The ACL (anterior cruciate ligament) can be torn if the knee is pulled or twisted in an unnatural way. ACL injuries are especially common in sports where side-to-side or pivoting movement of the knee is required; soccer, basketball, skiing, and football are frequent culprits. This condition is associated with the following symptoms:
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An audible pop or snapping upon injury
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Immediate and sustained swelling in the knee
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Instability in the knee that can cause it to give out
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Inability to bear weight
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Significant pain that does not diminish in the hours following the injury
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A feeling of fullness in the knee
Elderly, less active patients may not require surgery following an ACL injury — if the overall stability of the knee is healthy and the patient has a low activity level, the physician may recommend non-surgical options. For young athletes, however, surgery is usually needed. The torn ligament must be replaced with a tissue graft, which will then form the base for the new ligament to grow on.
Learn more about ACL injuries and treatment options from one of our expert surgeons located in Washington DC, Baltimore, Virginia, and Maryland.
Procedure
The fellowship-trained surgeons at MedStar Health can treat all types of ligament injuries–from simple problems to the most complex injuries. We take a comprehensive approach to your treatment, addressing your major injury and any other knee problems that may contribute to your discomfort. We address your entire injury using state-of-the-art surgical options and techniques. Our surgeons can perform a range of ligament repair operations, including:
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Autograft – Your surgeon takes healthy muscle and tissue from other areas of your body and uses them to repair or reconstruct your torn ligament.
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Allograft – Your surgeon transplants healthy tissue taken from a muscle tissue bank into your torn ligament.
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Revision – We repair failed ACL/PCL reconstruction procedures performed at other institutions. We carefully evaluate your entire medical history to help identify the cause of failure and try to prevent it in the future.
Our top priority is to get you back to your desired level of activity. We will work with you every step of the way, no matter how challenging it may be.
Benefits
Patients have demonstrated less atrophy (partial or complete wasting away) than is commonly seen with conventional ACL reconstruction, as well as a more rapid functional recovery (at least one month faster, on average).
Additional benefits include:
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Preservation of the nerves and the blood vessels
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Preservation of the area where the ACL connects to the tibia (bone in the lower leg), reducing the chance for failure after ACL repair
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Less soft tissue and bone damage
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Small pinholes in the bone compared with conventional ACL reconstruction, thereby providing a better chance for success if conventional procedures need to be done in the future.
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Ability to return to athletic activities after recovery
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Knee pain relief
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Restored range of motion
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Improved knee strength
ACL surgery recovery
After ACL surgery, you will likely need several months to fully recover. Your doctor may recommend a combination of bracing, rehabilitation, and physical therapy to help you regain your strength and range of motion. Before your procedure, your doctor will discuss the details of your recovery with you.

Our providers
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Orthopedic Sports Medicine
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Emmanuel Asare O Atiemo, MD
Orthopedic Sports Medicine & Orthopedic Surgery
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Emily T. Cha, MD
Orthopedic Surgery, Shoulder Orthopedic Surgery, Orthopedic Sports Medicine & Knee Orthopedic Surgery
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David Ahron Cohen, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Leigh Ann Curl, MD
Orthopedic Sports Medicine, Sports Medicine & Orthopedic Surgery
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James C. Dreese, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Allison Liefeld Fillar, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Jason Wilson Hammond, MD
Orthopedic Surgery, Sports Medicine & Orthopedic Sports Medicine
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Daniel Mark Hampton, MD
Orthopedic Sports Medicine & Orthopedic Surgery
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Jon David Koman, MD
Knee Orthopedic Surgery, Orthopedic Surgery, Shoulder Orthopedic Surgery & Orthopedic Sports Medicine
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John Anthony Kuri, MD
Orthopedic Sports Medicine & Orthopedic Surgery
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Richard Gary Levine, MD
Shoulder Orthopedic Surgery, Orthopedic Surgery, Orthopedic Sports Medicine & Knee Orthopedic Surgery
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Christopher Alan Looze, MD
Orthopedic Sports Medicine & Orthopedic Surgery
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Carter Wallace Mitchell, MD
Orthopedic Surgery, Orthopedic Sports Medicine & Sports Medicine
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Ryan Stephen Murray, MD
Orthopedic Surgery, Pediatric Sports Medicine, Sports Medicine & Orthopedic Sports Medicine
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William Postma, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Kenneth Benjamin Tepper, MD
Orthopedic Surgery & Orthopedic Sports Medicine
Orthopedic Surgery
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Nacime Salomao Barbachan Mansur, MD PHD
Orthopedic Surgery & Foot And Ankle Orthopedic Surgery
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Leigh Ann Curl, MD
Orthopedic Sports Medicine, Sports Medicine & Orthopedic Surgery
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Joseph Leigh Ferguson, MD
Spine Surgery & Orthopedic Surgery
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Robert David Golden, MD
Orthopedic Surgery
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Curtis Mitchell Henn, MD
Orthopedic Surgery & Hand Surgery
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Richard Yarborough Hinton, MD
Pediatric Sports Medicine, Knee Orthopedic Surgery, Sports Medicine, Shoulder Orthopedic Surgery & Orthopedic Surgery
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Shaun Kumar Khosla, MD
Orthopedic Surgery
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Kelsey Anne Rebehn, MD
Orthopedic Surgery
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Thomas Milleret Ring, MD
Orthopedic Surgery & Hip And Knee Orthopedic Surgery
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Kenneth Benjamin Tepper, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Angela Lee Tomaschko, MD
Orthopedic Surgery & Hip And Knee Orthopedic Surgery
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Melissa Ann Yadao, MD
Orthopedic Surgery
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Christopher Lee Forthman, MD
Hand Surgery, Orthopedic Surgery & Shoulder And Elbow Orthopedic Surgery
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Peter Shay Johnston, MD
Orthopedic Surgery
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Megan Rose Miles, MD
Orthopedic Surgery
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Ryan Michael Zimmerman, MD
Hand Surgery & Orthopedic Surgery