After ACL reconstruction surgery, some patients remain in the hospital for as long as 24 hours. As soon as possible after surgery is completed, you will begin doing continuous passive motion exercises while in bed. Your leg will be flexed and extended to keep the knee joint from becoming stiff.
The procedure usually takes less than two hours. It will require an incision to remove a tendon if you are undergoing an autograft, in which a tendon from another part of your body is inserted in your knee.
ACL reconstruction surgery can help restore range of motion, function and stability to the knee joint after an ACL injury. ACL reconstruction surgery is a common but major surgery with risks, like any other surgery.
The First 2 Weeks After Surgery
During the period immediately after surgery, you may experience pain, swelling, and the buildup of excess fluid around the knee joint. The rehabilitation process starts right after the surgery, and you may be given exercises that must be performed daily to support your recovery.
Once you recover from the anesthesia, you can go home the same day. Before you go home, you'll practice walking with crutches, and your surgeon may ask you to wear a knee brace or splint to help protect the graft. Your doctor will give you specific instructions on how to control swelling and pain after surgery.
Most people have some surgery-related pain and discomfort for the first week or so. Not surprisingly, pain decreases with time. By the end of a week or two at the most, you should have very little discomfort. Swelling and bruising are also relatively common, and like discomfort, they're temporary.
Most ACL reconstructions are done under general anesthesia. So you'll be asleep during the surgery and not feel anything. The surgery usually takes 2 to 2½ hours, and you won't need to stay in the hospital overnight.
If a brace is prescribed, it should be worn for walking for the first 3 weeks after surgery (with crutches) to prevent your knee from giving way or buckling. The brace should be locked in full extension while you are walking. Otherwise, it may be unlocked to allow knee motion.
About two weeks after surgery, you will be able to start putting some weight on your knee. Your doctor will probably fit you for a knee brace to wear for a few weeks. You will also begin physical therapy between two and four weeks after surgery.
Walking unassisted and the timeline for recovery
Patients walk unassisted within 2-4 weeks, but for short periods. After 10-12 weeks, expect brisk walking, light jogging, and even plyometric exercise. Full recovery on ACL reconstruction is 6-12 months, or more with physical therapy.
You can sleep on your back or side. Do not rest your knee with a pillow/towel under. It is very important to keep your knee straight. You will need a walking aid after your operation as you are likely to have a reduced weight-bearing (partial weight-bearing) capacity through your operated leg for two weeks.
ACL reconstruction usually lasts between one and three hours. The procedure is usually done by keyhole (arthroscopic) surgery. This means it's carried out using instruments inserted through several small cuts into your knee.
Because revision ACL reconstruction is a more difficult operation to perform compared to primary ACL surgery, patients should choose an orthopedic surgeon with ample experience and with whom they feel comfortable. The doctor should take the time to answer all of a patient's questions in nontechnical terms.
This all happened 173 days or 24½ weeks after tearing his ACL during a spring football practice on March 25. The six-month anniversary of the injury was this Wednesday. That was the earliest date trainers had originally scheduled for him to return… to practice.
In ACL reconstruction, a replacement ligament (graft) is attached to tunnels drilled into the end of the femur (thigh bone) and tibia (shin bone). Often screws are used to attach the graft to the bone. Traditionally, metal screws have been used.
You may shower 24 to 48 hours after surgery, if your doctor okays it. When you shower, keep your bandage and incision dry by taping a sheet of plastic to cover them. It might be best to get a shower stool to sit on. If you have a brace, only take it off if your doctor says it's okay.
Week 6-12:
Patients will begin working on more activity-specific strengthening and weight bearing exercises, such as squats, ascending and descending stairs, and balancing. They can also begin biking with resistance. The muscles begin to recover their normal function and gait becomes more normalized.
Don't work your quadriceps early on because this can stretch the ACL graft. Stationery bike riding or lightweight leg presses are recommended during the first three months after surgery. These exercises strengthen the quadriceps while using the hamstrings to protect the ACL graft. Don't swim or run for five months.
You should wear this brace whenever you are upright or walking, and during sleep. If you are seated or laying down, and remaining still, you may take the brace off. You may “unlock” the brace hinges and allow the knee to bend, but need to re-‐lock the brace in extension for walking.
If your orthopedist recommends it, you can wear your brace all day. However, improper use of a knee brace can worsen your pain or cause further damage to the knee. If you are using a brace that immobilizes your knee, the joint can weaken.
Once sedated and asleep under general anesthesia, you will be intubated with an endotracheal tube that will be connected to a ventilator to assist you with breathing during the surgery. You will not feel anything.
It will cost approximately $20,000 to $50,000 to pay for the surgeon fee, facility fee, anesthesia and graft. Additional costs include medical equipment such as knee braces and crutches which will add an extra $500. Physical therapy adds a cost of $1,000.
FRIDAY, July 21, 2017 (HealthDay News) -- People who undergo knee surgery for a torn anterior cruciate ligament (ACL) can expect to stay active and maintain a high quality of life, researchers report.
Conclusions: Weight change in young adults after ACL rupture is not uniform. Some gain weight, while others do not. Athletes who were male, younger, and sustained a 2nd ACL injury were more likely to gain weight over 5 years.