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IVs will be placed in your arm or hands for medications and fluids. The doctor will examine the range of motion of the knee and confirm the ACL tear. Next, the doctor will locate another tendon in your knee or hamstring (called autograft) to reconstruct the torn ligament. Sometimes a donor graft (called allograft) is used. The doctor will form the graft tendon to the correct size.
One or two small keyhole incisions will be made on the top of the knee. An arthroscope (or endoscope) and tiny tools will be inserted into the knee joint. The torn ACL is removed and other damage to the knee is trimmed or repaired. In order to reconstruct the tendon, the doctor will drill holes through bone structures in the thigh and shin. The new graft will be placed through these holes. Needles may be threaded through the holes to suture the new tendon into place. Other devices, such as screws, washers, or staples are also used to hold the graft in place.
Once the graft is securely in place, the doctor will test the knee’s range of motion. Other tests will be done as well. The skin will be closed with stitches. Bandages and/or a brace will be placed on the knee.
ACL Injury: Does It Require Surgery? American Academy of Orthopaedic Surgeons website. Available at: ...(Click grey area to select URL) Updated September 2009. Accessed May 3, 2013.
Anterior cruciate ligament (ACL) injury. EBSCO DynaMed website. Available at: ...(Click grey area to select URL) Updated April 12, 2013. Accessed May 3, 2013.
Anterior cruciate ligament injuries. American Academy of Orthopaedic Surgeons website. Available at: ...(Click grey area to select URL) Updated March 2009. Accessed May 3, 2013.
Anterior cruciate ligament injuries: treatment and rehabilitation. Encyclopedia of Sports Medicine and Science website. Available at: ...(Click grey area to select URL) Accessed May 3, 2013.
Canadian Orthopaedic Foundation. Anterior cruciate ligament (ACL) surgery. Canadian Orthopaedic Foundation website. Available at: ...(Click grey area to select URL) Accessed May 3, 2013.
Knee ligament repair. John Hopkins Medicine website. Available at. ...(Click grey area to select URL) Accessed May 3, 2013.
6/6/2011 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
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