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Revision ACL Surgery

MRCS(UK), FRCS(Tr&Ortho), MCh Ortho, DSEM(International Olympic Committee).
Fellowship shoulder(UK), Fellowship Knee (UK). 

Revision ACL Surgery

Revision ACL Surgery

Revision ACL Surgery is a specialized procedure for patients who have had a previous ACL reconstruction but continue to experience knee instability, pain, or graft failure. This surgery aims to restore knee stability, correct previous complications, and enable safe return to athletic or daily activities. Performed by Dr. Nithin Kumar Bejjanki, the procedure uses advanced techniques and personalized rehabilitation plans for optimal outcomes.

Revision ACL Surgery is recommended for patients with:

  • Recurrent knee instability after previous ACL reconstruction

  • Persistent pain or swelling affecting function

  • Limited mobility or difficulty performing sports

  • Graft failure, malposition, or loosening from the initial surgery

  • Associated injuries such as meniscus tears or cartilage damage

The procedure addresses both structural and functional issues, helping patients regain confidence in knee performance.

Treatment strategies include:

  • Revision ACL reconstruction using autograft or allograft tissue

  • Correction of previous graft placement or fixation issues

  • Concurrent meniscus or cartilage repair if required

  • Minimally invasive arthroscopic techniques for precision

  • Postoperative rehabilitation focusing on strength, mobility, and gradual return to activity

Each plan is customized based on the patient’s prior surgery, injury severity, and activity level.

  1. Preoperative Evaluation: Comprehensive assessment, imaging, and discussion of goals

  2. Anesthesia: General or regional anesthesia based on procedure and patient needs

  3. Surgical Procedure: Removal of failed graft and reconstruction with new graft

  4. Closure & Dressing: Small arthroscopic incisions closed and bandaged

  5. Rehabilitation: Structured physiotherapy to restore strength, flexibility, and stability

The goal is safe recovery, improved knee stability, and minimized risk of re-injury.

Q1: How long does recovery take?
A: Recovery is typically 6–12 months, depending on prior surgeries and adherence to rehabilitation.

Q2: Can I return to sports after revision surgery?
A: Yes, with structured rehab and gradual progression, athletes can safely resume competitive activities.

Q3: Is revision surgery more complicated than primary ACL repair?
A: Yes, it is technically more complex due to previous grafts, scar tissue, or bone changes.

Q4: How is recovery monitored?
A: Through regular physiotherapy, functional tests, and follow-up imaging to track progress.

Q5: Will knee stability fully return?
A: Most patients regain full stability, strength, and confidence with proper rehabilitation.

Revision ACL Surgery provides expert correction for failed ACL reconstructions, restoring knee stability and enabling safe return to sport or daily life.