What is the success rate of ACL surgery?

As many as 200,000 ACL ruptures are reported each year. Reconstruction has a 95% success rate and can be very successful, but it can also lead to challenges such as decreased hamstring strength and loss of proprioception. Reconstruction also does not delay future post-traumatic osteoarthritis (PTOA).

What percentage of ACL surgeries fail?

Approximately 200,000 anterior cruciate ligament (ACL) ruptures occur in the United States annually. Primary ACL reconstruction is recognized as a successful procedure, but failure has been shown to occur in approximately 10% of patients.

Is ACL surgery high risk?

And while modern, minimally invasive surgical repairs of the ACL do a good job restoring control of these movements, the risk of re-tear remains higher than we would like, Dr. Gardner explains. In research studies, the risk of re-tear ranges from about 2% to 20%, depending on the patients studied.

Is it worth getting ACL surgery?

ACL injury treatment aims to restore knee function, eliminate knee pain and swelling, and reduce potential further damage to the knee, especially meniscus tears. Surgery is the best way to treat an ACL injury for competitive athletes who must return to their sport at a high level.

What can go wrong with ACL surgery?

When performing reconstruction of the ACL, the major complications that can arise include missed concomitant injuries, tunnel malposition, patellar fracture, knee stiffness, and infection. We review the complications that can occur as a result of errors made before, during, and after surgery.

Success Rate of ACL Surgery? Factors Effecting Surgery Rate | Dr. Manu Bora

Will I ever be the same after ACL surgery?

Patients can expect a 70% return-to-sport within seven years after ACL Reconstruction. A January 2022 study (27) in The American Journal of Sports Medicine discussed long-term patient-reported rates of return to sport and revision risk after ACL reconstruction.

Is life normal after ACL surgery?

Life immediately after an ACL tear can be uncomfortable. But, with proper treatment, dedication to recovery, and time, you should be able to return to your normal activities and resume your life mostly as it was before your injury.

How painful is ACL repair?

Most people have some surgery-related pain and discomfort for the first week or so. Not surprisingly, pain from knee surgery decreases with time. By the end of a week or two at the most, you should have very little discomfort. Swelling and bruising are also relatively common, and like discomfort, they're temporary.

What age is ACL surgery recommended?

The results of ACL reconstruction in people older than 40 years old have generally been favorable. When compared to people who chose nonsurgical treatment, those who have had their ACL reconstruction surgically were found to perform more athletic activity and had less ongoing knee discomfort.

Is ACL surgery a big deal?

ACL Reconstruction Is Major Surgery

You're given general anesthesia. This means you're unconscious for the procedure. You'll have pain, swelling and stiffness after the surgery. It can be two or three weeks before you walk without crutches.

How many hours is ACL surgery?

The procedure usually takes less than two hours. It will require an incision to remove a tendon if you are undergoing an autograft, in which a tendon from another part of your body is inserted in your knee.

Is it okay to live with a torn ACL?

Can I live a normal life with an ACL tear? Yes, but it may take some time before you're completely back to how you were before the injury. Whether you choose to have surgery or not, with physical therapy you will eventually be back to normal and able to live your life.

Should I avoid ACL surgery?

Rehabbing Your Torn ACL Without Surgery. Is it advisable to rehab your torn ACL without surgery? If you're willing to avoid high-impact activity and have no or minor other injuries in your knee, you can consider foregoing surgery. Some people live comfortably with the “no-op” choice.

Is it easy to retear ACL after surgery?

Every surgically reconstructed anterior cruciate ligament can retear. The risk ranges from one or two percent to more than 20 percent. The replacement ligament (graft) chosen for your surgery can significantly increase or decrease your chance of a retear.

When is ACL repair the weakest?

ACL grafts are weakest 5 to 12 weeks after surgery. You may feel stronger, but your knee is months from full recovery. Remain cautious.

What happens if you wait too long for ACL surgery?

If you wait too long to treat a torn ACL, you're at risk of developing chronic knee pain and knee instability. Waiting to get treatment may mean that surgery is your only option. Or you may need to cope with ongoing instability by modifying your activities and giving up intensive sports.

How long do you stay in hospital for ACL surgery?

Most ACL reconstructions are done under general anesthesia. So you'll be asleep during the surgery and not feel anything. The surgery usually takes 2 to 2½ hours, and you won't need to stay in the hospital overnight.

What not to do after ACL surgery?

Don't work your quadriceps early on because this can stretch the ACL graft. Stationery bike riding or lightweight leg presses are recommended during the first three months after surgery. These exercises strengthen the quadriceps while using the hamstrings to protect the ACL graft. Don't swim or run for five months.

Can I drive after ACL surgery?

You should not drive as long as you are taking narcotic pain medication. If it is your left knee, you can resume driving when you feel your reaction times are back to normal (typically 1 week). If it is your right knee, usually allow driving 4-6 weeks after surgery.

Can you feel the screws after ACL surgery?

ACL surgery involves reconstructing the ligament. Surgeons use screws to attach the reconstructed ligament to the femur (thigh bone) and the tibia (shin bone). A person may experience pain after surgery due to the placement of these screws. Pain may also be a sign of ACL surgery failure.

What hurts the most after ACL surgery?

Kneecap pain (patellofemoral pain) is the scourge of ACL rehabilitation. Sometimes the kneecap is damaged with the original injury but more often than not, the kneecap pain is a secondary event because of tightness of the tissues on the outer half of the knee and weakness of the quadriceps which develops after surgery.

How old was Tom Brady when he tore his ACL?

The season-ending ACL injury that Tom Brady suffered in 2008 was no laughing matter, but the 44-year-old now can joke about it. As many New England Patriots remember, Brady hurt his knee while being tackled by Kansas City Chiefs safety Bernard Pollard during the 2008 season opener.

Can you walk straight after ACL reconstruction?

It's important to start walking within a day or two after ACL surgery, but only a little. Walking for a minute or two can help reduce swelling, but you shouldn't walk any more than that. After two weeks, you can start walking around unassisted without crutches for short periods of time.

Can you live with a torn ACL without surgery?

Very minor tears (sprains) may heal with non-surgical treatments and regenerative medicine therapy. But full ACL tears cannot be healed without surgery. If your activities do not involve making pivoting movements on the knee, physical therapy rehabilitation may be all you need.

Does insurance cover ACL surgery?

Yes, ACL surgery is generally covered by insurance, however, it requires medical approval. If a doctor has deemed that your surgery is medically necessary to treat your torn ACL, then most insurance policies will cover it. If you have a new insurance policy, you should be careful about waiting periods.