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Is ACL Reconstruction a Major Surgery?

Category: Orthopedics

Published DateWed Sep 10 2025
By Lokmanya Hospitals

Anterior Cruciate Ligament (ACL) injuries are one of the most common sports-related injuries, particularly among athletes and individuals with an active lifestyle. When conservative treatments like physiotherapy and medications are not enough, ACL reconstruction surgery becomes the most effective option to restore knee stability, function, and mobility. Many patients often wonder whether this surgery is considered “major,” and the answer lies in understanding the nature of the procedure, the recovery process, and the role of advanced medical care.

At Lokmanya Hospitals, we provide advanced orthopedic and sports medicine treatments, backed by state-of-the-art facilities and highly experienced surgeons. Known as the best hospital for ACL surgery in Pune, Lokmanya combines cutting-edge technology with personalized care to ensure patients achieve the best possible recovery outcomes.

Understanding ACL Reconstruction

ACL reconstruction is a surgical procedure performed to replace a torn ligament in the knee. Since the ACL does not heal on its own, the surgeon reconstructs it using a graft (usually taken from the patient’s hamstring or patellar tendon). This surgery is minimally invasive and performed through arthroscopy, which reduces complications and speeds up recovery compared to traditional open surgery.

Why ACL Reconstruction is Considered a Major Surgery

Though ACL reconstruction is minimally invasive, it is still classified as a major surgery because:

Involves Critical Knee Ligament Repair

  • The ACL is one of the primary stabilizing ligaments of the knee. Repairing or reconstructing it requires precision, expertise, and specialized surgical equipment.
  • Any surgical intervention on a load-bearing joint like the knee is considered significant.

Requirement of Graft Harvesting and Fixation

  • The surgery often involves taking a graft from another tendon and securing it to replace the torn ACL.
  • The fixation process requires drilling tunnels in the bone to anchor the graft securely, making it a complex orthopedic procedure.

General or Regional Anesthesia

  • Since the procedure is done under anesthesia (general or spinal), it falls under major surgeries.
  • The anesthesia itself requires preparation, monitoring, and post-operative observation.

Post-Surgical Rehabilitation is Crucial

  • Recovery is not just about the surgery but also the long-term rehabilitation program involving physiotherapy, exercises, and lifestyle modifications.
  • Complete recovery can take anywhere from 6–9 months, which classifies it as a major medical intervention.

Recovery and Rehabilitation After ACL Surgery

  • Hospital Stay: Most patients can return home the same day or within 24–48 hours.
  • Initial Phase (Weeks 1–2): Focuses on pain control, reducing swelling, and gentle mobility exercises.
  • Strengthening Phase (Weeks 3–12): Gradual strengthening of muscles around the knee through supervised physiotherapy.
  • Return to Sports (6–9 Months): With proper recovery, patients can resume high-impact activities like running, football, or basketball.

Why Choose Lokmanya Hospitals for ACL Reconstruction?

Lokmanya Hospitals is recognized as one of the top hospitals for ACL surgery in India, equipped with advanced arthroscopic technology, robotic-assisted systems, and internationally trained surgeons. Our specialists ensure minimal scarring, faster healing, and long-term stability of the knee.

From diagnosis to surgery and rehabilitation, Lokmanya provides end-to-end care. We design personalized recovery programs for every patient, helping them regain strength and confidence in their mobility. Our dedicated physiotherapy and sports rehabilitation units ensure that every patient returns to their normal lifestyle or sports activity with enhanced safety.

Conclusion

ACL reconstruction, though minimally invasive, is still classified as a major surgery because of its complexity, anesthesia, and structured rehabilitation. With proper care, patients can regain full mobility and even return to sports.
At Lokmanya Hospitals, advanced technology and expert ACL surgeons ensure the best outcomes. With personalized recovery plans and patient-focused care, we are recognized as the best hospital for ACL surgery in Pune and a trusted name across India.

FAQs

1. How long does ACL reconstruction surgery take?
The surgery usually takes 1 to 2 hours, depending on the severity of the injury and the graft type used.
2. Is ACL reconstruction painful?
The procedure itself is not painful as it is done under anesthesia. Post-operative pain is manageable with medications and physiotherapy.
3. Can ACL tear heal without surgery?
Partial tears may heal with physiotherapy, but complete ACL tears typically require reconstruction for long-term stability.
4. How soon can I walk after ACL surgery?
Most patients can walk with support within a few days, but full weight-bearing activities depend on recovery progress.
5. Who is the best ACL surgeon in Pune?
Lokmanya Hospitals is home to some of the top ACL surgeons in Pune, known for their expertise and successful outcomes.