A torn ACL usually is treated with a procedure called an ACL reconstruction. Surgeons replace the damaged ligament with new ACL graft tissue — either taken from the patient's own body (tissue from the main patellar tendon or the hamstring) or donated from someone else (called an allograft). The most accurate method physicians use to diagnose an ACL tear is the Lachman test which reveals the increased motion of the tibia relative to the femur with the knee in a slightly flexed position. Imaging studies are routinely obtained by the treating physician when an ACL tear is suspected. Injuries requiring reconstruction or replacement of the ACL are common among athletes. ACL reconstruction surgery can help restore range of motion, function, and stability to the knee joint after an ACL injury. ACL reconstruction surgery is a common but major surgery with risks, like any other surgery. Most people have some surgery-related pain and discomfort for the first week or so. Not surprisingly, pain decreases with time. By the end of a week or two at the most, you should have very little discomfort. Swelling and bruising are also relatively common, and like discomfort, they're temporary.
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