ACL Reconstruction

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What is an ACL Injury?

The Anterior Cruciate Ligament (ACL) is a strong band of tissue located within the knee joint, connecting the femur (thigh bone) to the tibia (shin bone). Its main function is to stabilise the knee during movements that involve pivoting, twisting, and sudden changes in direction. ACL injuries happen when the ligament is stretched beyond its limits or torn, often during activities that require rapid deceleration, such as sports like soccer, basketball, football, and skiing. However, ACL injuries can also result from non-contact movements, such as landing from a jump or making a sudden change in direction.
This features classifications of Anterior Cruciate Ligament tissue within the knee.
The abrupt twisting of the knee could cause an ACL injury.
While not all ACL injuries require surgical intervention, for many individuals, particularly those who are young, active, or engaged in high-demand physical activities, surgery is usually recommended to restore stability and function to the knee joint.

Visit Alps Orthopaedic Centre

Alps Orthopaedic Centre is a specialist clinic in Singapore with expertise in various injuries and diseases concerning the musculoskeletal system. At Alps, we understand that musculoskeletal problems can compromise your quality of life.

We are here for you whether you are grappling with Hip and Knee Pain, Sports Injuries, Trauma Fractures, as well as Other Orthopaedic Conditions.

Our Orthopaedic clinic provides specialised diagnosis and effective treatment of musculoskeletal problems, especially Day Surgery / Enhanced Recovery After Surgery (ERAS) For Hip and Knee Surgery, Sports Injuries such as ACL, Meniscus Repair, Cartilage Repair and Trauma Fractures. We are an Orthopaedic clinic in Singapore that specialises in ERAS. We do our utmost to enable patients to return to everyday activities as early as possible.

To determine a suitable treatment option for your knee pain, book an appointment with our experienced Consultant Orthopaedic Surgeon, Dr Jerry Chen, for a thorough assessment and treatment plan.

What is ACL Reconstruction Surgery and the type of graft used?

ACL is a minimally invasive surgery that aims to reconstruct the torn ligament using graft material, typically sourced from either the patient’s own body (autograft) or a cadaver donor (allograft). The choice of graft type depends on various factors, including patient age, activity level, and surgeon preference.

  • Patellar Tendon Autograft: A portion of the patellar tendon (located in your kneecaps), along with a small piece of bone from the patella and tibia, is harvested from your own body to create the new ACL. This graft is known for its strength and stability and is often recommended for younger, active individuals.
  • Hamstring Autograft: Part of the hamstring tendons from the same leg are used to reconstruct the ACL. This type of graft is popular because of its minimally invasive nature and reduced risk of complications.
  • Allograft ACL Reconstruction: In allograft ACL reconstruction, tissue from a cadaver donor is used to create the new ACL. Allografts are commonly used in older patients, those with multiple ligament injuries, or individuals who prefer to avoid additional discomfort associated with autograft harvest sites.

ACL reconstruction involves using a small camera called an arthroscope
to view and operate inside the knee joint.

Regardless of the graft type chosen, the minimally invasive surgical procedure itself generally follows a similar step-by-step procedure:

  • Preparation: An orthopaedic specialist will perform a physical assessment to determine the site of the injury. The specialist will then administer general anaesthesia before you are operated on. It is not recommended for you to eat or drink for at least twelve hours before the surgery.
  • Incision: The orthopaedic surgeon makes small incisions around the knee to access the joint. Arthroscopic instruments, including a small camera called an arthroscope, are inserted through these incisions to visualise the structures inside the knee.
  • ACL Removal: The torn ACL is carefully removed from the knee joint using arthroscopic instruments.
  • Graft Implantation: The surgeon drills tunnels in the tibia and femur to create new attachment sites for the graft. The graft is then inserted through these tunnels and fixed in place using screws, sutures, or other fixation devices.

After your surgery is completed, your physical vitals will be monitored to assess if there are any complications during the surgery. In most cases, you will be hospitalised for a night (case by case basis).

Recovering from minimally invasive ACL surgery is a gradual process that requires patience, dedication to physical therapy, and adherence to your orthopaedic surgeon’s instructions. Here are some tips to help facilitate your recovery process:

  • Physical Therapy: Physical therapy is key for your ACL surgery recovery. Your orthopaedic specialist will design a personalised rehabilitation programme to improve strength, flexibility, and range of motion in your knee.
  • Maintain a Well-balanced Diet: Opting for a diet rich in vitamins and protein facilitates the healing process and promotes tissue repair.
  • Follow Your Surgeon’s Instructions: He will provide you with tailored guidelines for postoperative care, including wound care, medication management, and activity restrictions. It’s imperative to follow these instructions closely to promote healing and prevent complications.
  • Timeline: ACL surgery recovery typically spans several months, with the initial focus on strengthening muscle mass and straight line exercises, followed by gradual rehabilitation to return to sports.
  • Long-Term Outlook: With dedication to rehabilitation and adherence to postoperative guidelines, many patients are able to return to their pre-injury level of activity. However, it’s important to recognise that individual treatment outcomes may vary, and some residual symptoms or limitations may persist.
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Dr Jerry Chen

MBBS (S’pore), MRCSEd, MMed (Ortho), FRCSEd (Ortho)

Fellowship-trained Consultant Orthopaedic Surgeon & Medical Director

Why Alps Orthopaedic Centre?

At Alps Orthopaedic Centre, we specialise in Enhanced Recovery After Surgery (ERAS). Performed as a Day Surgery, the ERAS Direct Anterior Approach in Total Hip Replacement (THR) technique as well as ERAS Total Knee Replacement (TKR), reduces the average hospitalisation stay, utilising techniques which enable the patient to suffer from less pain and recover faster. We are an Orthopaedic clinic in Singapore, which specialises in ERAS and do our utmost to enable patients to return to everyday activities as early as possible. 

Our Orthopaedic clinic provides specialised diagnosis and effective treatment of musculoskeletal problems, especially Day Surgery / Enhanced Recovery After Surgery (ERAS) For Hip and Knee Surgery, Sports Injuries and Trauma Fractures. If you are considering hip or knee surgery or minimally invasive treatments, book an appointment with our experienced Consultant Orthopaedic Surgeon, Dr Jerry Chen, for a thorough assessment and treatment plan. 

Our aim is to boost patient well-being, optimising every aspect of the surgical journey. By minimising the recovery period, patients are able to go back to activities that they love. The Alps team offers comprehensive financial counselling sessions to ensure our patients understand their options and make informed decisions regarding their treatment plans.

Has this article been insightful? Share it!

Dr Jerry Chen

MBBS (S’pore), MRCSEd, MMed (Ortho), FRCSEd (Ortho)

Fellowship-trained Consultant Orthopaedic Surgeon & Medical Director

Why Alps Orthopaedic Centre?

At Alps Orthopaedic Centre, we specialise in Enhanced Recovery After Surgery (ERAS). Performed as a Day Surgery, the ERAS Direct Anterior Approach in Total Hip Replacement (THR) technique as well as ERAS Total Knee Replacement (TKR), reduces the average hospitalisation stay, utilising techniques which enable the patient to suffer from less pain and recover faster. We are an Orthopaedic clinic in Singapore, which specialises in ERAS and do our utmost to enable patients to return to everyday activities as early as possible. 

Our Orthopaedic clinic provides specialised diagnosis and effective treatment of musculoskeletal problems, especially Day Surgery / Enhanced Recovery After Surgery (ERAS) For Hip and Knee Surgery, Sports Injuries and Trauma Fractures. If you are considering hip or knee surgery or minimally invasive treatments, book an appointment with our experienced Consultant Orthopaedic Surgeon, Dr Jerry Chen, for a thorough assessment and treatment plan. 

Our aim is to boost patient well-being, optimising every aspect of the surgical journey. By minimising the recovery period, patients are able to go back to activities that they love. The Alps team offers comprehensive financial counselling sessions to ensure our patients understand their options and make informed decisions regarding their treatment plans.

Has this article been insightful? Share it!

Dr Jerry Chen

MBBS (S’pore), MRCSEd, MMed (Ortho), FRCSEd (Ortho)

Fellowship-trained Consultant Orthopaedic Surgeon & Medical Director

Why Alps Orthopaedic Centre?

At Alps Orthopaedic Centre, we specialise in Enhanced Recovery After Surgery (ERAS). Performed as a Day Surgery, the ERAS Direct Anterior Approach in Total Hip Replacement (THR) technique as well as ERAS Total Knee Replacement (TKR), reduces the average hospitalisation stay, utilising techniques which enable the patient to suffer from less pain and recover faster. We are an Orthopaedic clinic in Singapore, which specialises in ERAS and do our utmost to enable patients to return to everyday activities as early as possible. 

Our Orthopaedic clinic provides specialised diagnosis and effective treatment of musculoskeletal problems, especially Day Surgery / Enhanced Recovery After Surgery (ERAS) For Hip and Knee Surgery, Sports Injuries and Trauma Fractures. If you are considering hip or knee surgery or minimally invasive treatments, book an appointment with our experienced Consultant Orthopaedic Surgeon, Dr Jerry Chen, for a thorough assessment and treatment plan. 

Our aim is to boost patient well-being, optimising every aspect of the surgical journey. By minimising the recovery period, patients are able to go back to activities that they love. The Alps team offers comprehensive financial counselling sessions to ensure our patients understand their options and make informed decisions regarding their treatment plans.