ACL Reconstruction (Arthroscopic)
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.
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
Who Needs This Treatment?
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Eliminates the giving-way sensation and restores full rotational knee control
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Keyhole delivery — small incisions, minimal scarring, and fast post-operative recovery
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Concurrent meniscal or cartilage injuries addressed in a single arthroscopic procedure
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Anatomic graft positioning restores the biomechanical function of the natural ACL
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Over 90% of patients successfully return to their pre-injury level of sporting activity
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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
ACL Reconstruction (Arthroscopic) Cost in Hyderabad
The cost of arthroscopic ACL reconstruction in Hyderabad depends on the severity of the ACL tear, whether the injury is isolated or associated with meniscus, cartilage, or other ligament damage, the type of graft selected, fixation implants, pre-operative imaging, anesthesia, surgical complexity, and rehabilitation requirements. Arthroscopic ACL reconstruction is a minimally invasive procedure in which the torn anterior cruciate ligament is reconstructed using a suitable graft and fixation system to restore knee stability. The estimated cost ranges from ₹1,20,000 to ₹2,50,000, with an average cost of approximately ₹1,85,000.
| Procedure | Approximate Cost Range |
|---|---|
| Isolated ACL tear | ₹1,20,000 ₹2,50,000 |
| Primary isolated ACL tear | ₹1,20,000 ₹2,50,000 |
The actual cost may vary depending on the extent of the ACL injury, associated meniscus or cartilage damage, type of graft, fixation devices, previous knee surgery, and the complexity of arthroscopic reconstruction. Pre-operative MRI, X-rays, blood investigations, anesthesia, operating-room charges, graft preparation, fixation implants, hospital or day-care care, medicines, knee support, physiotherapy, and follow-up may contribute to the overall expense.
Graft selection is an important cost factor. Hamstring autograft is a commonly used graft option for primary ACL reconstruction, while allograft or synthetic augmentation may involve additional graft or implant-related costs. Revision ACL reconstruction can be more complex and, in selected cases, may require staged treatment such as bone grafting before definitive reconstruction.
Factors Affecting Arthroscopic ACL Reconstruction Cost
The cost of ACL reconstruction can vary between patients because the severity of the ligament tear, knee anatomy, associated injuries, graft requirements, and fixation method differ. Rehabilitation and any additional treatment performed during the same procedure can also influence the final treatment expense.
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ACL injury severity: Complete tears and significant knee instability may require reconstructive surgery depending on the patient's symptoms, activity level, and clinical assessment.
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Isolated versus associated injuries: Meniscus tears, cartilage damage, or additional ligament injuries may require treatment along with ACL reconstruction.
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Graft selection: Hamstring autograft, patellar tendon or other autograft options, allograft, and selected synthetic augmentation techniques may have different costs.
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Fixation implants: Screws, buttons, anchors, or other fixation devices used to secure the graft can contribute to the overall expense.
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Pre-operative imaging: MRI and X-rays help assess the ACL tear and identify associated meniscus, cartilage, or bone injuries.
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Knee condition before surgery: Significant swelling, stiffness, restricted range of motion, or chronic instability may require additional pre-operative management.
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Surgical technique: Arthroscopic reconstruction requires specialized instruments, cameras, implants, and disposable surgical supplies.
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Previous ACL surgery: Revision reconstruction can be more complex because of existing tunnels, scar tissue, or bone defects and may require staged procedures in selected cases.
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Anesthesia and hospital care: Anesthesia, operating-room charges, day-care or inpatient admission, nursing, monitoring, and recovery services contribute to the total cost.
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Associated meniscus treatment: Meniscus repair or other arthroscopic procedures performed during the same surgery may increase the overall expense.
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Graft preparation: Preparation and processing of the selected graft can contribute to procedure-related costs.
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Knee brace and support: A post-operative brace or other support may be recommended depending on the reconstruction and rehabilitation plan.
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Physiotherapy and rehabilitation: Structured rehabilitation, muscle strengthening, range-of-motion exercises, balance training, and gradual return to activity are important components of recovery and may add to the overall cost.
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Follow-up care: Post-operative consultations, clinical assessments, and repeat imaging when required may also contribute to the final expense.
Insurance Coverage for Arthroscopic ACL Reconstruction
ACL 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 and circumstances of injury, treatment indication, policy terms, waiting periods, exclusions, insurer guidelines, applicable limits, and pre-authorization requirements. Patients should confirm coverage for the arthroscopic procedure, graft, fixation implants, anesthesia, hospitalization or day-care treatment, MRI, physiotherapy, knee brace, and 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 with a focus on joint replacement, arthroscopy, and sports medicine. His Lux Hospitals profile specifically includes ACL reconstruction and meniscus repair, and the hospital's ACL treatment page identifies him as part of its orthopedic team for ACL care. (luxhospitals.com) During consultation, he reviews the mechanism and timing of the ACL injury, knee pain and swelling, episodes of instability or giving way, difficulty with walking or sports, previous treatment, and relevant medical history. A detailed knee examination assesses ligament stability and range of motion, while MRI and X-ray findings are reviewed to identify the extent of the ACL tear and any associated meniscus, cartilage, or bone injury. When arthroscopic ACL reconstruction is being considered, Dr. Sai Kishan Sirasala evaluates whether the injury is isolated and discusses the appropriate reconstruction strategy based on knee stability, activity requirements, associated injuries, and the patient's overall condition. He explains graft options, fixation methods, arthroscopic surgery, and whether associated meniscus or cartilage treatment may be required during the same procedure. The consultation also covers pre-operative preparation, anesthesia, expected hospital or day-care stay, knee brace requirements, physiotherapy and rehabilitation, recovery milestones, return-to-activity planning, and potential differences between primary and revision reconstruction. Where revision surgery is involved, he may discuss the possibility of additional or staged procedures based on the condition of the previous reconstruction. Lux Hospitals also identifies arthroscopy and sports injury management among Dr. Sai Kishan's areas of practice. (luxhospitals.com)
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