#ACLreconstruction is surgery to replace a torn anterior cruciate ligament (ACL) — a major ligament in your knee. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as soccer, football, basketball and volleyball.
The anterior cruciate ligament prevents the femur moving forward and rotating abnormally on the tibia. The ACL is required for normal function of the knee. One of the main functions of the ACL is to provide stability during rotational movements such as turning, twisting and sidestepping.
When it ruptures it does not heal itself and the knee often becomes unstable or gives way. Repeated giving way can lead to damage to other structures of the knee and eventually arthritis. Since the knee ‘dislocates’ when the ligament ruptures there is often damage to other structures in the knee such as bone, cartilage or meniscus. These injuries may also need to be addressed at the time of surgery.
Most patients who tear their ACL during sport will elect to have it surgically reconstructed, to enable them to return to full activities with a stable knee. Other patients choose to modify their activities and give up sport to avoid further episodes of instability.
In general, the younger and more active you are then the stronger the recommendation for reconstruction. It is generally recommended to have surgery if you wish to get back to sports which involve twisting and pivoting.
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