ACL Repair

Anterior cruciate ligament injuries are common among athletes and active individuals, often leading to instability and limited mobility in the knee. ACL reconstruction surgery can help restore strength and stability in the knee joint, enabling a return to an active lifestyle.

If you’re dealing with an ACL injury, Benjamin W. Szerlip, DO, a fellowship-trained shoulder and sports medicine surgeon in Austin, Texas, offers expert care to help you get back to your routine. Reach out today to schedule a consultation!

What Patients Are Saying

“Dr. Szerlip was very personable, knowledgeable, and took time for all my questions. He gave great explanations of my problem and potential solutions. I have full confidence in his recommendations for treatment and therapy.” — Pam G. 

Understanding the Anterior Cruciate Ligament

The anterior cruciate ligament (ACL) is one of the four major ligaments in the knee joint, connecting the thighbone (femur) to the shinbone (tibia). The ACL’s main role is to stabilize the knee during movements, particularly those that involve sudden stops, jumps, or changes in direction. When this ligament becomes injured or torn, it can lead to instability, pain, and a reduced range of motion.

A doctor examining a patient after a knee injury with a torn ACL in Austin, Texas.

ACL Tear Grades

ACL injuries occur in three primary grades:

  • Grade 1 Sprain: The ligament is stretched but not torn, and the knee joint remains stable.
  • Grade 2 Tear: This partial tear causes more significant discomfort and some loss of stability.
  • Grade 3 Tear: The ACL is completely torn, resulting in knee instability and making activities that require knee strength and stability challenging.
 

Severe ACL injuries often require surgical intervention, particularly if the individual wants to return to sports or active daily activities.

What is Anterior Cruciate Ligament Repair and Reconstruction?

ACL repair and reconstruction are surgical procedures designed to restore stability to a torn ACL. ACL repair involves reattaching the torn ligament to the bone, though it’s less commonly performed because the success rates are higher for reconstruction. ACL reconstruction, the more common approach, replaces the torn ACL with a new ligament, typically harvested from other parts of the body or from a donor.

ACL reconstruction surgery aims to restore full function to the knee, allowing patients to regain mobility, strength, and stability. This procedure is effective for both recent ACL injuries and older, untreated ACL tears that continue to affect mobility.

Types of ACL Reconstruction Surgery

There are several approaches to ACL reconstruction surgery, which may vary based on the patient’s needs, lifestyle, and overall health:

  • Autograft: This approach uses the patient’s own tissue to reconstruct the ACL. Common sources include the patellar tendon or the hamstring tendon. Autografts are often preferred for younger, active individuals due to the lower risk of rejection.
  • Allograft: Allograft surgery uses donor tissue, typically from a cadaver, to reconstruct the torn ligament. Using allograft tissue may be ideal for older or less active patients and is often associated with a shorter surgery and recovery time.
 

Dr. Szerlip will work with you to determine which type of graft is most appropriate for your unique condition and lifestyle.

Candidates for ACL Reconstruction Surgery

ACL reconstruction surgery is generally recommended for individuals who:

  • Experience significant knee instability and pain due to a torn ACL
  • Have sustained additional injuries, such as cartilage injury or other ligament damage
  • Are young or active and wish to return to sports or physical activities
  • Have not improved with non-surgical options like physical therapy
 

While not every ACL tear requires surgery, those with high activity levels or extensive damage may benefit greatly from reconstruction to prevent further injury and support long-term knee stability.

How Soon Should You Get ACL Surgery?

The timing of ACL reconstruction surgery can vary depending on the severity of the injury and the patient’s overall health. In most cases, doctors recommend waiting a few weeks after the injury to allow swelling to subside. However, delaying too long may increase the risk of further knee joint damage, as instability from an untreated ACL injury can lead to other injuries, including meniscus and cartilage tears.

Consulting with a fellowship-trained surgeon like Dr. Szerlip as soon as possible after an ACL injury can help determine the right time for surgery to optimize both recovery and long-term knee health.

The ACL Reconstruction Procedure

During ACL reconstruction surgery, the torn ACL is removed and replaced with a new ligament, either from a graft or donor tissue. The procedure generally includes these steps:

  1. Incisions and Preparation: Small incisions are made around the knee to insert an arthroscope, a thin tube with a camera, allowing the surgeon to see inside the joint.
  2. Graft Harvesting: If an autograft is used, the surgeon will remove tissue from the patellar tendon, hamstring, or other sources.
  3. Fixation: The graft is then anchored into place in the knee joint where the original ACL was, using screws or other fixation devices.
  4. Closure and Recovery: Incisions are closed, and the patient is guided on a customized physical therapy plan for optimal healing and strength building.
 

ACL reconstruction surgery is generally performed on an outpatient basis, meaning patients can often return home the same day.

Expert ACL Reconstruction Surgery in Austin, Texas

If you’re struggling with an ACL injury or knee instability, ACL reconstruction surgery with Benjamin W. Szerlip, DO, may offer the relief you need to return to an active life. As a highly experienced fellowship-trained shoulder and sports medicine surgeon in Austin, TX, Dr. Szerlip provides personalized and effective ACL treatment options to help you regain strength, stability, and confidence.

Ready to take the next step? Contact Dr. Szerlip’s office today to schedule your consultation and discuss your options for ACL reconstruction surgery!

Medically reviewed by Benjamin W. Szerlip, DO