What is anterior cruciate ligament (ACL) surgery ?
The anterior cruciate ligament is essential for knee stability, particularly during pivoting movements, changes of direction, or sudden stops. When this ligament is torn, the knee can become unstable, painful, and severely limit sports or certain professional activities. The surgical procedure aims to replace the damaged ligament with a tendon graft, in order to restore joint stability and prevent associated injuries (menisci, cartilage, etc.).
When should surgery be considered ?
Surgery is not routine after an ACL tear. It depends on the patient's activity level, the functional impairment experienced, and the associated lesions visible on MRI. It is generally recommended :
- In young or athletic patients wishing to resume pivotal activities (football, skiing, handball, etc.).
- In case of instability of the knee in daily life.
- If the MRI reveals associated lesions (meniscus, cartilage).
- When conservative treatment does not restore normal function.
Dr. Coulin takes the time to assess each situation, based on the clinical examination, imaging tests and the patient's expectations.
How does the procedure with Dr. Coulin take place ?
ACL reconstruction relies on an autograft (patient's own tendon), generally taken from the hamstrings, patellar tendon, or quadriceps. The procedure is performed arthroscopically, with limited incisions and fixation hardware adapted to the patient's morphology. The goal is to reproduce the function of the original ligament as closely as possible, while respecting the natural biomechanics of the knee.
What are the post-operative consequences ?
After surgery, light immobilization and early weight-bearing are generally permitted. Rehabilitation begins very quickly, under the supervision of a specialized physiotherapist. It is essential to regain mobility, strengthen muscles, and retrain knee proprioception and coordination.
Resumption of sport is carried out gradually, generally between 6 and 12 months after surgery, depending on the patient's progress and the discipline practiced.
What results can we expect ?
The results of the ACL reconstruction are very satisfactory when it is well indicated and followed by rigorous rehabilitation. Patients regain good knee stability, a smooth walk and can resume sports safely in the majority of cases.
Dr. Coulin takes care to personalize each stage of the treatment, from the choice of graft to post-operative monitoring, in order to guarantee a lasting functional result.
Expert and personalized support
An ACL tear isn't just a torn ligament. It exposes the knee to other risks (meniscal injuries, early osteoarthritis, etc.). Dr. Coulin takes a comprehensive, preventative approach, focused on lasting joint stability and a safe return to activity.
Have you torn your cruciate ligament or is your knee still unstable ?
Dr. Coulin will see you in Geneva to make a precise diagnosis, analyze your functional objectives, and offer you a suitable treatment plan, whether conservative or surgical.
