The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments in the human knee. The anterior cruciate ligament is one of the four main ligaments of the knee, and the ACL provides 85% of the restraining force to anterior tibial displacement at 30 degrees and 90 degrees of knee flexion.
Surgery for Anterior Cruciate Ligament injuries involves reconstructing or repairing the ACL.
- ACL Reconstruction surgery uses a graft to replace the ligament.
- Repair surgery is used only in the case of an avulsion fracture (a separation of the ligament and a piece of the bone from the rest of the bone). In this case, the bone fragment connected to the ACL is rejoined to the bone.
ACL surgery is usually done by making small incisions in the knee and inserting instruments for surgery through these incisions (arthroscopic surgery). In some cases, it is done by cutting a large incision in the knee (open surgery).
ACL surgery for
The goal of ACL surgery is to restore normal stability in the knee and the level of function you had before the knee injury, limit the loss of function in the knee and prevent injury or degeneration to other knee structures.
Who require ACL Surgery
- Have completely torn your ACL or have a partial tear and your knee is very unstable.
- Have gone through a rehab program and your knee is still unstable.
- Active in sports or haveing a job that requires knee strength and stability and you want your knee to be as strong and stable as it was before your injury.
- Are willing to complete a long and rigorous rehab program.
- Have chronic ACL deficiency, which is when your knee is unstable and affecting your quality of life.
- Have injured other parts of your knee, such as the cartilage or meniscus, or other knee ligaments or tendons.
- You may choose not to have surgery if you:
- Have a minor tear in your ACL (a tear that can heal with rest and rehab).
- Are not very active in sports, and your work does not require a stable knee.
- Are willing to stop doing activities that require a stable knee or stop doing them at the same level of intensity. You may choose to substitute other activities that don’t require a stable knee, such as cycling or swimming.
- Can complete a rehab program that stabilizes your knee and strengthens your leg muscles to reduce the chances that you will injure your knee again and are willing to live with a small amount of knee instability.
- Do not feel motivated to complete the long and rigorous rehab program necessary after surgery.
- You have medical problems that make surgery too risky.
Cost of Anterior Cruciate Ligament
The cost of Anterior Cruciate Ligament surgery varies from $1,500 to $5,000 depending on other factors and one geographic area to another.