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Revision anterior cruciate ligament (ACL) reconstruction

Revision ACL reconstruction

If your initial ACL reconstruction fails, your consultant may advise you to have revision surgery

Request an appointment

About ACL revision surgery

You might need to undergo revision ligament reconstruction in your knee because your initial ACL reconstruction procedure has failed. The failure of the procedure can be for a number of reasons including:
  • infection
  • incorrect positioning or movement of the graft at the time of the first procedure
  • injuring the graft through a further injury during or after recovery.

Need to know

  • What happens during revision surgery? icon plus

    Your consultant will first remove the previous tendon graft, prepare the joint and then implant a new graft. This is taken from the tissues around your knee, or donor tissue is used. The tendon graft is held in place to your thighbone (femur) and shinbone (tibia) by devices (e.g. screws) - these will be carefully inserted. Screws from the first graft may be replaced with new screws.

    If the revision operation cannot be performed in one go, and your surgeon may have to clean, prepare and bone graft the bone sockets in the knee and return in approximately six months to perform the to implant the graft. The surgery takes around two hours.

  • How to prepare for surgery icon plus

    Your consultant will let you know how best to prepare for your procedure.

  • After surgery icon plus

    You will be sent to the recovery room after the surgery has been completed. On returning to your room a nurse will check your dressings, the small tubes in the back of your hand and catheter (if you have one). If you are experiencing pain around the incision area you will be given painkillers to immediately combat this.

    Our physiotherapist will assess your mobility, and you will need to begin a programme of physiotherapy to aid your recovery.

Our knee consultants

We're proud to work with leading orthopaedic experts specialising in all aspects of knee injuries, whose skills are matched by their integrity and compassion.
Consultant in theatres

Our locations

From complex orthopaedic surgery to diagnostic tests and procedures, we provide exceptional orthopaedic care across our network of hospitals, outpatient centres and specialist clinics.

Request a knee appointment

We're happy to help you make an appointment with one of our experienced knee consultants. We can also make imaging and outpatient physiotherapy appointments for you.

020 7079 4344
Book an appointment
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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