Before surgery
Your operation will be performed by a specialist knee surgeon, usually as a day case procedure at Chapel Allerton Hospital.
Anterior Cruciate Ligament injury
In this video our surgeon Mr Sanjeev Anand explains what the anterior cruciate ligament is, what happens if it is injured and how it can be treated or repaired.
To help prepare you knee for your operation you need to start doing some exercises that will help strengthen the muscles around your knee to help you recover as quickly as possible.
See the videos in our exercise section, perhaps try and do these with friends and family before you come into hospital.
Your Surgery
On the day of your operation you will have the opportunity to ask questions. You will meet a physiotherapist and your anaesthetist who will explain what happens when you have an anaesthetic and answer any questions you might have.
You will also meet your surgeon who will discuss the indications, benefits and risks of you surgery. The knee undergoing surgery will be marked and you will be asked to sign a consent form.
The operation can take up to 1½ hours.
You will be asked to change into a theatre gown and you may be asked to wear compression stockings, these help reduce the risk of developing a blood clot. With leg surgery these are frequently not worn on the operated leg, but the nurses preparing you for your operation will tell you if and how you need to wear them.
After Surgery
When your operation is finished you will usually be taken to the recovery area until you wake up from the anaesthetic. The wound on your leg will be covered by a simple dressing and a bandage will be wrapped around the knee. An x-ray may be performed for your surgeon to review your knee. When you are well enough, you will be transferred to the ward.
Below is a video about what happens after your operation, and what it’s like to wake up in the recovery room.
Before discharge you will spend time with a physiotherapist and when your pain is under control you can go home. It is normal to have some pain, swelling and bruising to your thigh, knee and leg after your operation.
Good pain relief is important to ensure adequate range of movement and prevent stiffness, it is important that you feel comfortable enough to breath deeply, cough and move around. Before you come to hospital we recommend you have some simple pain relief medication at home such as paracetamol so that you don’t need to worry about getting to the shops for the first few days after your operation.
After your operation you will be able to move your knee and weight bear as your pain allows but crutches are generally required for up to three weeks.
We have videos about how to use your crutches and more information about wearing a knee brace.
Rehabilitation
Recovery from ACL reconstruction requires a lot of dedication towards your rehabilitation. You should commit to doing your exercises daily and attend physiotherapy on a regular basis for assessment and exercise progression. Rehabilitation after your operation is helped by preparing your knee and surrounding muscles before your operation by doing exercises before your operation.
See the exercises you can do before your operation on our exercise page.
Driving after your operation
As a general guide, depending on your range of motion and ability to perform an emergency stop, you should refrain from driving for around four weeks. You need to inform your car insurer about your surgery.
Returning to work
Return to office work should be possible after approximately 2-3 weeks. If you have a job that involves heavy physical work you should leave 8-12 weeks before going back to work.