Preparing for ACL Reconstruction Surgery: What to Expect Before, During, and After the Procedure

Anterior Cruciate Ligament (ACL) injuries are common among athletes and individuals engaged in active lifestyles. These wounds have the potential to be incapacitating, impacting one's ability to move and their overall quality of existence. One of the most effective treatments for a severe ACL tear is ACL reconstruction surgery.

If you are about to undergo this procedure, understanding what to expect before, during, and after the surgery can help alleviate concerns and ensure a smoother recovery process.

This article will give you all the information you need to prepare for your ACL reconstruction surgery.

Understanding the Importance of ACL Reconstruction

The knee joint relies on the essential stability provided by the Anterior Cruciate Ligament (ACL). When it gets injured, it can lead to instability, pain, and limited functionality. ACL reconstruction surgery aims to restore stability and function to the knee joint, allowing individuals to return to their active lives with reduced pain and improved mobility.

Before the Surgery

Consultation and Evaluation

Before the surgery, you will have a consultation with an orthopaedic surgeon. During this consultation, the surgeon will review your medical history, perform a physical examination, and might request imaging tests like MRI scans to assess the extent of the ACL injury. This evaluation helps the surgeon determine whether ACL reconstruction is the appropriate course of action for your case.

Preoperative Preparations

In the days leading up to the surgery, you might be asked to:

Stop certain medications: Your surgeon will provide guidelines on which medications to avoid, such as blood-thinning medications, as they could affect the surgery's outcome and recovery.

Fasting: You will likely be asked to fast for a certain period before the surgery to ensure your stomach is empty, reducing the risk of complications under anaesthesia.

Arrange transportation: Since you will be unable to drive after the surgery, arranging for someone to drive you to and from the hospital is crucial.

Mental Preparation

Undergoing surgery can be emotionally challenging. It's important to mentally prepare yourself for the procedure. Engage in relaxation techniques, communicate your concerns with your medical team, and seek support from family and friends.

During the Surgery


ACL reconstruction surgery is typically performed under general anaesthesia. This means you will be asleep during the procedure, ensuring you don't experience any pain or discomfort.

Surgical Procedure

The surgeon will make small incisions around the knee to access the ACL. They will use a graft, often from your own body (autograft) or a donor (allograft), to replace the torn ACL. The graft is securely fixed in place using screws or other fixation devices. The surgery usually takes a couple of hours, but the duration can vary based on individual factors.

Post-Surgery Care

After the surgery, you will be taken to a recovery area where medical professionals will monitor your vital signs as you wake up from anaesthesia. you will likely experience some pain and discomfort, but the medical team will provide appropriate pain management to ensure your comfort.

After the Surgery

Initial Recovery Period (First Few Days to Weeks)

Pain Management: You will be prescribed pain medications to manage discomfort during the initial recovery phase.

Limited Mobility: You will likely need crutches to help you walk and keep weight off the operated leg.

Physical Therapy: Physical therapy usually begins soon after surgery to help restore range of motion and strength in your knee. Your therapist will guide you through exercises that gradually increase in intensity.

Mid-Recovery Phase (Weeks 2 to 6)

Continued Physical Therapy: You will continue with physical therapy, focusing on regaining muscle strength and improving joint stability.

Reducing Swelling: Elevating your leg and applying ice packs can help reduce swelling around the knee.

Late Recovery Phase (Months 2 to 6)

Functional Activities: As your knee heals, you can start engaging in more functional activities, under the guidance of your physical therapist.

Return to Activity: Depending on your progress, your surgeon will determine when you can gradually return to sports and other physical activities.

Long-Term Recovery (Beyond 6 Months)

Continued Exercises: Even after returning to your normal activities, maintaining a regular exercise routine can help prevent future injuries and maintain the strength and stability of your knee.

Periodic Follow-ups: Your surgeon will schedule periodic follow-up appointments to monitor your progress and address any concerns.

Expert Support from Start to Recovery

Facing ACL reconstruction surgery can be intimidating, but understanding the process can alleviate anxiety and help you prepare for a smoother recovery. Remember that each person's journey is unique, and factors like age, overall health, and adherence to post-operative instructions can influence the recovery timeline.

The road to recovery might be challenging, but with patience and dedication, you will be well on your way to a healthier, more mobile future.

At Dr. Lenin Orthoinde Hospital we offer expert guidance in preparing you for your ACL reconstruction surgery. From comprehensive preoperative assessments to detailed explanations of the procedure, our dedicated team will ensure that you are well-informed and mentally prepared.

You can count on our support throughout the journey, encompassing pre-surgery expectations, the procedure itself, and postoperative care for a successful recovery.

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