Knee injuries commonly occur for those involved in sports but can also happen if your leg or knee becomes twisted.

If your knee continually gives way after an accident or injury, it could be a sign that your anterior cruciate ligament (ACL) has ruptured – meaning a significant tear to the ligament that joins your thigh bone and knee joint. ACL reconstruction offers the chance of improving the stability of your knee in everyday life and sporting activities.

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What is the anterior cruciate ligament?

The ACL is one of the important ligaments that stabilise your knee. If you have torn (ruptured) this ligament, the knee can collapse or give way when making twisting or turning movements. You may also find that you are unable to fully extend your leg, impacting your mobility.

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How does an ACL rupture happen?

An ACL rupture happens as a result of a twisting injury to your knee. The common causes are contact sports and skiing injuries. You can injure other parts of your knee at the same time such as tearing cartilage or damaging the joint surface.

Are there any alternatives to ACL reconstruction surgery?

Not all cases of a torn ligament will result in surgery. Physiotherapy can help you with exercises to strengthen and improve the co-ordination of the muscles in your thigh, whilst some people find wearing a knee brace can sometimes help while you are playing sports. However, we would recommend that you always seek advice from your consultant before returning to sports.

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ACL injuries and treatments

Consultant Orthopaedic Surgeon, Mr Sam Rajaratnam talks about Anterior Cruciate Ligament (ACL) injuries and the various treatment options available.

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What does the operation involve?

Your surgeon will make one or more incisions around your knee. They will usually perform the operation by an arthroscopy (keyhole surgery), using a camera to see inside your knee. The operation usually takes an hour to 90 minutes. Various anaesthetic techniques are possible, which you can discuss with the anaesthetist beforehand.

Your surgeon will replace the ACL with a piece of suitable tissue from another area of your body. The ends of the replacement ligament are fixed with special screws or anchors into holes drilled in the bone.

Two sources of replacement material for ACL reconstruction are commonly used:

  • Autografts (employing bone or tissue harvested from the patient's body)
  • Allografts (using bone or tissue from another body, either a cadaver or a live donor).

"I thoroughly recommend the Horder Centre. I had a day case ACL reconstruction, the staff are delightful the hospital very clean and super efficient. I felt like I was given the utmost care and had great confidence in every staff member who dealt with my case."
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As a private patient at The Horder Centre you can get faster access to the very best orthopaedic consultants.

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What complications can happen during surgery?

Complications of anaesthesia
Your anaesthetist will be able to discuss with you the possible complications of having an anaesthetic.

General complications of ACL reconstruction surgery
• Pain
• Bleeding
• Infection of the surgical site (wound)
• Unsightly scarring
• Blood clots
• Difficulty passing urine

Specific complications of ACL reconstruction surgery
• Break of the kneecap
• Damage to nerves around the knee
• Infection in the knee joint
• Discomfort in the front of the knee
• Loss of knee movement
• The knee keeps giving way
• Severe pain, stiffness and loss of use of the knee (complex regional pain syndrome)

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Information leaflet

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

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The recovery process for the ACL is usually broken down into different phases of rehabilitation. Each phase has its own objectives, however, is intertwined with other phases since the goals are as progressive as the recovery itself. The rehabilitation process is at the pace of the patient and timelines are sometimes given to help give an idea of where one can be during rehabilitation. Timelines are not used to discourage or encourage those who aren’t ready to advance their recovery process. Such acts may cause serious injury or re-injury of the ACL.

Finance options available

To make private healthcare more accessible, we have introduced a finance option to spread the cost of your treatment over a period of time.

Self-paying patients at Horder Healthcare are now able to take out loans that cover all fees, including the consultant, anaesthetist and hospital fees. The loan products include interest-free options, with repayment periods of 6, 10 or 12 months, and interest-bearing loans repayable over 24, 36, 48 and 60 months, currently with an APR of 12.9%. Subject to approval.

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Guide price for self pay patients

Autograft Reconstruction of ACL

  Estimated Cost *
Initial Consultation from £220
Diagnostics from £85
Treatment £6,450

Estimated total cost £6,755
Estimated length of stay 1 night

* The guide price is correct as of 14th April 2021

What's included

Price is inclusive of the initial consultation, X-ray diagnostics if needed (MRI not included), surgery, private en-suite room, inpatient physiotherapy when applicable and follow up consultation. Our private patients also receive continuity of care up to and including 120 days following your surgery.

The guide price is based on the usual clinical needs of patients. The price you pay might be different depending on your medical history and the type of implant you choose or your Consultant advises is best for you. Your price quotation will be made clear to you before you proceed with any tests, consultations or treatment.

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Our friendly customer services team are always happy to answer any questions you may have regarding our treatments or services.

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The operation and treatment information on this webpage is produced using information from EIDO Systems International and is licensed by Horder Healthcare. The information should not replace the advice that your relevant health professional would give you.

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