Choosing Your Treatment Path
Treatment depends on how stable the knee remains, whether other structures are injured, and the activities the patient wants to return to.
Some patients regain good functional stability with rehabilitation, while others may consider reconstruction when instability persists, or sporting and occupational demands are higher.
Can an ACL tear be treated without surgery?
Yes. Some ACL injuries can be managed successfully without reconstruction, particularly when the knee remains functionally stable.
Non-surgical management usually involves rehabilitation to improve movement, muscle strength, balance and knee control.
Progress is monitored to determine whether the knee provides sufficient stability for everyday activities, work and sport.
For information about patient suitability and rehabilitation-based management, see ACL Tear Without Surgery.
When may ACL reconstruction be considered?
ACL reconstruction may be considered when an ACL-deficient knee remains unstable, repeatedly gives way or cannot tolerate the activities the patient wants to return to.
It may also be considered for patients participating in high-demand pivoting sports or those with associated knee injuries that influence treatment.
Reconstruction involves replacing the damaged ACL with a tendon graft to restore knee stability.
For more information about surgical indications, preparation and the procedure, see ACL Reconstruction.
What are the ACL graft options?
A graft is tissue used to replace the damaged ACL during reconstruction.
Common autografts, which use tissue taken from the patient's own body, include:
- Hamstring tendon
- Patellar tendon
- Quadriceps tendon
Each graft has potential advantages and trade-offs. Selection depends on factors such as age, sport, occupation, kneeling requirements, previous surgery and individual anatomy.
For a detailed comparison, see ACL Graft Options.
Preparing for ACL reconstruction
Prehabilitation is rehabilitation performed before surgery to prepare the knee for reconstruction.
It commonly focuses on reducing swelling, restoring movement, improving quadriceps strength and normalising walking.
The amount of prehabilitation required depends on the individual injury and associated procedures.
For further information about surgical preparation, see ACL Reconstruction.
Discuss your ACL treatment options
Treatment decisions should consider the individual knee injury, clinical stability, associated damage and the patient's activity goals.
Dr Hayes can assess your knee and discuss the treatment options appropriate to your circumstances.
Book an appointment now.
