If you have been diagnosed with a torn anterior cruciate ligament (ACL), you may feel unsure about your next steps. ACL injuries are common, especially among individuals who play sports or engage in physically demanding activities.
However, making the right treatment decision depends on several factors, including the severity of your injury, your lifestyle, and your long-term goals.
Let us understand what an ACL tear is, how it impacts your life, and whether or not surgery is necessary for your recovery.
What Is the ACL, and What Happens When It Tears
Your ACL is a ligament located in the knee that connects your thigh bone (femur) to your shinbone (tibia) and plays a vital role in stabilizing your knee joint. The ACL is particularly important for movements that involve pivoting, twisting, or sudden stops — movements common in sports like basketball, soccer, and skiing.
When the ACL tears, you may experience:
- A “popping” sensation in your knee.
- Severe pain and swelling in the knee.
- Loss of range of motion of the knee joint.
- Difficulty walking or bearing weight on the leg.
Tears can vary in severity, ranging from minor strains to complete ruptures. Orthopedic doctors use the term “sprain” to classify ACL injuries:
- Grade 1 Sprain: The ligament is stretched but not completely torn.
- Grade 2 Sprain: Partial tear of the knee ligament.
- Grade 3 Sprain: Complete tear of the ligament, causing instability in the knee.
A physical exam, coupled with imaging tests like an MRI, usually confirms the torn ACL diagnosis.
Do You Always Need Surgery for a Torn ACL
The short answer is no. Not all ACL tears require surgery. Whether or not surgery is needed depends on several factors, including your age, activity level, and the severity of your injury.
Surgery becomes a likely option in the following scenarios.
Complete ACL Tear (Grade 3)
The anterior cruciate ligament (ACL) in your knee has completely torn, which is classified as a Grade 3 tear. This type of injury causes the knee to become very unstable, making it difficult to perform daily activities.
With Grade 3 ligament tears it is almost impossible to engage in physical movements without the knee giving out.
Impact on Physical Activity
If you are planning to return to sports or other physically demanding activities, the stability and strength of your knee are crucial. A torn ACL can significantly limit your ability to perform these activities safely and effectively.
Additional Knee Damage
In addition to the ACL tear, other parts of your knee, such as the meniscus or the cartilage covering your bones, may also be damaged. These additional injuries can contribute to pain, swelling, and reduced knee function, making treatment and recovery even more important.
Types of ACL Surgery
When it comes to treating a torn anterior cruciate ligament (ACL), there are several surgical options available to help restore stability and function to your knee.
The type of ACL surgery recommended for you will depend on various factors, including the severity of the injury and your individual circumstances. Here are some common types of ACL surgery.
ACL Reconstruction
ACL reconstruction is the most common type of ACL surgery, where the torn ligament is replaced with a graft, typically taken from your own body (autograft) or from a donor (allograft).
The graft is positioned in the knee joint, acting as a scaffold for new tissue growth and providing stability to the knee.
ACL Repair
In some cases, if the ACL tear is located near the ligament’s bony attachment and the tissue quality is good, a primary repair may be possible. This procedure involves suturing the torn ends of the ACL back together, allowing the ligament to heal naturally.
However, not all ACL tears are suitable for this type of repair. It is typically reserved for specific cases.
When Can ACL Surgery Be Avoided
For some individuals, surgery is not the only option. Here are scenarios where surgery may not be necessary.
Lifestyle Modifications
If your injury does not interfere with your daily life and you engage in low-impact activities like walking or swimming, physical therapy may be enough.
Partial Tears
Some ACL injuries are partial tears rather than full ruptures. These may heal with time and therapy alone.
Age and General Activity Level
Older adults or less active individuals may find satisfactory results without undergoing surgery.
ACL Surgery in North Dakota
Whether you are considering ACL surgery or exploring non-surgical options, the team at The Bone & Joint Center is here to guide you. We are North Dakota’s largest private orthopedic practice with board-certified surgeons and expert therapists who care deeply about your recovery.
Our team of board-certified surgeons and therapists will evaluate your injury, discuss your goals, and develop a personalized treatment plan.
For more information or to schedule a consultation with one of our providers, call us today at (701) 946-7400/(866) 900-8650 or use our appointment request form. We look forward to serving you!
