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December 12, 2025

ACL and Meniscus Surgery: When You Need It, How It Works, and What to Expect

Knee injuries are common in athletes, active individuals, and even in everyday activities. Two of the most frequently treated conditions in orthopedic sports medicine are ACL (anterior cruciate ligament) injuries and meniscus tears. Understanding when surgical intervention is necessary, how the procedures work, and what to expect during recovery can help patients make informed decisions.

If you are seeking ACL surgery in Mulund, consulting a knee surgeon in Mulund, or looking for a knee surgery specialist in Mumbai, this guide explains everything you need to know about ACL reconstruction, meniscus repair, and knee arthroscopy.

When Do You Need ACL or Meniscus Surgery?

Not all ACL or meniscus injuries require surgery. The decision depends on the severity, stability, and your activity level.

ACL Injuries

The ACL is a crucial ligament that stabilizes the knee. Surgery is usually recommended if:

  • The ligament is fully torn
  • The knee feels unstable during movement or sports
  • You are young, active, or plan to return to high-impact sports

Partial tears or low-demand patients may sometimes be managed conservatively with physical therapy and strengthening exercises.

Meniscus Tears

The meniscus is cartilage that cushions and stabilizes the knee. Surgery may be needed when:

  • There is persistent pain or swelling
  • The tear affects knee function or range of motion
  • The knee locks or catches during movement

Some minor tears can heal naturally, especially in younger patients with good blood supply, but meniscus repair surgery is often recommended for functional recovery.

How ACL and Meniscus Surgery Works

1. ACL Reconstruction

ACL surgery involves replacing the torn ligament with a graft, usually taken from your own hamstring or patellar tendon. The procedure is often performed using knee arthroscopy, a minimally invasive technique that allows precise reconstruction with smaller incisions.

Benefits of ACL Reconstruction:

  • Restores knee stability
  • Reduces risk of further injury
  • Enables return to sports and physical activity

2. Meniscus Repair

During meniscus repair, the surgeon either trims the torn portion (meniscectomy) or stitches it back together. Arthroscopic techniques are commonly used, which minimize tissue trauma and accelerate recovery.

Benefits of Meniscus Repair:

  • Preserves knee cartilage
  • Reduces long-term risk of osteoarthritis
  • Improves knee function

In some cases, ACL and meniscus surgeries are performed simultaneously, especially if both injuries occurred during the same trauma.

Recovery After ACL and Meniscus Surgery

Recovery depends on the extent of injury, surgical technique, and adherence to rehabilitation.

  • Initial Recovery: The first 1–2 weeks focus on reducing swelling, pain management, and regaining basic knee mobility.
  • Physical Therapy: Begins shortly after surgery to restore strength, flexibility, and balance.
  • Return to Daily Activities: Most patients can resume normal daily activities within 4–6 weeks.
  • Return to Sports: High-impact sports or vigorous activities usually resume around 6–9 months post-surgery, depending on recovery progress.

Following guidance from a knee surgeon in Mulund or a sports orthopedic specialist in Mumbai ensures optimal healing and long-term knee function.

FAQs

Q: Can ACL and meniscus injuries heal without surgery? A: Some partial ACL tears and minor meniscus injuries can heal with conservative treatment like physical therapy, rest, and strengthening exercises. However, complete ACL tears or complex meniscus tears usually require surgical intervention to restore stability and function.

Q: How long does recovery take after ACL and meniscus surgery? A: Recovery varies by individual and the type of procedure performed. Most patients regain basic knee function in 4–6 weeks, while full recovery, including return to sports, can take 6–9 months. Following a structured rehabilitation program is crucial for a safe and effective recovery.

Final Thoughts

ACL and meniscus injuries can significantly impact knee stability and quality of life. While some injuries respond well to non-surgical treatment, ACL reconstruction, meniscus repair, and arthroscopic knee procedures are often the most effective solutions for long-term function. Consulting a knee surgeon in Mulund or a knee surgery specialist in Mumbai will help determine the best personalized approach for recovery and return to an active lifestyle.