✦ Minimally Invasive Procedure

ACL Reconstruction (Arthroscopic)

Q: Why is arthroscopic ACL reconstruction preferred over open surgery?

Arthroscopic surgery causes far less disruption to surrounding tissue than traditional open incisions. Patients experience less pain, faster functional recovery, and equivalent long-term stability outcomes — making it the preferred technique worldwide for ACL reconstruction.

Q: Which tendon is typically used for ACL reconstruction?

The hamstring tendon (semitendinosus and gracilis) is the most frequently used graft. The patellar tendon and quadriceps tendon are alternatives. Graft selection is based on individual anatomy, sport demands, and whether prior surgery has been performed.

Q: When can physiotherapy begin after ACL reconstruction?

Physiotherapy begins on the day of or the day following surgery. Early sessions focus on reducing swelling and regaining extension. Progressive strengthening, balance training, and sport-specific conditioning follow over the subsequent six to nine months.

Q: What is the risk of the ACL graft re-tearing?

Re-tear rates range from 5–10% and are highest in young athletes who return to pivoting sport. Completing the full rehabilitation programme and not returning to sport before graft maturation significantly reduces the risk of a further rupture.

The torn anterior cruciate ligament is replaced with a tendon graft delivered through tiny keyhole incisions — the standard surgical approach for restoring complete knee stability with minimal disruption and fast recovery.

60–90 min PROCEDURE

1 Day HOSPITAL STAY

>90% SUCCESS RATE

6–9 Months FULL RECOVERY

What is ACL Reconstruction (Arthroscopic)?

Arthroscopic ACL reconstruction is the universally accepted surgical standard for a complete anterior cruciate ligament rupture. Through two or three small skin portals, a camera and instruments are used to replace the torn ligament with a biological tendon graft. The graft is placed in tunnels drilled at the anatomic footprint of the original ACL, replicating its orientation and mechanical function. Dr. Sai Kishan performs arthroscopic ACL reconstruction at Lux Hospitals with a focus on precise anatomic placement, careful graft tensioning, and a structured return-to-sport programme tailored to each patient's sport and goals.

Indicated for patients with a complete ACL rupture confirmed on MRI who experience functional instability — particularly those who are physically active, participate in sport, or have associated meniscal injuries requiring simultaneous arthroscopic treatment.

How the Procedure Works

Anaesthesia & Portal Placement

Spinal or general anaesthesia; tourniquet applied; arthroscopic portal sites are marked before draping.

Graft Harvest & Preparation

Hamstring or patellar tendon graft is harvested through a dedicated small incision; the graft is prepared to the correct diameter and length on the back table.

Arthroscopic Survey & Concurrent Treatment

The joint is thoroughly assessed; the ACL tear is confirmed and any meniscal or cartilage pathology is treated in the same session.

Anatomic Tunnel Drilling & Graft Passage

Tunnels are drilled precisely at the native ACL footprints in both the femur and tibia; the graft is passed and seated in the anatomic position.

Fixation, Tensioning & Wound Closure

The graft is fixed under appropriate tension with interference screws or cortical fixation buttons; portals are closed and the knee dressed.

Outcomes

60–90 minDURATION

1 DayHOSPITAL STAY

>90%SUCCESS RATE

6–9 MonthsRETURN TO SPORT

Who Needs This Treatment?

→Eliminates the giving-way sensation and restores full rotational knee control
→Keyhole delivery — small incisions, minimal scarring, and fast post-operative recovery
→Concurrent meniscal or cartilage injuries addressed in a single arthroscopic procedure
→Anatomic graft positioning restores the biomechanical function of the natural ACL
→Over 90% of patients successfully return to their pre-injury level of sporting activity
→Structured rehabilitation protocol guides safe and progressive return to competition

Arthroscopic ACL reconstruction is one of the most rewarding operations to perform — seeing a young athlete go from a knee that won't hold them to running confidently on a pitch six months later is exactly why this surgery matters.

— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery

Common Questions

Frequently Asked

Why is arthroscopic ACL reconstruction preferred over open surgery?+

Which tendon is typically used for ACL reconstruction?+

When can physiotherapy begin after ACL reconstruction?+

What is the risk of the ACL graft re-tearing?+

Not sure which treatment is right for you?

Book a consultation with Dr. Sai Kishan and get a personalised treatment plan.

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