ACL Reconstruction at Rivers Hospital

What is ACL?

We’ve all heard about it, but what is ACL? Your ACL is your anterior cruciate ligament, a band of fibrous tissue that joins your thigh and shin bones together at your knee joint. It helps to stabilise your knee when you perform front to back and pivoting or twisting movement.

Here at Ramsay we understand the pain and anxiety that an ACL knee injury can cause and, the importance of early surgery to prevent further damage and to get you back to enjoying your daily activities and sporting pursuits as soon as possible.

We endeavour to offer our patients rapid appointments with an expert orthopaedic knee surgeon. Our hospitals are fully equipped with modern facilities to perform ACL reconstruction and onsite support services such as physiotherapy and imaging.

ACL knee injuries can happen whilst taking part in sports such as skiing, tennis, squash, football and rugby. They are a common types of knee injury where your ACL ligament is torn or ‘ruptured’.

An ACL rupture may stop you from doing your normal activities or sports as your knee loses its full range of motion, becomes unstable and painful. Your knee may give way or it may feel like it is giving way. ACL repair surgery, known as ACL reconstruction, may then be recommended to rebuild your torn ligament.

The benefits of successful reconstruction ACL surgery are that your knee should be stabilised and therefore not give way anymore. ACL keyhole surgery aims to relieve your pain and allow you to be more active and return to playing some or all of your sports such as football, rugby, netball or skiing. It also reduces your risk of further knee injury.

ACL reconstruction surgery is a usually performed as a keyhole procedure so that it is less invasive than if it were performed using open surgery. This means patients benefit from less pain, minimised risk of infection and, a faster recovery.

Arthroscopic ACL reconstruction is carried out under general anaesthetic or a spinal anaesthetic and typically takes about an hour.

Your surgeon will then make small cuts in the skin over your knee and insert a thin, flexible tube with a light and camera on the end of it, known as an arthroscope, to see inside your knee.

The remnants of your torn ACL are removed and replaced using a graft usually taken from taken from your patellar tendon or hamstring. Sometimes a graft from a donor will be used.

The replacement ligament graft is fixed into place with special screws drilled into holes in your bones.

ACL reconstruction is a surgical operation and therefore carries the general risks of surgery including: excessive bleeding, wound infection, developing a blood clot or, an unexpected reaction to the anaesthetic.

Complications specific to ACL reconstruction surgery include:

Graft failure when the graft tears.
Kneecap break.
Nerve damage.
Knee joint infection.
Numbness.
Knee joint remains unstable.
Stiffness or less movement than you had before your injury.

If you decide to pay for your treatment, Ramsay offer an all-inclusive Total Care package, where a single one-off payment at a pre-agreed price, delivering direct access to all the treatment you need for complete reassurance. You can also spread the cost of your treatment with finance options available.

An ACL Reconstruction may be covered by your medical insurance policy. We advise you to check directly with your insurance provider and get written confirmation before commencing treatment.

You may be able to go home the same day as your surgery or it may be recommended for you to stay overnight following your ACL reconstruction treatment.

One of our experienced physiotherapists will give you guidance on exercises and a rehabilitation programme to help you recover as quickly as possible.

You will need to follow your knee surgeon’s advice regarding driving and going back to work as everyone’s recovery rate is different.

An ACL reconstruction recovery typically takes approximately 6 months but it can take up to a year. Most people return to their sporting activities six months after their operation.

Rivers Hospital Specialists

Mr Charles H Aldam

Mr Aldam is a Consultant Orthopaedic Surgeon in Hertfordshire specialising in joint replacements, revision hip and knee surgery, arthroscopy, back problems and sciatica
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Mr Paul Allen

Mr Paul Allen is a Consultant Orthopaedic Surgeon in Sawbridgeworth, Hertfordshire who specialises in knee replacements.
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Mr David George

Mr David George is a Consultant Orthopaedic surgeon with a special interest in hip and knee surgery.
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Mr Rashid Khan

Mr Rashid Khan is a Consultant Orthopaedic Surgeon specialising in hip replacements and all knee disorders including knee replacements, trauma, sports injuries and anterior cruciate ligament ruptures.
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Mr Dennis Kosuge

Mr Kosuge is a Consultant Trauma and Orthopaedic Surgeon in Hertfordshire, with a subspecialist interest in hip and knee surgery.
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Mr Satish Kutty

Consultant Orthopaedic Surgeon, Mr Kutty, specialises in hip and knee disorders including trauma, sports injuries of the hip, hip and knee replacements in young adults.
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Mr Jeh Mahaluxmivala (Mr Jeh Maha)

Mr Jeh Mahaluxmivala (pronounced ma-ha-lux-mi-vala) known as Mr Jeh, is a Consultant Orthopaedic Surgeon in Sawbridgeworth with a special interest in knee and hip surgery
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Mr Unnikrishnan Ramkumar

Mr Ramkumar is a Consultant Orthopaedic Surgeon in Sawbridgeworth, Hertfordshire who specialises in hip and knee procedures in Sawbridgeworth, Hertfordshire
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Mr Tarun Taneja

Mr Tarun Taneja is a Consultant Orthopaedic Surgeon who specialises in knee surgery.
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ACL Reconstruction