery to restore stability to the knee. Many of these surgeries are now performed arthroscopically using minimally invasive techniques, which result in smaller incisions and faster recovery times.
For adult patients, both traditional ACL reconstruction surgery and All-Inside ACL reconstruction surgery involve replacing the torn ACL with a tendon graft, such as a hamstring, quadriceps, or cadaver tendon graft. This graft acts as a substitute for the damaged ligament, promoting knee stability.
All-Inside ACL Reconstruction is an innovative, minimally invasive alternative to traditional ACL reconstruction surgery. This advanced technique offers numerous benefits over conventional methods, including quicker recovery times and reduced post-operative discomfort.
It’s worth mentioning that All-Inside ACL reconstruction is a technically challenging procedure. Patients can take comfort in knowing that Professor Munjed Al Muderis brings extensive experience and proficiency to this surgery.
For individuals contemplating ACL reconstruction, discussing the possibility of All-Inside ACL reconstruction with their doctor is advisable. This innovative approach offers a smoother recovery and a faster return to an active lifestyle.
Repairing a torn meniscus is a precise procedure that demands meticulous care until complete healing is achieved. The approach taken depends on the specific nature of the injury and may include suturing the tear, knee arthroscopy, or partial meniscectomy. These procedures may be combined with traditional ACL reconstructive surgery.
LARS (Ligament Augmentation and Reconstruction System) ligaments are innovative artificial ligaments used for the reconstruction of ruptured ligaments, either intra-articular or extra-articular.
Advantages of LARS:
Utilising LARS ligaments significantly reduces surgery time as there is no need for additional graft harvesting. As a result, patients can anticipate a quicker return to full function compared to ACL reconstruction using hamstring or patella tendon grafts. The advantage of LARS ligaments lies in their ability to promote healing of the original ligament tissues without the need for traction.
ACL (Anterior Cruciate Ligament) reconstruction surgery is a procedure designed to replace a torn or ruptured ACL in the knee. Here’s an overview of the surgical approach:
Preparation: The patient is positioned on the operating table, and the surgical team cleans and sterilizes the surgical site.
Anesthesia: General or regional anesthesia is administered to ensure the patient is pain-free and unconscious during the procedure.
Incisions: Small incisions are made around the knee joint. These serve as access points for arthroscopic instruments, allowing the surgeon to visualize the knee’s interior.
Arthroscopy: An arthroscope, a small, tube-like camera, is inserted through one of the incisions. This provides a clear view of the joint’s interior, including the torn ACL.
Graft Harvest: If an autograft is being used, typically a portion of the patient’s own hamstring, patellar tendon, or quadriceps tendon is harvested through a separate incision. Alternatively, an allograft (donor tissue) may be used.
Tunnel Creation: The surgeon drills small tunnels in the tibia and femur to place the graft. These tunnels serve as anchor points for the new ACL.
Graft Fixation: The graft is threaded through the tunnels and secured in place using screws or other fixation devices.
Closure: The incisions are closed with sutures or staples, and dressings are applied.
Recovery: The patient is moved to the recovery room, where they begin the process of awakening from anesthesia.
Duration: The entire surgical procedure typically takes between one and two hours, ensuring a faster and smoother recovery.
ACL reconstruction is often performed as an outpatient procedure, allowing patients to return home the same day or following a short hospital stay. Post-operative rehabilitation and physical therapy are essential components of the recovery process to optimize knee function and stability. Patients typically regain their mobility gradually over several months.
Upon discharge, the medical team will remove the large outer dressing, leaving a waterproof dressing in place. Additionally, they may apply a tube-grip bandage for added support.
Whether or not a brace or immobilisation is necessary following surgery will be determined by your surgeon’s recommendation, as individual cases may vary.
To reduce swelling, patients should apply ice regularly for 20-minute intervals until the swelling subsides.
Follow-Up: Regular follow-up appointments with the team will help monitor your progress and address any concerns:
Physiotherapy should begin between two and five days after surgery, with the goal of achieving a quick return to a full range of motion and strengthening the quadriceps and hamstring muscles.
Range of motion:
Returning to full activity should be approached with caution to avoid overexertion and stress on the knee.
It is crucial for patients to diligently follow the instructions of the medical team and physiotherapist to ensure a successful recovery and a safe return to an active lifestyle.
If patients are worried about their level of pain, experience significant bleeding, or notice fever or redness around the surgical site, they should contact the office immediately. If assistance is needed after hours, patients can contact the hospital where the surgery was performed, and they will contact Professor Al Muderis on their behalf.
Norwest Private Hospital: (02) 8882 8882
Macquarie University Hospital: (02) 9812 3000