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Eliza Shaw

Tel: 0118 922 6888

Welcome to Reading Orthopaedics

One stop solution for hip knee and foot & ankle disorders

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ACL Rupture

The commonest cause for ACL rupture is twisting

injury to the knee.

Have I ruptured my ACL?

If your knee swells up immediately and if you are

unable to continue playing, the chances are that

you have ruptured your ACL.

History and clinical examination is sufficient to

diagnose ACL injury. Sometimes, you will have

an x-ray and or MRI scan to confirm ACL injury and

find out about other associated injuries.

Do I need an operation?

If you are a keen sportsperson and like to play football

again, you need ACL reconstruction. If your knee does

not give way, you may get away with physiotherapy.

How do you reconstruct the ACL?

The 2 commonest grafts used are either hamstring

tendon or the knee cap tendon. The selection of graft

depends on various factors.

Is one graft better than other?

Knee cap tendon attaches better to the bone tunnels

as there are bone plugs at the ends of the graft.

In some individuals hamstring tendon can be very thin.

How do you fix the graft to the tunnels?

With special button for the femoral end and special

screw for the tibial end.

What are the risks of operation?

  1. Infection
  2. Nerve damage causing numbness
  3. Blood clots in the legs (DVT) or lungs (PE)
  4. Re-rupture - if you have another injury
  5. Stiffness (arthrofibrosis)

Do I need physiotherapy?

Yes. Very intensive physiotherapy

When can I go back to playing again?

It varies depending on your progress and can take

up to a year