ACL tears are devastating and often season-ending injuries for the competitive athlete. They are also extremely inconvenient and frustrating injuries for the recreational athlete or anyone who has goals of being active and staying healthy. Regardless of your goals and interests, proper management of this injury is imperative to a full recovery and return to physical activities.
At Orthopedic Specialists of Idaho, we understand how discouraging an ACL injury can be. Our team is here to provide expert care so you can return to your athletic activities as soon as possible. Keep reading to learn more about ACL injuries, treatment options, and how we can help.
ACL stands for “anterior cruciate ligament,” a strong band of tissue that runs through the knee joint, connecting the thigh bone to the shin bone. It plays a crucial role in maintaining knee stability.
A tear or injury to the ACL is a serious issue—not only because of the pain but also because it can greatly affect mobility. ACL tears commonly occur during sports and activities that involve sudden changes in direction or abrupt stops, such as basketball, skiing, and soccer.
Common symptoms of an ACL injury include:
Diagnosing an ACL injury involves several steps. Your doctor will begin with a physical examination, checking for tenderness, swelling, and knee instability.
If further evaluation is needed, imaging tests may be recommended. An X-ray can help rule out bone fractures, while an MRI provides detailed images of both hard and soft tissues to determine the severity of the tear.
Once the diagnosis is confirmed, your doctor will typically refer you to an orthopedic specialist for further management.
Treatment plans for ACL injuries vary based on severity and the functional goals of each patient.
Surgery is typically recommended for full-thickness tears in active patients. This is because a fully torn ACL cannot heal on its own.
Arthroscopic reconstruction
The most common surgical procedure for ACL injuries is arthroscopic reconstruction to establish the ACL and restore joint stability. Arthroscopy offers minimally invasive techniques to complete the reconstructive procedure while minimizing the involvement of the surrounding tissues. During the procedure, small incisions are made around the knee, and a tiny camera (arthroscope) is inserted to provide a clear view of the joint. A small tendon graft—either from the patient's own body (autograft) or a donor (allograft)—is taken and prepared to replace the torn ligament.
Next, the surgeon drills precise tunnels in the thigh bone (femur) and shin bone (tibia) to create a pathway for the new ligament. The graft is passed through these tunnels and secured in place using screws or other fixation devices to ensure stability. Over time, the graft integrates with the surrounding tissue, functioning as a new ACL. The entire procedure typically takes about one to two hours, and most patients go home the same day to begin their recovery.
Crutches, pain management, and early range of motion
Full range of motion is typically restored, and strengthening is initiated
Early jogging and progressive strengthening are continued
Clearance for return to sports
Your orthopedic care team will guide you through rehabilitation to ensure a full recovery.
When it comes to ACL treatment, choosing the right orthopedic surgeon matters. Here’s why patients trust Orthopedic Specialists of Idaho:
What does the consultation process involve?
Your consultation includes a physical exam, X-rays, and an MRI to confirm the extent of your ACL injury.
Yes, we accept most insurance plans. Please contact us to verify your coverage.
Will I need physical therapy after surgery?
Yes, physical therapy is a crucial part of the recovery process, particularly in the early stages. Most patients attend physical therapy several times a week for the first few months and gradually reduce their sessions as their mobility and strength improve.
Take the first step toward recovery. Contact Orthopedic Specialists of Idaho today to schedule an appointment with our expert orthopedic team.