ACL Tears

How do I know if I might have a tear?

If your knee popped and then swelled 30-45 minutes later, you may have an ACL tear. After the initial swelling goes away the knee may feel almost normal for a while. Unfortunately, a knee with a torn ACL keeps “giving out” and the swelling returns after each episode. Over time, these episodes can lead to arthritis.

What might have caused the tear?

ACL tears are usually caused by a twisting injury to the knee that occurs when the foot is planted and sticks on the ground while the knee rotates on the fixed foot. The ACL may also be torn if the knee bends backward (hyperextends).

How long does the procedure last?

The operation to recontruct a torn ACL generally takes between 60 and 100 minutes in our hands.

Will I have to go under general anesthesia?

Yes. The general is also supplemented by a nerve block to help reduce pain when you wake up.

Will I have to stay in the hospital overnight?

No. ACL surgery is now performed on an outpatient basis.

What will the aftercare be?

You will be in a brace for 4-5 weeks after surgery. You can plan to be on crutches for about a week. You may remove your bandage 48 hours after surgery. After the initial bandage has been removed, you may shower.

How long will I be in physical therapy?

Therapy will begin 2-4 days after surgery and is generally continued for about 6 weeks after surgery. Once therapy is completed, you will have to continue strengthening exercises at a gym or health club for another 3-6 months.

How long will I be out of work?

You can expect to be out of work for at least 2 weeks after surgery to reconstruct the ACL. You may be out for a longer period of time if your work requires heavy lifting, working at heights, running or jumping.

How long until I can resume normal activities?

After an ACL reconstruction, most patients can resume normal activities (except for cutting and jumping sports) at about 6 weeks after surgery.

How long before I can play sports?

Jogging is usually permitted at 6 weeks after surgery. Golf is allowed at 3 months. Generally, 41/2 to 6 months are required before athletes can return to aggressive cutting sports such as football, soccer and basketball after an ACL reconstruction.