Is the ACL Removed in Total Knee Replacement?

Is the ACL Removed in Total Knee Replacement? Total knee replacement is a big step for those with joint problems. It’s a common surgery that can help people feel better and move more easily. The ACL, or anterior cruciate ligament, is an important part of the knee. In this kind of surgery doctors often have to think about whether to keep or remove it. Many might wonder if taking out the ACL matters in their recovery.

The answer isn’t simple because every person and case is different. When making this choice many things must be considered by your doctor. They will look at how your knee moves and what you need from it after surgery. Some people may find that keeping the ACL helps them feel more stable on their feet.

Rehabilitation plays a big role after knee replacement too. Having a good plan for getting back into action is key to success after surgery — with or without an ACL. Your medical team will give you exercises and support so you can return to your normal activities safely and effectively over time. Always talk directly with your healthcare provider about these details as they know best about your specific needs.


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What is the ACL?

The ACL, short for anterior cruciate ligament, is a tough band in your knee. It helps connect your thigh bone to your shin bone. This ligament plays a big part in keeping your knee stable when you move. It’s key for things like walking, running, and jumping without trouble or pain. When it gets hurt it can make daily life hard and less active.

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In total knee replacement surgery the state of the ACL matters a lot. The surgery aims to give you back a good working knee that feels natural. Doctors often have to decide if they should keep or remove this key ligament during the process. It’s not an easy choice since the ACL affects how well you’ll be able to use your new knee.

After surgery comes rehabilitation – this is where you work to get strong again. If your ACL was taken out during surgery rehab might differ from someone whose ACL was kept intact. Your exercises will focus on making other parts of the knee stronger to handle more stress without that ligament there.


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Keeping or removing the ACL impacts how well you’ll do after getting back on your feet post-surgery. Talk with doctors about what’s best for you; they know about knees! They’ll help guide you through recovery so that step by step, day by day, walking gets easier — because moving freely matters in life.

Total Knee Replacement Surgery

Total knee replacement surgery is a procedure where the damaged parts of the knee joint are replaced. Surgeons use metal and plastic parts to make a new joint that works smoothly. This operation can give people with bad knees a chance to move without pain again. It’s not an easy choice, but for many, it brings back quality of life they have missed.

The role of the ACL in this surgery is something doctors think about carefully. Sometimes they keep it if it’s still strong or only slightly hurt. Other times they remove it because the new joint will work better that way. The main goal is always to make your knee as good as new so you can get back to doing what you love.

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After the operation rehabilitation starts pretty soon — usually while you’re still in the hospital! A team will help teach you how to walk with your new knee safely and slowly build up strength. They’ll show you exercises designed just for someone who has had total knee replacement surgery. With time and effort most folks find their way back to moving around well after this big change.

Rehabilitation After Total Knee Replacement

Rehabilitation is a key part of healing after total knee replacement surgery. It usually starts quickly often the day after your operation. The main goal is to help you move your new knee and get back on your feet safely. At first, it might feel hard, but with time and work, things will get better. Your care team will guide you through each step.

The absence of the ACL can change how rehab goes for some people. If the ligament was removed during surgery you’ll likely focus more on building strength in other areas of the knee. This helps to make up for not having an ACL anymore. But don’t worry; many patients do well even without this ligament.

Physical therapists play a big role in rehabilitation following knee replacement surgery. They design exercises that fit just what you need after losing your ACL or keeping it intact during surgery. These experts know tons about knees and how best to make yours strong again.

You’ll learn all sorts of moves to boost muscle power around your new joint — from simple stretches to walking drills that grow tougher over time. The aim is always clear: give you back as much use of your leg as possible so life feels normal once more.

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Benefits of ACL Preservation

Keeping the ACL during total knee replacement has its perks. The presence of a healthy ACL can lead to a more natural feeling in the knee post-surgery. It helps with stability giving you confidence when doing things like walking or going down stairs. This ligament is key to your knee’s sense of where it is in space – what doctors call proprioception.

ACL preservation might also mean less wear on the new joint parts over time. With the ligament intact there’s often better balance and distribution of weight across the knee. This can make your artificial joint last longer before needing any fix-ups or changes.

For those who live active lives saving the ACL could be a big win after surgery. Activities that need quick turns and starts are easier when this crucial ligament stays put. Think sports or just playing around with kids — having an intact ACL makes these fun times feel safer.

There’s research still being done on how much keeping this ligament matters for everyone getting a new knee joint though! Some studies suggest patients with their original ACL may recover faster compared to those without it following surgery.

What Is New in Total Knee Replacement

Frequently Asked Questions

Can I live a normal life without my ACL after knee replacement?

Yes many people can live well and stay active even if their ACL was removed during surgery.

Will my new knee feel different if the ACL is preserved?

If your ACL is kept your new joint may feel more like your natural one did before.

How long does rehab take after total knee replacement?

Rehab time varies. It often depends on things like your health before surgery and how hard you work at it afterward.


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*The information on our website is not intended to direct people to diagnosis and treatment. Do not carry out all your diagnosis and treatment procedures without consulting your doctor. The contents do not contain information about the therapeutic health services of ACIBADEM Health Group.