Anterior Cruciate Ligament (ACL) Preservation Surgery
With new technology and medical advances some ACL tears can now be treated with ACL Preservation Surgery. During this arthroscopic procedure, the patients’ own ACL is repaired and injected with Platelet Rich Plasma (PRP) to enhance the healing naturally.
Until recently, most surgeons treated ACL tears with what is know as an ACL Reconstruction. Sometimes people mistakenly refer to this surgery as an ACL “Repair”. However, during an ACL Reconstruction, the surgeon completely removes the patients’ torn ACL from the knee, drills tunnels through the bone and inserts a graft to replace the ACL.
Advantages of ACL Preservation Surgery
- Better knee function
- Less invasive knee surgery
- Faster return to activities
- Less pain
- Patient’s own ACL is preserved
The result – your knee will feel more natural. For a quick overview, see our ACL Preservation infographic.
How is ACL Preservation Possible?
- New repair devices and techniques
- Better understanding of the ACL anatomy
- Ability to improve healing with OrthoBiologics
- Improved rehabilitation programs after surgery
What Are The Results Of ACL Preservation Surgery?
Early 2 years unpublished results are as good as or better than with traditional ACL Reconstruction.
What If ACL Preservation Doesn’t Work?
- Any ACL surgery can fail due to a variety of factors
- When traditional ACL Reconstruction fails, the revision can be challenging because of the large bone tunnels that were drilled in the knee.
- When ACL Preservation fails, the “revision” is similar to as if the ACL was being reconstructed for the 1st time.
What Is An ACL Knee Injury?
One of the most common knee injuries is to the ACL, or anterior cruciate ligament. This is typically a sprain or tear with different levels of severity categorized by grades 1 – 3.
Athletes who participate in sports sports like soccer, football, and basketball are more likely to injure their ACL. However ACL tears can occur with recreational sports, hobbies or even at work.
ACL injuries can occur in several ways including:
- Rapidly changing direction
- Stopping suddenly
- Landing the wrong way from a jump
- Direct contact, collision or fall, like a football tackle
- Hyperextending the knee
- Sometimes it can be as simple as stepping off of a curb or step
Most people with an injured ACL require surgery to restore full function of the knee. Without a functioning ACL, the knee may continue to “give-way” and cause damage to other structures such as the meniscus and cartilage.
What Are ACL Tear Symptoms?
At the time of an ACL injury, signs and symptoms may include:
- A loud “pop” sound
- Severe pain and inability to continue activity
- Knee swelling that usually worsens for hours after the injury occurs
- A feeling of weakness or giving way
How Is An ACL Tear Treated?
A torn ACL, or anterior cruciate ligament, is usually treated by one or a combination of the following:
- Arthroscopic reconstruction which means the ACL is replaced with a graft
- ACL Preservation or Bridge Enhanced ACL Repair (BEAR)
- Sedentary, less active patients may be treated with physical therapy and a brace
Most patients need ACL surgery to restore full knee function allowing them to safely resume all activities.
Without surgery, most active patients will experience continued episodes of their knee giving-way. Each time the knee gives out, further damage can occur to meniscus and cartilage. Ultimately if these structures wear down, then arthritis will develop.
If surgery is needed, Dr. Goradia utilizes modern technology and medical advancements to provide patients with the best possible outcome using minimally-invasive and faster recovery options.
Diagnosis of ACL Injuries
Most ACL injuries may be diagnosed through a careful history emphasizing mechanism of injury coupled with a good physical examination.
Additional testing, such as an X-ray and MRI scan, may be required to confirm diagnosis and determine the extent of damage or involvement of other structures within the knee.
Ashley Dickson, Student Athlete
After surgery with Dr. Goradia a 17 year old high school basketball player was back to running and jumping 5 months after ACL Preservation Surgery.
“My knee was injured in a basketball game and I was unable to play anymore. The treatments and surgery have helped me tremendously. Dr. Goradia is an excellent doctor.”
Choose G2 Orthopedics and Sports Medicine For ACL Preservation
Whether working with recreational athletes, injured workers, or any other individuals, Dr. Goradia provides each patient with the quality of care given to professional athletes.
Dr. Goradia is a leading sports medicine, knee and shoulder specialist and one of the first U.S. orthopedic surgeons to be certified in sports medicine as a subspecialty. He sees patients in his Glen Allen and Chester locations and performs surgery at several Richmond area hospitals.