Customized ACL Treatment

Every ACL injury is different. Likewise, the required treatment to optimise each individual’s function will be different. In some cases, rehabilitation with a good physiotherapist may be all that is required. In other cases, surgery may be required to restore the knee to the necessary level of function and stability.

Customised ACL surgery means tailoring your surgery to maximise the knee’s potential. In severe cases, a traditional full ACL reconstruction may be required. However, many patients may benefit from other forms of ACL surgery. This may be an ACL repair or an ACL preserving option such as ‘remnant preservation’ or ‘selective bundle ACL reconstruction’.

Repairing the original ACL preserves the function of the original ACL. Remnant preservation ACL reconstruction preserves the nerves and coverings of the original ACL, which may lead to better sensation in the knee and faster incorporation of the new ACL. Repairing the remnant ACL and augmentation with an ACL graft also more closely restores the original structure of the ligament.

“I use a tailored approach instead of the traditional standard operation to get the best outcomes after ACL surgery.”

The benefit of such a tailored approach is that Dr Lee can utilise the remaining ACL to improve the knee’s final function after surgery. Clothes are not ‘one-size fits all’.

Likewise, Dr Lee believes that surgical treatment should be customised to reap the maximum benefit of each unique individual.

Reference:
Remnant preservation ACL reconstruction
1) ACL Reconstruction Preserving the ACL Remnant Achieves Good Clinical Outcomes and Can Reduce Subsequent Graft Rupture, http://journals.sagepub.com/doi/full/10.1177/2325967113505076

2)Comparison of anatomic ACL reconstruction between selective bundle reconstruction and double-bundle reconstruction,
https://link.springer.com/article/10.1007/s00167-013-2684-8

ACL repair
1) Clinical Outcomes of Arthroscopic Primary Repair of Proximal Anterior Cruciate Ligament Tears Are Maintained at Mid-term Follow-up, https://www.arthroscopyjournal.org/article/S0749-8063(17)31333-6/fulltext?mobileUi=0

2) Acute Proximal Anterior Cruciate Ligament Tears: Outcomes After Arthroscopic Suture Anchor Repair Versus Anatomic Single-Bundle Reconstruction. https://www.arthroscopyjournal.org/article/S0749-8063(16)30239-0/fulltext