ACL reconstruction and Meniscus Repair.

A very energetic 21 year-old patient was playing basketball one day. He went up for a rebound, and when he came down, he felt a pop in his right knee. He immediately knew something was wrong. He suffered extreme right knee pain, swelling and had difficulty walking on his right leg. His grandmother had been treated at ROC in the past for her knee problems. She brought her grandson to ROC and the patient was scheduled to see Dr. Dushi Parameswaran.

The patient had a right knee MRI that showed a torn Anterior Cruciate Ligament (ACL). He asked, “Can you get me back on the court, Doc?” The answer was – yes! We discussed surgery vs. treating his injury without surgery. Given his young age, active lifestyle, and desire to play basketball, we recommended surgery to replace his torn ACL with a part of one of his own tendons in his knee. Dr. Parameswaran does this surgery arthroscopically. This means that the surgery happens through 2 small incisions with the use of a small camera. Tunnels get drilled in the thighbone and the shinbone. A new ACL gets passed through the tunnels. Once that happens, the tendon is fixed with metal screws above and below.

While inside the knee, Dr. Parameswaran also saw that the patient also had a tear of one of the meniscus. A meniscus is a moon-shaped piece of cartilage that cushions the knee bones. These cushions often tear when the ACL tears. Unfortunately the MRI did not show the meniscus tear. This cartilage tear was repaired with stitches, all done through the same 2 small incisions.

The patient had surgery and his ACL was replaced. His meniscus tear was fixed. Today, over 2 months from surgery, the patient is back to work. He walks normally and goes to physical therapy. He is working on getting all of his strength back so that he can get back to playing his favorite sport, basketball. At ROC, we want to get you back to work and all your hobbies and activities outside of work.

The images shown were taken at surgery and show the absence of an ACL, the meniscus tear, the repaired meniscus, and the tendon that replaced the torn ACL.