Depending on the type of ACL surgery you have, you may go home the same day or spend a few days in the hospital. You will do physical rehabilitation for several months to a year. Your rehab will continue until your knee is stable and strong. It takes most people at least 6 months to return to activity after surgery. Surgery with rehabilitation offers the best chance for making your knee stable again. Most people will regain enough strength and range of motion to return to their usual activities.
All surgery has risks, including bleeding, infection, and nerve damage. Your age and your health also affect your risk. Other risks of surgery or problems that occur after surgery include: Loss of motion to the knee joint. Grating grinding of the kneecap. Try rest, exercise, and rehabilitation Try rest, exercise, and rehabilitation You rest and reduce activity. Your doctor may suggest that you use crutches or a splint.
You use ice for swelling. You wrap your knee with an elastic bandage and keep it propped up on a pillow when you sit or lie down. You take anti-inflammatory medicines for pain. You do physical rehabilitation until your knee is stable. Rest and rehab may be enough to heal your injury or at least make it stable enough so that you can do some activities.
If you decide to have surgery later, you will be in better condition for it because of your rehab program. You avoid the risks of surgery.
You won't be able to keep doing activities that caused your injury. You may not regain full use of your knee. Personal stories about having surgery for an ACL injury These stories are based on information gathered from health professionals and consumers. What matters most to you? Reasons to choose ACL surgery Reasons to choose rest, exercise, and physical rehabilitation. I need a healthy knee for work. My work does not depend on my having a healthy knee.
I'm active and involved in sports, so I need a healthy knee. I'm not that active or involved in sports. I accept the risks of surgery. I don't want to have surgery for any reason. I can commit to a long rehabilitation program after surgery. My other important reasons: My other important reasons:. Where are you leaning now? ACL surgery Rest, exercise, and physical rehab. What else do you need to make your decision? Check the facts. Yes Sorry, that's not right.
Surgery with physical rehabilitation offers the best chance to have a stable knee and an active lifestyle. No You are right. I'm not sure It may help to go back and read "Get the Facts. Yes You are right.
If you're willing to do several months of rehab first, you might want to try it before surgery. No Sorry, that's not right. Decide what's next. The degree to which this instability interferes with their lifestyle will go a long way in determining whether surgery is indicated. Longer-term, patients with an ACL injury may have repeated episodes of instability in the knee affecting surrounding structures including the meniscus or cartilage.
If the surrounding structures are damaged, knee pain and disability may occur, and surgery may be inevitable. Further, if the patient experiences a combined injury — for example an ACL tear and a meniscus tear , surgery is usually the best course of action. Children whose growth plates are still open are less likely to undergo surgical repair of an ACL tear due to the potential for stunted growth.
When a patient comes to us looking to have their ACL reconstructed, we first make sure that they are a good candidate for a safe surgery. Generally speaking, surgery to rebuild the ACL is very effective and the risks of surgery are relatively low in part because it is most often performed arthroscopically and also because Dr.
We can fix the ACL but we don't do a good job at fixing the joint surface cartilage. Injury to this cartilage means early and progressive arthritis. There is now a testing battery that can identify players who can function without the ACL.
Athletes that can return to activity without ACL surgery have been described as "copers" being able to cope without an intact ACL. But it turns out that most people do not qualify as copers and the risk of returning to play without having corrective surgery is so great that most will not choose that route. There are a few circumstances where an athlete might choose to rehab and play without surgery such as the national championship game for a college player or the state championship event for a high school player.
For athletes, because the risk of permanent damage is so great, we advise against non-operative treatment.
In general, an ACL injury occurring in a young athlete or in a middle aged athlete unwilling to change his or her activity level requires surgery to safely return to sports. Updated visitor guidelines. Symptoms Some people have minimal to no pain, minimal swelling and feel like they could play, but be careful.
The typical symptoms of an ACL tear or injury include: A loud popping sound at the moment of injury Inability to bear weight on your leg Instability Severe knee pain at the moment of the injury and more pain when you try to stand Swelling Diagnosis When you come to the University of Michigan: We will take your medical history, ask you about your pattern of symptoms and conduct a clinical exam.
Then we will use all of this information to develop an individualized treatment plan for you. Surgery for an ACL Injury We consider non-surgical treatments first, but if the tear is complete and the knee is unstable, or the knee doesn't heal with non-surgical treatment, surgery may be necessary. We are very experienced in the three major types of ACL reconstructive surgery that are done arthroscopically by inserting a specially designed illuminated scope into the joint through a small incision: Patella tendon-bond autograft - With this surgery, we remove the central one-third of the patella tendon along with a piece of bone at the attachment sites at the kneecap and tibia.
Hamstring autograft - We take two tendons from the hamstring muscles and wrap them together to form the new ACL. Grafts - We do both allografts in which we use a donor tissue from a tissue bank and autographs in which we would use your hamstring tendon or the middle third of your patella tendon. We also do partial and full knee replacements when necessary.
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