What is ACL / PCL Reconstruction?

ACL and PCL reconstruction surgery is a procedure that replaces damaged knee ligaments with healthy tissue, usually taken from the patient or a donor. These ligaments sit deep inside the knee and control movement from front to back. When either one tears, the knee may give way or feel unsafe. Reconstruction creates a new, stable ligament so the joint can move confidently again.

In simple terms, ACL and PCL reconstruction helps the knee regain strength and trustworthiness after a major injury.

Why is ACL / PCL Reconstruction Needed?

These ligaments do not reliably heal on their own. If the injury is severe or the knee remains unstable, reconstruction becomes an important step to protect the joint from long-term wear and cartilage damage.

People often seek reconstruction to return to regular activity, prevent repeated “giving way”, or reduce pain that has built up after months of instability.

Common Reasons and Key Conditions Treated

• Complete ACL or PCL tears
• Knee instability affecting sport or daily activity
• Repeated falls or episodes of the knee “slipping”
• Combined ligament injuries after accidents
• Early signs of joint strain due to chronic instability

Why Choose Manipal Hospitals for ACL / PCL Reconstruction?

These procedures need precise technique and experience, as the knee must be aligned and tensioned carefully for the new ligament to function well. At Manipal Hospitals, patients meet orthopaedic specialists who explain each stage clearly, listening to concerns and matching the treatment to personal goals, whether that is returning to everyday comfort or resuming sport.

• Specialists experienced in arthroscopic ligament reconstruction
• Modern operating theatres and minimally invasive equipment
• Tailored rehabilitation plans focused on safe recovery
• Detailed imaging and planning for complex injuries
• Support for international patients throughout treatment

Indications for ACL / PCL Reconstruction

Reconstruction may be recommended when:

• The knee gives way repeatedly
• A complete ligament tear is confirmed on imaging
• Daily activities are limited by pain or instability
• Sporting goals require a stable knee
• There are associated injuries such as meniscal tears

Who Should Avoid or Delay the Procedure?

Surgery may be postponed if:

• There is significant swelling that needs to settle first
• Infection or open wounds are present
• The muscles around the knee are too weak for safe rehabilitation
• Underlying medical issues need stabilising
• The patient is not yet ready for the commitment to post-operative physiotherapy

Preparing for ACL / PCL Reconstruction

Preparation usually includes an MRI scan, clinical examination, and discussions about graft choices. Patients may be asked to begin prehabilitation exercises to strengthen the muscles before surgery. These early exercises can make recovery steadier and more comfortable.

International patients receive help arranging travel timelines, accommodation, and rehabilitation schedules so they know what to expect before arriving.

What Happens During ACL / PCL Reconstruction Surgery?

Most of these procedures are performed arthroscopically, using small incisions and a camera to guide the surgeon. The damaged ligament is removed, and a new graft is placed in carefully measured tunnels within the bone. The graft is then secured so it can heal into place over time.

The surgery focuses on restoring natural alignment, strength, and balance within the knee, allowing patients to move more confidently once healing begins.

Step-by-Step Breakdown

• Detailed examination and imaging before surgery
• Anaesthesia for comfort and safety
• Arthroscopic evaluation of the joint
• Preparation of tunnels in the thigh and shin bones
• Placement and fixation of the ligament graft
• Final joint stability check
• Dressings and plans for early physiotherapy

Recovery After ACL / PCL Reconstruction

Healing takes time. Early recovery focuses on reducing swelling and regaining gentle movement. Physiotherapy then becomes the main part of treatment, helping the knee rebuild strength and stability in stages. Patients usually walk with support initially and progress gradually under guidance.

Full return to sport or heavy activity may take several months, depending on the type of reconstruction and personal progress.

Risks & Complications

Most people recover well, but like any surgery, there are some risks:

• Stiffness if movement is delayed
• Swelling or infection
• Temporary numbness around the incision sites
• Graft stretching if the knee is overworked too early
• Rare risk of graft failure

Benefits of ACL / PCL Reconstruction

• Improved stability and confidence in the knee
• Reduced risk of further injury
• Better joint mechanics and long-term protection
• Enhanced ability to return to sports or active routines
• Relief from repeated episodes of giving way

What Is the Cost of ACL / PCL Reconstruction at Manipal Hospitals?

Costs vary depending on the graft type, imaging, rehabilitation needs, and whether one or both ligaments require reconstruction. Manipal Hospitals offers these procedures at rates far more affordable than many Western or Gulf countries, while still providing advanced surgical care and thorough follow-up. A personalised estimate is given after full assessment.

International Patient Support at Manipal Hospitals

International patients receive assistance with medical records review, visa support, travel planning, and accommodation. Rehabilitation guidance continues even after they return home, through follow-up consultations and clear exercise plans.