Arthroscopic Anterior Cruciate Ligament Reconstruction (ACLR) is a minimally invasive surgery used to replace a torn ACL with a tissue graft to restore knee stability. Understanding what happens before and after this procedure is crucial for managing expectations and achieving a successful recovery. Before Surgery: Pre-Op Preparation
Preparation focuses on lowering inflammation, restoring mobility, and setting up a supportive home environment.
Prehabilitation (Pre-op PT): Working with a physical therapist weeks before surgery minimizes swelling and strengthens the quadriceps and hamstrings. Entering surgery with a full range of motion significantly lowers the risk of post-op stiffness (arthrofibrosis).
Home Setup: Create a “recovery station” on a main floor to avoid stairs. Stock up on ice packs or a cold therapy machine, non-perishable meals, and elevated pillows.
The Night Before: Fasting from food and drink is typically required after midnight to prepare for general anesthesia. Bring loose-fitting clothing to the hospital that can easily slip over a bulky knee brace. During the Procedure
The outpatient surgery takes 60 to 90 minutes under general anesthesia, often paired with a nerve block for immediate post-op pain management.
ACL Repair Surgery: What to Expect Before, During, and After