Anterior cruciate ligament injuries are common in sports injuries among active people. Every case starts with a full evaluation.
What it is
Anterior cruciate ligament (ACL) reconstruction is an arthroscopic surgery that replaces the torn ligament with a graft. It is performed with a camera and fine instruments through small incisions.
This injury is common in sports with sudden pivoting, changes of direction, jumping or falls, such as soccer, basketball and skiing, although it can also happen during daily activities.
Common signs to see a specialist
People with an ACL injury may notice:
- A pop at the moment of injury, followed by swelling
- The knee giving way when pivoting
- Instability on stairs or when changing direction
- Pain or swelling that returns with activity
- Difficulty returning to usual sports activity
How it is diagnosed
Diagnosis starts with a detailed history of how the injury happened and specific physical tests such as the Lachman test and the pivot shift.
X-rays are requested to rule out bone injury and an MRI to confirm ligament damage and assess the meniscus and cartilage. Imaging is reviewed in consultation and the plan is decided together.
Treatment options, conservative first
Every treatment starts with a full evaluation. Before surgery is discussed, non surgical options such as guided physical therapy, activity modification and injections when indicated are considered. Surgery is considered when it is the most appropriate option for that specific case.
Some people can be managed with guided rehabilitation to strengthen the muscles that stabilize the knee and with activity modification, especially when sport or work demands allow it.
When arthroscopic surgery is considered
Reconstruction is considered when instability persists, when there are associated structural injuries such as a meniscus tear, or when specific sport or work demands require a stable knee.
The decision is made individually, considering age, activity level and each person's goals.
Recovery
Recovery time depends on the procedure, the type of injury and each patient. Dr. Aguila explains the expected timeline in consultation.
FAQ
Does every ACL injury need surgery?
No. It depends on knee stability, associated injuries and each person's activity. A full evaluation decides whether guided rehabilitation or reconstruction is more appropriate.
What studies should I bring?
If you already have knee X-rays or an MRI, bring the images and the reports. If you have no studies yet, Dr. Aguila will indicate which ones are needed.
Do you see patients in English?
Yes. Dr. Aguila sees patients in English and Spanish, from the first consultation through follow up.
How do I schedule?
Through WhatsApp at +52 664 283 6582 or on Doctoralia. The office is at Torela, Agua Caliente 9955, Planta Mezzanine, Tijuana.