An anterior cruciate ligament (ACL) tear is an injury of the knee joint, and it usually happens while playing sports. It causes leg pain and instability of the knee. This is also one of the most common injuries among recreational athletes of all ages.
An ACL tear is diagnosed by a physical examination. You may need an imaging study such as an X-ray to determine whether you also have other injuries (like a bone fracture).
Depending on the extent of your injury and the severity of your symptoms, you may need treatment with physical therapy, a supportive brace, or surgery. Often, rehabilitation is part of recovery after surgical treatment.
The usual surgery for an ACL tear is called an ACL reconstruction. A repair of the ligament is not usually possible, so the ligament is reconstructed using another tendon or ligament.
The are several different approaches to ACL surgery, and your healthcare provider will explain which of these is best for you. For example, several types of graft can be used to reconstruct the torn ACL. Your practitioner can use one of your own ligaments or you can use a donor graft. Typically, using your own ligament results in stronger healing.
There are also variations in the procedure, such as the new double-bundle' ACL reconstruction.
Risks of ACL surgery include infection, persistent instability, pain, stiffness, and difficulty returning to your previous level of activity.
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