Symptoms, Treatment & Recovery
The anterior cruciate ligament (ACL) is one of the four major ligaments that stabilize your knee. Its main job? To prevent your shin bone (tibia) from sliding out in front of your thigh bone (femur) and to maintain the rotational stability of your knee.
An ACL tear happens when this ligament is overstretched or torn, often during sports, sudden movements, or twisting injuries. It can lead to pain, swelling, instability, and reduced mobility.
1. Nonsurgical Treatment
Not all ACL injuries require surgery. In the early phase, treatment often includes:
Nonsurgical treatment is usually advised for less active individuals or in the early recovery phase.
2. Surgical Treatment
Surgery is recommended if:
The standard procedure is ACL reconstruction, not repair, due to a higher failure rate of direct repair.
ACL reconstruction uses a graft (tissue) to build a new ligament. Common graft options include:
The procedure is done using keyhole (arthroscopic) surgery, involving small incisions and specialized instruments to insert the graft and secure the knee joint.
While generally safe, ACL surgery may have some risks:
However, serious complications are rare and most patients recover well with proper rehab.
ACL injuries are common, especially in sports and active lifestyles. Fortunately, with the right treatment plan — whether conservative or surgical — most patients return to their usual activities. Dr. Ulhas Sonar emphasizes shared decision-making, helping each patient choose the path that fits their needs and goals best.
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