Types of Surgical Procedures to Repair an ACL

Types of Surgical Procedures to Repair an ACL

Types of Surgical Procedures to Repair an ACL


The anterior cruciate ligament (ACL) is a vital component of knee stability, connecting the thigh bone (femur) to the shin bone (tibia). Unfortunately, ACL injuries are among the most common sports-related injuries, often occurring during activities that involve sudden stops, changes in direction, or high-impact movements. If you've recently suffered an ACL tear and are considering surgical options, understanding the types of procedures available can empower you to make informed decisions about your care.

For patients in need of expert care, finding a highly skilled orthopedic surgeon in Debary, FL is critical. The surgeons at Central Florida Bone & Joint Institute offer specialized care for ACL injuries. Here’s a comprehensive guide to the various surgical procedures available for ACL repair.

 

Understanding ACL Repair and Reconstruction

When the ACL tears, it doesn't heal on its own due to limited blood supply. Therefore, surgical intervention is often required, especially for athletes or individuals who lead physically active lifestyles. ACL surgery typically falls into two categories:

  1. ACL Repair – Focused on reattaching or treating the torn ligament itself.
  2. ACL Reconstruction – Replacing the torn ligament with a graft, either from your body or a donor.

The choice between repair and reconstruction depends on factors such as the extent and location of the injury, along with your activity level, age, and personal goals.
 

ACL Repair Procedures

ACL repair has become less common but is still utilized in very specific cases. For example, this approach may be an option for patients with partial tears or avulsion injuries where the ligament detaches from the bone.

1. Primary Repair

Primary ACL repair involves reconnecting the torn ligament to the bone. This procedure is often performed using sutures and may require additional support from biological tissue. It's generally only recommended for select cases, such as injuries occurring near the ligament attachment site. While less invasive, primary repair has a higher risk of failure compared to reconstruction.

2. Bridge-Enhanced ACL Repair (BEAR)

A newer, specialized technique gaining traction is Bridge-Enhanced ACL Repair (BEAR). It involves placing a biodegradable sponge loaded with the patient’s own blood between the torn ligament ends. This promotes healing by encouraging the natural regrowth of the ligament. Although still under study, BEAR offers promising results, especially for younger patients.
 

ACL Reconstruction Procedures

For most individuals with ACL tears, reconstruction is the gold standard. The damaged ligament is replaced with a graft, restoring stability and function. Importantly, there are several types of grafts to consider.

1. Autograft Reconstruction

An autograft involves using tissue from your own body to reconstruct the ACL. It is one of the most commonly performed approaches. Autografts offer excellent healing potential and are highly effective for active individuals. However, recovery may involve additional discomfort at the donor site.

  • Patellar Tendon Graft

A section of the patellar tendon, along with a small piece of bone from the kneecap and shinbone, serves as the graft. This option is popular among athletes, given its durability and strong graft-to-bone integration.

  • Hamstring Tendon Graft

Portions of the hamstring tendons are harvested and bundled together to create the graft. This method results in less post-operative pain at the knee but may slightly weaken the hamstring muscles temporarily.

  • Quadriceps Tendon Graft

A segment of the quadriceps tendon, often including a piece of bone, is used as the graft. This option is suitable for patients with previous failed surgeries or those requiring a less invasive harvesting site.

2. Allograft Reconstruction

An allograft utilizes tissue from a donor, such as a cadaver. This method eliminates the need for a tissue harvest from the patient, so it may be a good option for individuals who want to avoid additional surgical incisions.

Allografts are often recommended for older or less active patients. However, they can carry a slightly higher risk of graft failure, especially in younger or highly active individuals.

3. Synthetic Grafts

Synthetic grafts involve the use of man-made materials, and while they were popular in the past, they are now less commonly used due to complications such as long-term graft degradation and limited overall success. Synthetic options may still be considered in very rare circumstances, such as for patients who are not candidates for biologic grafts.
 

Choosing the Right Approach for You

Deciding which type of surgery is best depends on a thorough assessment of your injury, lifestyle, and personal goals. A skilled orthopedic surgeon in Debary, FL will recommend an approach tailored to your needs after evaluating your:

  • Age
  • Activity level
  • Severity of the injury
  • Future lifestyle or athletic aspirations
  • History of previous knee surgeries

Additionally, your recovery goals play a significant role in determining the right surgical plan.

 

The Importance of Expert Care

Recovering from ACL surgery requires time, dedication to physical therapy, and an experienced orthopedic surgeon to guide you through the process. Working with a trusted specialist ensures not only surgical precision but also a smooth recovery experience.

If you’re searching for experienced professionals, Central Florida Bone & Joint Institute in Debary, FL is here to help. Their team of highly qualified orthopedic surgeons specializes in ACL repair and reconstruction, offering personalized treatment plans and state-of-the-art techniques.

Whether you're an athlete eager to return to the field or an active individual striving to regain mobility, the team at Central Florida Bone & Joint Institute will work hand-in-hand with you to achieve your goals.

 

Recovery and Rehabilitation

Recovery timelines vary depending on the type of procedure performed and individual factors. However, here’s what you can typically expect:

  1. Phase 1 (0–2 Weeks Post-Surgery):

Focuses on reducing swelling and pain, regaining range of motion, and activating muscles.

  1. Phase 2 (3–6 Weeks Post-Surgery):

Progresses to weight-bearing exercises and light strengthening.

  1. Phase 3 (7–12 Weeks Post-Surgery):

Incorporates more advanced strength training, balance activities, and endurance exercises.

  1. Phase 4 (3–6 Months Post-Surgery):

Prepares patients for a return to sports or full physical activities, including sport-specific drills and agility training.

Optimal outcomes depend on adherence to rehabilitation protocols and collaboration between the patient, physical therapist, and surgeon.

 

Why Choose Central Florida Bone & Joint Institute?

At Central Florida Bone & Joint Institute, we are more than just your orthopedic care providers—we are your partners in healing and recovery. Here’s why our practice stands out:

  • Expert orthopedic surgeons specializing in cutting-edge ACL repairs and reconstructions.
  • Advanced surgical techniques designed to minimize downtime and maximize results.
  • A commitment to individualized care, ensuring every patient receives a tailored treatment plan.
  • Access to comprehensive physical therapy services for a seamless recovery process.
  • Convenient location in Debary, FL, with welcoming staff ready to support you through every step.

If you’re experiencing knee instability or pain due to an ACL injury, reach out to us today for guidance and care.

 

Take the First Step Toward Recovery

An ACL injury is challenging, but with the right surgical approach and expert care, you can regain your mobility and confidence. Whether you’re an athlete aiming for peak performance or simply seeking to maintain an active lifestyle, the specialists at Central Florida Bone & Joint Institute in Debary, FL are here to help.

Schedule your consultation today and discover why patients trust us for their orthopedic needs.