Anterior Cruciate Ligament Injuries

Anterior Cruciate Ligament Injuries (ACL)

ACL Reconstruction Surgery in Bangalore – The anterior cruciate ligament is one of the main ligaments that connect two bone structures namely Tibia and Femur of the knee. It helps in the rotational movement of the knee.

The injury of the ACL is a common occurrence during sports such as soccer, football, basketball, and skiing. The sudden jolt during jumping and landing leads to this injury.
At the time of ACL injury, you feel a snap in the knee. The risk of the injury can be reduced through proper and methodical training. The injury causes inflammation leading to severe pain.

The treatment is determined based on the severity of the injury. The treatment approach can be rest and physiotherapy with exercise to retrieve strength and stability. However, in severe cases, surgery is done to restore the tear in the ligament.


Typical symptoms of an ACL injury include the following :

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  • Sudden “ popping ” sound at the time of injury.
  • A feeling of the knee giving away
  • Inflammation within 24 hours of the injury
  • Loss of the easy motor ability
  • Uncomfortable sensation while walking
  • Soreness in the joint line

On the occurrence of the injury, one must refrain from the activity that leads to the injury. The pain and inflammation tend to heal by itself. If the activity is resumed, then it may lead to further damage of the shock-absorbing cartilage called the meniscus.


An ACL injury is most prevalent during tough sports such as football, skiing, and rugby. The physical movement involved in these sports activities can end up in an injury of this form. The actions such as sudden jolt while running, improper landing from a jump, colliding with a fellow player. Although the chances of this leading to an ACL injury is very uncommon. Research reveals that in some sports, female athletes are more prone to the occurrence of ACL injury than male athletes. This could be attributed to the fact that men and women have the varied muscle strength and physical conditioning.

Some of the other causes for ACL injury include variation in the lower extremity leg alignment, loosened ligaments, asymmetric pelvic alignment and estrogen affected ligament.


During the examination, the structures of the injured knee will be compared with that of the unhurt knee. Physical examination is enough to diagnose most of the ligament injuries due to the evident symptoms. However, for a better understanding, a thorough examination is done using diagnostic tools such as magnetic resonance imaging(MRI) and X rays. The images obtained present a clear outline of the type of injury in the bone. But,these images tend to appear normal is the injury occurred over 3 months prior to diagnosis.

On experiencing the symptoms briefed, it advised visiting the doctor.

Here are the few FAQ’s about anterior cruciate ligament by Dr. Sushal Shanthakumar, the Best ACL Reconstruction Surgery in Bangalore :

An ACL tear takes place when you suddenly stop while moving or running or if you suddenly change your direction. It usually takes place when there is a sudden blow in your knee.

Yes, it might be painful and the swelling may also appear in the knee. You might also feel that your knee has given up and thus you are not able to do anything like moving or twisting your knee.

If you take proper rest and follow the instructions given by the doctor, then the possibility is that within 6 weeks, the walking should be fine with the right amount of motion in the knee, yet, it might take some time for the knee ACL to get healed.

Arthritis can be a long term effect for the ACL tear. It brings instability in the abnormal motion and it increases the tear on the cartilage in the knee.

It usually takes up to 6 to 9 months to fully recover from the ACL injury. Initial weeks are concentrated on reconstructing the torn ligament in a controlled manner. The new ligament might take some time to form and come up.

ACL can repair itself by creating the new tissue, it cannot repair the damaged tissue. It can only form a new tissue with the help of the blood motion within 6 to 8 weeks.

It is recommended that you should not go to the gym right after the surgery. You have to understand that it will take time for you to go back to normal life so give it some time and then think of doing the exercise.

Yes, it is recommended that you should go for at least 2 weeks for physical therapy. It would help you in putting some weight on the knees and it would also lead to the doctor to help you in doing some activities after the surgery.