The ACL and meniscus are both critical structures in the knee joint, responsible for stabilising movement and protecting the joint from damage. Injuries to these structures, often occurring together in sports or traumatic events, can result in pain, instability, and limited mobility. In cases of severe injury, ACL Reconstruction and Meniscal Repair may be required to restore knee function. Mr. Sanjiv Manjure, a highly experienced Orthopaedic Consultant in Luton, specialises in both ACL Reconstruction and Meniscal Repair, providing personalised care tailored to each patient's needs. This guide covers the procedures, recovery, risks, and why Mr. Manjure is the ideal choice for your care.

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What is ACL reconstruction and meniscal repair?

• ACL Reconstruction is performed to repair a torn anterior cruciate ligament (ACL) by replacing it with a graft. This restores the stability of the knee joint, which may be compromised due to the ACL tear.
• Meniscal Repair is performed to repair a torn meniscus, a piece of cartilage in the knee that cushions and stabilises the joint. If the meniscus is torn, it can lead to pain, swelling, and difficulty with knee movement.

Both surgeries are often performed together, as ACL injuries and meniscal tears frequently occur simultaneously. This combined approach is essential to restore knee function and ensure long-term joint health.

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Who can benefit from ACL reconstruction and meniscal repair?

Candidates for ACL Reconstruction and Meniscal Repair include individuals who:

• Have sustained an ACL tear and meniscal injury, often due to sports or high-impact activities.
• Experience knee instability, particularly during movements such as twisting, pivoting, or jumping.
• Have failed to recover fully with conservative treatments like physical therapy or bracing.
• Want to return to physically demanding activities or sports.

Mr. Manjure will evaluate your knee injury thoroughly to determine if combined ACL Reconstruction and Meniscal Repair surgery is the best option for you and ensure the best possible outcome.

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The procedure

Pre-Operative preparation

Before undergoing ACL Reconstruction and Meniscal Repair, Mr. Manjure will ensure you are fully prepared for the procedures:

• Consultation: A detailed consultation to assess your knee injury, activity level, and goals for recovery.
• Imaging: MRI and X-rays will be used to evaluate the extent of damage to the ACL and meniscus, as well as any other potential issues in the knee joint.
• Instructions: You will receive specific pre-surgical instructions, including advice on fasting and managing medications.

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The surgery/procedure itself

Both ACL Reconstruction and Meniscal Repair are typically performed using minimally invasive techniques, often arthroscopically. The procedure involves:

• Graft Harvesting for ACL Reconstruction: The torn ACL is replaced with a graft, typically taken from your own tendon (autograft) or a donor tendon (allograft).
• Meniscal Repair: A tear in the meniscus is repaired using sutures or stitches to reattach the torn edges. In some cases, a portion of the meniscus may need to be removed if it cannot be repaired.
• Minimally Invasive Surgery: Mr. Manjure performs both procedures arthroscopically, which means smaller incisions, reduced tissue damage, and quicker recovery.

The combined procedures can take 2-3 hours, depending on the complexity of the injury. Mr. Manjure uses advanced tools and techniques to ensure the best results and minimise recovery time.
Both surgeries are performed at The Manor Hospital and Luton and Dunstable University Hospital, renowned for their state-of-the-art surgical facilities.

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Duration and post-op care

After surgery, you will be monitored in the recovery room, and most patients stay in the hospital for 1-2 days. Immediate post-operative care includes:

• Pain Management: Medications will be provided to control pain and reduce swelling.
• Knee Immobilisation: Crutches or a knee brace may be required to protect the knee during the initial recovery phase.
• Physiotherapy: Rehabilitation will begin shortly after surgery to restore strength, mobility, and stability in the knee.

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Recovery and aftercare

• First Few Days: Pain management, rest, and gentle rehabilitation exercises to reduce swelling and regain knee mobility.
• First Few Weeks: Physiotherapy to improve range of motion, strength, and knee function.
• 3-6 Months: Continued recovery, with gradual return to normal activities, sports, and physical activity as directed by Mr. Manjure.
• 6-12 Months: Full recovery is typically achieved, with ongoing physiotherapy to maintain knee strength and stability.

Mr. Manjure will monitor your progress and adjust your recovery plan to ensure the best possible outcome.

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Risks and complications

As with any surgery, there are risks associated with ACL Reconstruction and Meniscal Repair, though these are rare and can be minimised with careful planning and post-operative care. Potential complications include:

• Infection at the surgical site.
• Blood Clots, particularly in the legs.
• Graft Failure or complications with meniscal healing.
• Knee Stiffness or limited range of motion.
• Nerve or Blood Vessel Injury during surgery.
  Mr. Manjure uses advanced techniques to reduce these risks and ensure a smooth recovery. Close monitoring, regular follow-up visits, and adherence to rehabilitation instructions are key to minimising complications.

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Why choose Mr. Sanjiv Manjure in Luton?

Mr. Sanjiv Manjure is a highly skilled Orthopaedic Consultant with over 20 years of experience in knee surgery, including ACL Reconstruction and Meniscal Repair. His personalised approach ensures that each patient receives the highest standard of care. Key benefits of choosing Mr. Manjure include:

• Access to Leading Hospitals such as The Manor Hospital and Luton and Dunstable University Hospital.
• Minimally Invasive Techniques to ensure quicker recovery, reduced scarring, and better results.
• Comprehensive Aftercare to ensure you progress through recovery successfully.
• Tailored Rehabilitation Plans that support your return to normal activities and sports.

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FAQs

What Is the Recovery Time for ACL Reconstruction and Meniscal Repair Surgery?
Full recovery typically takes 6-12 months, depending on the extent of the injury and the surgeries performed.

Will I Need Physiotherapy After Surgery?
Yes, physiotherapy is essential to restore knee strength, mobility, and stability. Mr. Manjure will provide a rehabilitation plan tailored to your recovery.

Can I Return to Sports After ACL Reconstruction and Meniscal Repair?
You may be able to return to sports after 6-12 months, depending on the progress of your recovery. Mr. Manjure will guide you through the process and provide advice on when it's safe to resume various activities.

What Happens If My Meniscus or ACL Does Not Heal Properly?
In rare cases, further surgery may be required to address healing issues. Mr. Manjure will work with you to identify the best solution and support your long-term knee health.

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If you’ve experienced an ACL injury or meniscal tear, contact us today to learn more about ACL Reconstruction and Meniscal Repair surgery with Mr. Sanjiv Manjure. Book a consultation to discuss your treatment options and begin your journey to recovery.