Anterior cruciate ligament ACL: Arthroscopic reconstruction of the anterior cruciate ligament - a repair operation

Currently, standard cruciate ligament reconstruction is the minimally invasive method of arthroscopic surgery.

Arthroscopy is a surgical procedure involving the introduction of a thin, rigid optical element ended with a video camera that allows us to visualise the inside of the joint. A small incision in the skin (about 1 cm) is used for access. A second incision introduces the working unit for performing an operation inside the joint.

All renowned centres around the world abandoned any treatments that required open knee surgery due to high trauma (damage) of adjacent soft tissue and low precision of this type of surgery. Furthermore, open-joint treatments prevent proper definition of anatomical points or any proper assessment of possible damage to the ligaments, etc. The arthroscopic technique uses an endoscopic camera with video channelling and microinstrumentarium, which allow for accurate and complete examination of the internal structures of the oral fluid and a precise execution of the various phases of remedial treatments. All anterior cruciate ligament reconstruction using arthroscopic techniques are conducted by the Clinic without opening the joints.

Arthroscopic reconstruction of the anterior cruciate ligament

This modern surgical technique, developed and mastered over the years, has many advantages and gives certain benefits:

  • high-precision surgery
  • no need for several weeks of immobilisation in a cast or orthopaedic apparatus
  • rehabilitation (exercises of the knee) can start as soon as the first day  after the reconstruction
  • it is possible to immediately partially load the limb in almost all cases
  • very good cosmetic result - just a small scar
  • shorter hospital stay - does not exceed 2-3 days
  • crutch use may be discontinued as soon as 6 weeks after surgery, with possible full loading of the limb
  • driving a car is possible just after 2-3 weeks
  • reduced time and cost of treatment
  • enables a quick return to sports

Stages of arthroscopy treatment of anterior cruciate ligament reconstruction

  • arthroscopic evaluation of the ligament and other internal structure damage
  • collecting selected tendons for autograft
  • drilling bone tunnels in the tibia and the femur (in anatomical points) - a decisive moment for the success of the procedure
  • locating the graft in the tunnels
  • stabilisation of the graft in the tunnel, using proper tension

What to do before an arthroscopic anterior cruciate ligament reconstruction

Before the operation, we recommend intensive rehabilitation to improve the muscle mass and the strength in the knee, achieving a full range of motion. With a properly exercised knee, and a full and painless range of motion, the results of reconstructive surgery of the knee ligaments are significantly better.

Methods for arthroscopic reconstruction of the anterior cruciate ligament:

  • single-bundle reconstruction of the anterior cruciate ligament
  • double-bundle reconstruction of the anterior cruciate ligament