✦ Athletic Knee Surgery

ACL Reconstruction (Arthroscopic)

Q: Is ACL reconstruction always necessary?

Active patients and athletes need surgery to regain stability. Older low-demand patients with isolated tears may be managed by rehabilitation.

Q: Which graft choice is best?

Hamstring is most common for younger patients. Patellar tendon suits high-demand athletes. Quadriceps tendon is increasingly popular too.

Q: When can I return to running?

Light straight-line jogging starts around 3–4 months. Cutting, pivoting and contact sports begin around 6 months after return-to-sport testing.

Q: Will the new ligament tear again?

Re-tear rates are around 5–10%. Structured rehabilitation, neuromuscular training and gradual return-to-sport timelines reduce this risk.

The torn anterior cruciate ligament is replaced through tiny keyhole incisions using a tendon graft — restoring rotational stability and bringing athletes back to competitive sport with full confidence.

60–90 min PROCEDURE

Day-Care HOSPITAL STAY

>95% SUCCESS RATE

6 Months SPORT RETURN

What is ACL Reconstruction (Arthroscopic)?

Arthroscopic ACL Reconstruction is the established surgical solution for a torn anterior cruciate ligament — among the most frequent ligament injuries in sport. Through three tiny keyhole portals, the damaged ligament is replaced using a hamstring, patellar or quadriceps tendon graft, anchored within accurately drilled bone tunnels by interference screws or suspensory cortical buttons. Dr. Hithesh performs ACL reconstruction in Hyderabad with focus on anatomic tunnel placement and structured return-to-sport rehabilitation, helping athletes regain knee confidence, prevent secondary meniscal damage and resume their chosen sport reliably.

Recommended for active patients with a confirmed complete ACL tear causing knee instability, repeated giving-way episodes or inability to participate in pivoting sports — supported by clinical findings and MRI.

How the Procedure Works

Diagnostic Arthroscopy

Small portals allow direct visualisation of the torn ACL and any associated meniscal or chondral damage in the knee.

Graft Harvest

A hamstring, patellar tendon or quadriceps autograft is harvested through a small incision and prepared for transplantation accurately.

Anatomic Tunnel Drilling

Tibial and femoral tunnels are drilled at the original ACL footprint to recreate the natural ligament path geometry.

Graft Fixation

The graft is shuttled through the tunnels and fixed under tension with interference screws or suspensory cortical buttons securely.

Closure & Rehabilitation

Tiny portals are closed; a hinged brace is applied; criteria-based rehabilitation begins immediately to guide sport-specific recovery.

Outcomes

60–90 minDURATION

Day-CareHOSPITAL STAY

>95%SUCCESS RATE

6 MonthsSPORT RETURN

Who Needs This Treatment?

→Eliminates the disabling sensation of a knee that gives way
→Brings back rotational stability needed for pivoting and cutting sports
→Day-care surgery with same-day discharge under expert anaesthesia care
→Three small keyhole portals leave minimal cosmetic scarring afterwards
→Protects menisci and cartilage from cumulative damage caused by instability
→Structured criteria-based rehabilitation supports safe return to competitive activity

ACL reconstruction is the perfect example of how technical precision shapes outcome. Anatomic tunnels, secure fixation and patient discipline in rehabilitation — that's the recipe for a knee that returns to sport without compromise.

— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is ACL reconstruction always necessary?+

Which graft choice is best?+

When can I return to running?+

Will the new ligament tear again?+

Not sure which treatment is right for you?

Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.

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