ACL & PCL Reconstruction
Ruptured cruciate ligaments are reconstructed with a tendon graft through arthroscopic keyhole surgery — restoring full rotational and anteroposterior knee stability for a confident return to sport and activity.
What is ACL & PCL Reconstruction?
Cruciate ligament reconstruction replaces a torn ACL or PCL with a biological tendon graft — most frequently the hamstring tendon or patellar tendon — delivered through arthroscopic portals with no large incisions. The ACL governs rotational control of the knee; the PCL prevents backward displacement of the tibia. Combined cruciate injuries — multiligament knee trauma — require careful staged or simultaneous planning to restore stability in every direction. Dr. Sai Kishan performs cruciate ligament reconstruction at Lux Hospitals using anatomic graft tunnel positioning to replicate the native ligament's function as closely as possible.
Recommended for physically active patients with confirmed complete ACL or PCL rupture causing instability, a sense of giving way, or functional limitation — especially where returning to sport, manual occupation, or an active lifestyle is a clear treatment goal.
How the Procedure Works
Anaesthesia & Surgical Setup
Spinal or general anaesthesia; a tourniquet is applied and the knee is positioned and draped for arthroscopic access.
Tendon Graft Harvest
The chosen graft — hamstring, patellar tendon, or quadriceps — is harvested through a separate small incision and prepared to the required length and diameter.
Intra-articular Assessment
The arthroscope surveys the joint to confirm the tear, treat any concurrent meniscal or cartilage injury, and plan graft tunnel positions.
Tunnel Drilling & Graft Passage
Bone tunnels are drilled at the anatomic footprints; the prepared graft is threaded through, seated correctly, and confirmed under arthroscopic view.
Graft Tensioning, Fixation & Closure
The graft is tensioned appropriately and fixed with interference screws or cortical devices; portals are closed and rehabilitation begins immediately.
Outcomes
Who Needs This Treatment?
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Full restoration of knee stability in rotational and anteroposterior planes
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Clears the path to safe, confident return to sport and demanding physical activity
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Arthroscopic delivery — small portals, minimal scarring, and rapid recovery
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Concurrent meniscal and cartilage injuries treated in the same operative session
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Anatomic tunnel placement replicates the mechanical function of the native ligament
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Evidence-based return-to-sport protocol maximises graft integration outcomes
Reconstructing the cruciate is only half the work — the rehabilitation that follows is what actually returns the athlete to sport. Surgery and rehab together achieve the result; neither alone is sufficient.
— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery
ACL & PCL Reconstruction Cost in Hyderabad
The cost of ACL and PCL reconstruction in Hyderabad depends on the severity of the ligament injury, whether multiple knee ligaments are damaged, extent of associated meniscus or cartilage injury, type of graft used, surgical complexity, fixation devices, pre-operative investigations, anesthesia, and rehabilitation requirements. ACL and PCL reconstruction is a ligament-restoring procedure performed to reconstruct damaged knee ligaments using a suitable graft and fixation system. It may be considered for selected patients with combined or multiligament injuries when instability and functional limitations require surgical treatment. The estimated cost ranges from ₹1,60,000 to ₹3,20,000, with an average cost of approximately ₹2,40,000.
| Procedure | Approximate Cost Range |
|---|---|
| Multiligament injury | ₹1,60,000 ₹3,20,000 |
| Combined ligament injury | ₹1,60,000 ₹3,20,000 |
The actual cost may vary depending on the number and severity of injured ligaments, degree of knee instability, associated meniscus or cartilage damage, timing of surgery, and complexity of reconstruction. Multiligament knee injuries may require more extensive surgical planning than an isolated ACL injury and may involve staged or combined treatment depending on the individual injury pattern.
The total expense may include orthopedic consultation, X-rays and MRI, blood investigations, anesthesia, arthroscopy equipment, graft preparation, fixation implants, operating-room charges, hospital admission, medicines, knee brace or support, physiotherapy, and follow-up care. Additional procedures such as meniscus repair or cartilage treatment may involve separate charges.
Factors Affecting ACL & PCL Reconstruction Cost
The cost of combined ligament reconstruction can vary considerably because the extent of knee injury differs between patients. The number of ligaments involved, associated meniscus or cartilage injuries, graft selection, fixation requirements, and rehabilitation needs can all influence the final treatment expense.
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Number of injured ligaments: Combined ACL and PCL injuries require more extensive reconstruction than an isolated ligament tear.
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Severity of injury: Complete tears, significant instability, or complex multiligament injuries may require more detailed surgical planning.
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Associated meniscus injury: Meniscus tears may need repair or other treatment during the same arthroscopic procedure and can increase the total cost.
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Cartilage or bone injury: Associated cartilage damage, fractures, or other knee injuries may require additional treatment.
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Graft selection: The type and source of graft used for ligament reconstruction can influence the surgical plan and cost.
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Fixation devices: Specialized screws, buttons, anchors, or other fixation implants may be required to secure the reconstructed ligaments.
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Pre-operative imaging: MRI and X-rays are commonly used to define ligament, meniscus, cartilage, and bone injuries before surgery.
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Surgical timing and complexity: Severe swelling, stiffness, multiple injuries, or other trauma-related findings may affect when and how reconstruction is performed.
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Arthroscopic equipment: Specialized arthroscopy instruments and disposable surgical materials contribute to the overall procedure expense
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Anesthesia and hospital care: Anesthesia, operating-room charges, admission, nursing, monitoring, and recovery services contribute to the total cost.
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Additional procedures: Meniscus repair, cartilage procedures, treatment of associated injuries, or staged reconstruction may increase the final expense.
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Rehabilitation: Physiotherapy, range-of-motion exercises, muscle strengthening, gait training, and return-to-activity rehabilitation are important parts of recovery and may add to the overall treatment cost.
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Knee brace and support: A post-operative brace or other support may be recommended depending on the reconstruction and recovery plan.
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Follow-up care: Post-operative consultations, clinical assessments, and repeat imaging when required may also contribute to the total expense.
Insurance Coverage for ACL & PCL Reconstruction
ACL and PCL reconstruction may be covered by health insurance when surgery is medically necessary for a documented ligament injury and meets the terms of the patient's policy. Coverage depends on the diagnosis, cause of injury, treatment indication, policy terms, waiting periods, exclusions, applicable limits, insurer guidelines, and pre-authorization requirements. Patients should confirm coverage for ligament reconstruction, grafts, fixation implants, anesthesia, hospitalization, MRI, physiotherapy, knee braces, and any associated meniscus or cartilage procedures with their insurance provider before planned admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
Dr. Sai Kishan Sirasala, MS Ortho, FIJR, FIASM (UK), FIKS (Italy), FIRJR, is listed by Lux Hospitals as a Consultant Orthopaedic Surgeon specializing in joint replacement, arthroscopy, and sports medicine. His Lux Hospitals profile specifically includes ACL reconstruction, meniscus repair, and ligament injuries among his areas of expertise. During consultation, he reviews the mechanism and timing of the knee injury, pain and swelling, instability or giving-way episodes, difficulty walking or participating in sports, previous treatment, and relevant medical history. A detailed knee examination is performed to assess ligament stability and range of motion, while MRI and X-ray findings are reviewed to identify ACL, PCL, meniscus, cartilage, or associated bone injuries. When ACL and PCL reconstruction is being considered, Dr. Sai Kishan Sirasala assesses the complete injury pattern and determines the appropriate reconstruction strategy based on the patient's knee stability, associated injuries, activity requirements, and overall clinical condition. He explains the possible need for arthroscopic reconstruction, graft selection, fixation implants, and treatment of associated meniscus or cartilage injuries when required. The consultation also covers surgical preparation, expected hospital stay, knee brace requirements, post-operative physiotherapy, staged or combined treatment where appropriate, recovery milestones, return-to-activity planning, follow-up requirements, and the factors that may influence the final treatment cost. Lux Hospitals also highlights arthroscopy, sports injury management, and integrated rehabilitation as part of its orthopedic services.
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