Orthopaedic Services

ACL Repair & Reconstruction

An ACL tear doesn’t have to end your sport. With the right plan, many athletes return to cutting, pivoting, and jumping with a reconstructed and well-rehabbed knee.

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What is the ACL & how does it get injured?

The anterior cruciate ligament (ACL) is one of the main stabilisers in the knee. It keeps the shin bone from sliding forward and helps control rotation, especially during cutting, pivoting, and landing.

Most ACL tears happen during:

  • Sudden changes of direction
  • Pivoting on a planted foot
  • Awkward landings from a jump
  • Direct blows to the knee in contact sports

Athletes often report a “pop,” swelling, and the feeling that the knee will “give way.”

Dr Lawyer’s approach to ACL injuries

Dr Lawyer’s special interests include ACL reconstruction and multi-ligament knee injuries, with a strong focus on returning athletes to sport as safely and efficiently as possible.

Your plan may include:

  • A careful discussion of non-operative vs surgical options, depending on your goals and instability
  • Prehabilitation (getting the knee as calm and strong as possible)
  • ACL reconstruction with graft choices tailored to your age, sport, and tissue quality
  • Meniscus or cartilage procedures at the same time if needed

The goal is a stable knee that you can trust, not just a “fixed ligament.”

    When is ACL reconstruction recommended?

    Surgery is more often recommended if:
    • You want to return to cutting, pivoting, or contact sports
    • You have ongoing episodes of the knee buckling during daily activities
    • You are younger or highly active and want to protect the knee long term
    Some lower-demand patients may manage well without surgery; this is an individual decision.

    Recovery & return to sport

    There are phases rather than hard dates, but typical ranges are:
    • 0–2 weeks: swelling control, early movement, quadriceps activation
    • 2–6 weeks: normal walking pattern, improved motion
    • 6–12 weeks: progressive strengthening and balance work
    • 3–6 months: straight-line running, basic agility
    • 9–12+ months: full return to cutting, pivoting, and contact sports, once strength and functional tests are satisfactory

    Dr Lawyer combines objective testing and movement quality, not just the calendar, when clearing athletes to play.

    AAOS offers a plain-language guide on ACL injuries and treatment options: Anterior Cruciate Ligament (ACL) Injuries.

ACL FAQs

Some people can, especially if they don’t have instability in day-to-day life and avoid pivoting sports. Exam and imaging help clarify your options.

There is no one best choice for everyone. Patellar tendon, hamstring, quadriceps tendon, and sometimes allograft each have pros and cons. Dr Lawyer will talk through them in the context of your sport and goals.

Research has shown that early return to high-risk sports can increase the chance of re-injury. Many athletes do better when strength, control, and confidence are all clearly restored before going back.

  • ACL Repair & Reconstruction