Revision ACL Surgery Specialist
Anterior cruciate ligament (ACL) reconstruction has become one of the more common procedures performed by orthopedic surgeons. Revision ACL reconstruction means that part or all of your previous knee surgery needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full. Using the arthroscopic surgical technique, Dr. Jonathan Glashow, MD reconstructs the anterior cruciate ligament (ACL) of the knee as an out-patient procedure.
Please note: A doctor’s referral is NOT necessary from a General Practitioner to see our sports medicine or orthopedic surgery specialists for a consultation, 2nd opinion, or for treatment at our orthopedic practice – including surgery.
We offer full out of network insurance benefits for your ALC reconstruction surgery (we will contact your insurance company and submit for you). You will enjoy the luxury and benefit of academic medicine in a top rated concierge environment without the hassle of long hospital waiting room times and paperwork.
Diagnostic tests, treatments and consultations can often be carried out on the same day. We offer true concierge medicine to all patients. We have the ability to see our patients immediately; same day, nights and weekend and offer emergency services.
Anterior cruciate ligament (ACL) tears occur in tens of thousands of athletes every year. ACL injuries most commonly occurs in sports involving cutting and jumping, such as soccer and basketball. This type of injury is typically non-contact, when the athlete is twisting, decelerating or jumping. ACL tears and injuries can also occur from normal every day activity when you simply become unstable.
If you do decide to have your ACL reconstructed, you should be aware that there are several contemporary and minimally invasive ways in which your ACL can be reconstructed. You will be able to discuss all your options pertaining to your unique case with the Upper East Side NYC orthopedic surgeon, Dr. Jonathon Glashow, MD.
Revision ACL reconstruction is one of the most popular reasons why patients seek out the best in class NYC orthopedic surgeon – from professional athletes, to ballerinas, to teens engaging in sports, in addition to everyday people who unfortunately injury themselves. Chances are that if you know someone who has undergone ACL reconstruction they have been successfully treated by Dr. Jonathan Glashow.
Preoperatively, the surgeon must decide which type of ACL reconstruction should be performed. The most common operative method involves the use of the patellar tendon as the graft. This can be done with the use of arthroscopic assistance to minimize the invasiveness of the procedure. Fixation of the chosen graft is done by fixing both ends of the graft in the femur and the tibia at their normal attachment sites.
- How long is the recovery period for this procedure?
Initially, the patient is non weight bearing for 2 days. The patient can then wean off of the crutches when they can walk without a limp between 1-3 weeks. Slow rehab will be allowed at this time while the bone is still healing in the tunnels. Activities are usually increased from weeks 9 through 12. Around week 12, some patients return to jogging. Patients may then return to sports at 5 through 7 months if they pass functional and strength testing. Our orthopedic surgeons will develop patient sport specific rehab protocols depending on your exact injury.
- How long will I need pain medication after my ACL reconstruction?
Patients follow our Pain Management Protocol for 3-5 days after surgery, and most do not require any medication other than acetaminophen (Tylenol) after that.
- How much pain will I have?
Pain varies from person to person, but most patients manage very well with our pain management protocol and this varies from case to case.
- Is the ACL reconstruction procedure fully arthroscopic?
Once the graft is obtained through a small incision, the rest of the procedure is done arthroscopically.
- How long is the procedure?
Approximately 1- 1/2 to 2 hours. You will be spending approximately 1-2hours in the Recovery Room after surgery (this varies from case to case).
- When can I start walking without the crutches after ACL reconstruction?
You will be progressed to walking with one crutch first, then no crutches with the guidance of you physical therapist and once the following criteria has been met:
- Full extension of the knee has been achieved
- Balance control has been achieved
- Minimal swelling is apparent
- Good control of thigh muscles for support are evident
If you are an out of town patient seeking our orthopedic surgeon’s best in class hip surgery services, please review the following link for travel information: Out of town travel information for our ACL surgery patients.
Our orthopedic surgeons pride ourselves with providing you highly personalized and comprehensive orthopedic care for your inside ACL reconstruction. Our philosophy of direct orthopedic surgeon to patient care at every visit has made us one of the most trusted and respected practices on the Upper East Side in NYC. Feel free to contact us today, at any time, and start yourself on the road to recovery.
