Mr Richard Boden
The ACL is mainly injured during sports involving jumping, turning and side stepping. Skiing and ball sports are commonly associated with ACL injury. Patients frequently hear or feel a snap within the knee and are unable to continue their activity, the injury is usually associated with rapid swelling of the knee, initially eased by rest, ice and compression.As the swelling settles however, pain or instability, particularly on turning may be noted.
ACL injury is difficult to avoid due to it’s occurrence during sporting activities, but maintaining fitness and generalised muscle tone around the knee, along with warming up prior to activities will help.
Mr Julian Flynn
The main reason for reconstructing the ACL is to try and restore normal stability, range of motion and strength of the knee. The decision to undergo reconstruction is based on clinical grounds if a patient has a feeling of instability on the knee, or cannot trust the knee when turning or twisting. After reconstruction it is vital to follow a rehabilitation protocol overseen by a Physiotherapy Team to ensure that the new cruciate ligament graft is protected and allowed to heal. At the same time, objectives include regaining a full range of motion in the knee and thus allowing restoration of muscle strength and proprioception – the ability of the body to know where the joint is in space, and the ability of muscles to control the joint.
Mr Wiqqas Jamil
ACL reconstruction is performed to stabilise the knee and in doing so allowing return to sports that involve pivoting movements and protecting other structures in the knee as well as the joint surfaces. ACL injury is caused by contact and non contact mechanisms. There are a number of risk factors (including hormonal, anatomical and biomechanical) that are associated with increased risk of ACL injury. Preventing injury altogether is not always possible but the risks can be reduced through biomechanical musculoskeletal conditioning and injury prevention programs.