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ACl Reconstruction

ACL Reconstruction Surgery

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ACL Reconstruction Surgery

ACL (Anterior Cruciate Ligament) is one of the crucial ligaments that runs obliquely inside the knee joint and connects the thigh bone (femur) to the lower leg bone (Tibia). It is purposed to provide strength and stability to the knee joint.

ACL Reconstruction is a specialized surgical procedure in which the torn anterior cruciate ligament is repaired or replaced by a normal functioning tendon/tissue, harvested from the other part of the patient’s knee, so as to restore its knee stability and normal function after an injury. This surgical intervention is performed arthroscopically also popularly known as key- hole or minimally invasive surgery.


It is reported that ACL injury is one of the commonest type of injury and occurs most frequently either through non-contact mechanisms or direct contact mechanism with another object. ACL is more prone to get injured in individuals who play aggressive sports like basketball, football, soccer by a quick hyper extension or twisting movement at the knee joint.

The major causes of ACL injuries can thus be categorized into two types depending on the mechanism:

  • Non-contact Mechanism
    • Incorrect Landing after jumping from height
    • Stopping suddenly with your legs hyperextended or a little bent
    • Spinning or changing directions rapidly with foot planted firmly on ground
    • Missing steps while ascending or descending staircase

  • Contact Mechanism
    • Fall on an extended knee
    • Playing sport with foot firmly planted on ground
    • Getting direct hit or blow one the lateral side of the knee

Furthermore, statistically, it has been found that the female athlete have higher prevalence of ACL injury than the male athlete in certain sports. The contributing factor for these has been anticipated mainly due to the gender related divergence which can be one of the following :

  1. Physical Conditioning
  2. Muscular strength
  3. Neuromuscular control
  4. Pelvis and Lower extremity alignment
  5. Increased ligamentous laxity

Treatment Options

ACL injury can be treated and managed by one of the following treatment options depending upon the grade of injury.

  • Non-Surgical Treatment

    • Stabilization and Protective Bracing: In Acute or partial ACL tear, one can use tailor made knee braces and stabilizers to lessen the stress on the injured ligament and curbing the movement at knee and thereby aiding in healing process.
    • Conservative Management: This is indicated in cases of Acute and Partial ACL tear, in which proper rest is advisable with the limited to no mobility in order to protect the joint and healing the ligament.
    • Physiotherapy: Conservative Management often combined with the intensive rehabilitation program to regain the normal range of motion, increase stability and strength at the joint so as to perform activities of daily living.
  • Surgical Treatment

    Treatment for ACL tear often depends on the grade of ACL tear or injury. If it is partial or complete tear with significant knee instability, then the patient may require surgical intervention. Surgery for ACL tear can be classified into two types:

    • ACL Repair Surgery: In this procedure, the partially or completely torn ACL ligament is repaired by sewing it back together using sutures. However, studies have shown that the ACL repair generally fails over the time and may require revision surgery or reconstruction.
    • ACL Reconstruction Surgery: In this procedure, the torn ACL ligament is replaced by using a substitute graft taken from either of the following sources
      • Hamstrings Muscle Tendon AutoGraft taken from the patient's own knee
      • Patellar Tendon AutoGraft taken from the patient's own knee
      • Quadriceps Muscle Tendon AutoGraft
      • Allograft that is a graft taken from a cadaver's patellar tendon, posterior tibialis tendon, Achilles tendon, Gracilis or Semitendinosus Tendon


In ACL procedure the damaged ligament will be removed by the surgeon rather than repairing it. With the replacement of segment of tendon tissue analogous to a ligament that bonds muscle to bone. The replaced tissue is termed as graft. A piece of tendon is used by the surgeon from your other knee or from a deceased donor.

This procedure is done under general anesthesia. Your surgeon will make a hole or excavate into your femur bone and tibia bone to precisely locate the graft which will protect your bones with screws. The graft will provide as gibbet on which new ligament tissue can grow.

After the procedure, when you will get back from anesthesia, on the same day you will be permitted to go home. Before going home your surgeon will ask you to put on a knee brace to shield the graft.

Are you a Candidate?

You can be considered as a good candidate for ACL reconstruction surgery if

  • You have got your knee injured as a result of some high impact sport activities
  • You are facing frequent episodes of disabling knee instability in the form of buckling or knee giving away while walking
  • No relief in the symptoms in spite of conservative management or rehabilitation


Anyone can trim down the risk of ACL injuries by training drill that needs balance, power, andagility. In addition to that if you are doing plyometric exercises, such as balance and jumping drills, will pick up your neuromuscular conditioning and muscular reactions which will reduce the risk of ACL injury.

Expected Result

ACL reconstruction is a minimal invasive surgery, which offers speedy recovery and more rapid return to functional activities. With intensive rehabilitation you can expect good recovery and return back to the functional level within three months. However it may take 6 months to start the usual sports activities.

Cost of ACL Reconstruction Surgery

The cost of ACL reconstruction in India depends on the type of procedure, surgeon and the facility where you choose to get the surgery done. Enlisted below are the cost of ACL surgery in India

Sr No Name of Procedure Cost in USD in India
1 ACL Evaluation Package 500 - 1000
2 Open ACL Repair Surgery 2500- 3500
3 Open ACL Reconstruction 3500- 4900
4 Arthroscopic (Minimally Invasive) ACL Repair 2500- 3500
5 Arthroscopic (Minimally Invasive) ACL Reconstruction 3700- 5000

Why MedicoExperts?

We at MedicoExperts believe in assisting you to get well-being with complete information about ACL Reconstruction Surgery in India. Being thorough with all the benefits from the appropriate treatment option for ACL injury, will help you make an informed choice.

We also provide you a platform for online video consultation so as to connect you with our chosen orthopedic surgeons in India at the best orthopedic hospital in India for all your concerns and queries regarding ACL injury treatment. We assure you hassle free arrangements for your medical travel, evaluations, treatment, recover and stay in India. With the expertise of MedicoExperts, you can be rest assured about your complete safety, comfort and wonderful experience of medical tourism in India.

For more details and information, you may send your medical history and diagnostic reports to enquiry@medicoexperts.com for a swift response from our team.

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