What is ACL & PCL Arthroscopy?
ACL (Anterior Cruciate Ligament) and PCL (Posterior Cruciate Ligament) injuries commonly occur due to sports trauma, road accidents, or twisting injuries of the knee.
Arthroscopic ligament reconstruction is a minimally invasive (keyhole) surgical technique used to restore knee stability by reconstructing the torn ligament using a tendon graft.
This procedure is performed using a small camera (arthroscope) inserted through tiny incisions, allowing precise repair with minimal tissue damage.
ACL Reconstruction – Surgical Technique
✔ Step‑by‑Step Procedure
- Diagnostic Arthroscopy
The knee joint is examined using an arthroscope to assess ligament damage and check for meniscus or cartilage injuries. Graft Harvesting
A tendon graft is taken (commonly hamstring or peroneus tendon).Tunnel Preparation
Small bone tunnels are created in the femur and tibia at anatomical ACL attachment sites.Graft Placement
The graft is passed through the tunnels to replicate the natural ACL.Fixation
The graft is secured using interference screws or fixation devices.Closure
Small incisions are closed with sutures; surgery typically lasts 60–90 minutes.
Advantages of Arthroscopic ACL Surgery
PCL Reconstruction – Surgical Technique
PCL injuries are less common but may cause significant instability if untreated.
Surgical Steps
Arthroscopic evaluation of knee joint
Preparation of tibial and femoral tunnels
Graft insertion (autograft or allograft)
Fixation using specialized implants
Stability testing before closure
PCL surgery is technically more demanding and requires precise tunnel placement for optimal outcomes.
Combined ACL+PCL Injury Treatment
In cases of multi‑ligament injuries:
- Reconstruction may be done in a single stage or staged manner
- Associated ligament and meniscus injuries are addressed simultaneously
- Structured rehabilitation is critical for long‑term stability
Post‑Operative Recovery
- Walking with brace support
- Gradual knee bending exercises
- Structured physiotherapy protocol
- Return to sports typically in 6–9 months
Early rehabilitation is key to successful recovery and return to an active lifestyle.
Why Choose Arthroscopic Ligament Reconstruction?
- Accurate anatomical reconstruction
- High success rates
- Faster functional recovery
- Improved knee stability
- Long‑term joint protection
Project Information
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Patient Name: Wesley Jonson
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Category: Pain Management
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Location: United Kingdom
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Timeline: 22 Oct 2023 - 12 Nov 2023