Anterior Cruciate Ligament (ACL) reconstruction is a very successful procedure to correct instability, restore knee kinematics and allow patients to return to their pre injury levels of function. The surgery is performed arthroscopically (through key holes) with an additional 2cm scar over the front of the shin bone where the new ACL graft is harvested from hamstring tendons.
Ligament reconstruction is usually performed under general anaesthetic with the patient asleep for around 60 minutes. The surgery is always carried out as a day case procedure, allowing patients to return home the same evening. If meniscal repair surgery has also been performed, a period of protected weight bearing on crutches and possible a knee brace may also be required.
Following surgery, physiotherapy is crucial to regain normal knee function and this will continue for up to 6 months. Most patients will require between 4-6 off work and driving until full knee range of motion is regained. Sports which involve contact or pivoting are often commenced 6-9 months’ post reconstruction.
Mr. Smith has recently visited centres of excellence for ACL reconstruction in Berlin, Bordeaux and London to ensure the most contemporary and evidence based techniques are incorporated into his surgical practice.
An evaluation and research study into his last 100 ACL reconstructions showed a 93% success rate including many elite sports men and women.