SPECIALIST KNEE CARE. PERSONALISED TREATMENT.
Assessment and treatment when a previous ACL reconstruction has failed or the knee remains unstable.
Consultations with Mr Osama Aweid, Consultant Knee and Sports Medicine Surgeon.
Specialist assessment and treatment for knee ligament, meniscus and patella problems.
Related treatment pages
Replacing a torn anterior cruciate ligament, with treatment tailored to your knee and activity goals.
Information about keyhole knee surgery and treatment of meniscal problems.
Assessment and treatment options for pain affecting the patellar tendon.
Assessment when previous ACL reconstruction needs further treatment.
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“My experience at the clinic has been a really positive one.”
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Feedback following ACL reconstruction
A reconstructed anterior cruciate ligament can fail following a new injury or because of problems with graft healing, tunnel position or associated knee injuries. Recurrent giving way, instability or difficulty returning to activity warrants a careful assessment of the whole knee.
Revision surgery is planned around the cause of failure, your symptoms and your goals. Previous operation notes and scans are useful. Mr Aweid will assess the existing graft, bone tunnels and other ligaments or meniscal injuries before discussing treatment options.
Revision ACL reconstruction replaces the failed graft. Graft choice and any additional procedures are tailored to the findings. Some patients can have reconstruction in one operation; others need a staged approach, for example to bone graft previous tunnels before a later reconstruction.
Revision surgery requires a structured rehabilitation programme. Restrictions and progression depend on the reconstruction and any associated procedures. Return to sport is assessed individually using healing, strength, knee control and your surgeon’s and physiotherapist’s guidance.
Risks include infection, blood clots, stiffness, persistent instability, graft failure and injury to nerves or blood vessels. Further surgery may be needed. A return to previous sporting levels cannot be guaranteed, and reconstruction does not remove the risk of future arthritis.
This depends on the previous tunnels, bone quality and other findings. Some revisions can be completed in one stage; others need preparatory treatment first.
Yes. Bring previous operation reports, scan results and details of rehabilitation so the reasons for ongoing symptoms can be assessed.
Contact the practice to arrange an assessment and discuss your treatment options.
