ACL Graft Options — Choosing the Right Tissue
| Graft Type | Best For | Pros | Cons |
|---|---|---|---|
| Hamstring Tendon (Most Common) | Most patients | Small incision, less knee pain, fast recovery | Slight hamstring weakness |
| Patellar Tendon (BTB) | Elite athletes, pivoting sports | Strongest graft, bone-to-bone healing | Anterior knee pain risk |
| Quadriceps Tendon | Revision ACL, larger grafts | Strong, versatile, minimal donor-site pain | Newer technique |
| Allograft (Donor Tissue) | Multi-ligament injuries | No donor-site morbidity | Higher re-tear risk in young athletes |
Dr Shah will recommend the best graft for your age, activity level, and sport.
Return-to-Sport Timeline After ACL Reconstruction
ACL recovery is a structured 9-12 month journey. Rushing it increases re-tear risk dramatically. Dr Shah's patients follow a phased rehab programme with specific milestones that must be met before progressing.
Phased Recovery
- Week 1-2: Reduce swelling, restore knee extension, quad activation
- Week 2-6: Regain full range of motion, walking without crutches
- Week 6-12: Strength training, stationary cycling, return to desk work
- Month 3-4: Jogging in straight lines, gym work, light training drills
- Month 4-6: Sport-specific drills, agility, plyometrics
- Month 6-9: Return to controlled practice
- Month 9-12: Return to full contact / competitive sport (with clearance testing)
Cost of ACL Reconstruction in Ahmedabad
Typical range: ₹80,000 – ₹1,80,000 depending on graft type, implant brand, and hospital. Most health insurance policies cover ACL reconstruction. Cashless treatment available at DHS Multispecialty Hospital.
Think You Tore Your ACL?
Classic signs: a "pop" during injury, immediate swelling, sense of instability. An MRI confirms the diagnosis. Early assessment improves treatment options.
Common Questions: ACL Reconstruction
Can an ACL heal without surgery?
No — a fully torn ACL doesn't heal itself due to its poor blood supply. Partial tears occasionally heal with bracing and physiotherapy. Sedentary patients with occasional stability issues may manage without surgery, but athletic patients almost always need reconstruction.
How long after injury should I have surgery?
Usually 3-6 weeks post-injury, once swelling subsides and knee range of motion returns to near normal. Operating on a "hot" swollen knee increases stiffness risk post-surgery.
Can I return to the same sport?
Yes — over 90% of patients return to their previous sport with proper rehabilitation. Return-to-sport testing ensures you're ready before full competition.
What about meniscus or cartilage damage?
Often treated during the same surgery. Meniscus tears are repaired if possible or trimmed if not. Cartilage damage may be addressed separately.
Will I need an ACL brace?
A functional knee brace is sometimes recommended during the early return-to-sport phase (months 6-9) for psychological confidence and graft protection. Most patients discontinue bracing after 12 months.
Get Back In The Game
Torn ACL doesn't have to end your sport. Book a full assessment with Dr Shah and map out your return.
