Arthroscopic Anterior Cruciate Ligament Reconstruction

WHAT YOU SHOULD KNOW:

Arthroscopic anterior cruciate ligament (ACL) reconstruction is surgery to replace your torn ACL. The ACL is a ligament in your knee that connects the tibia (shin bone) to the femur (thigh bone). Ligaments are strong tissues that connect bones together.


AFTER YOU LEAVE:

Medicines:

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Elevate:

Keep your knee raised above the level of your heart as often as you can. This will help decrease or limit swelling. Elevate your knee by resting it on pillows.

Ice:

Ice helps decrease swelling and pain. Ice may also help prevent tissue damage. Use an ice pack or put crushed ice in a plastic bag. Cover the ice pack with a towel and place it on your wound for 15 to 20 minutes every hour. Use the ice for as long as directed.

Physical therapy:

You may need to see a physical therapist to teach you special exercises. These exercises help improve movement and decrease pain. Physical therapy can also help improve strength and decrease your risk for loss of function.

Support devices:

  • Knee brace: You may need a knee brace to limit your movement and protect your knee. The brace will be locked in a straight position after surgery. Keep your brace locked while sleeping and when you put weight on your leg. You may be able to unlock your brace to do physical therapy. Ask your primary healthcare provider for more information about your knee brace.

  • Crutches: You may need to use crutches to help decrease your pain as you move around. Crutches help decrease strain on your knee. Use crutches as directed.

Wound care:

  • Keep your bandage and stitches clean and dry: Do not remove the bandage over your wound or get it wet unless your primary healthcare provider says it is okay. Ask when you can bathe. Do not trim or shorten the ends of your stitches. If the stitches rub against your clothing, you can put a soft gauze bandage between the stitches and your clothes. If there are thin strips of medical tape over your incision, do not pull them off. As they start to peel off, let them fall off by themselves.

  • Wash your hands: Always wash your hands before and after you care for your wound to prevent the spread of infection.

  • Change your bandage: Change your bandage and clean your wound as directed. Ask for help if you cannot reach your wound.

Follow up with your healthcare provider or orthopedic surgeon as directed:

You may need to return to have your stitches removed. Write down your questions so you remember to ask them during your visits.

Contact your healthcare provider or orthopedic surgeon if:

  • You have a fever.

  • You have severe pain in your knee or trouble moving around, even after taking pain medicines.

  • Your wound is swollen, red, or draining pus.

  • Your skin is itchy, swollen, or has a rash.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • Blood soaks through your bandage.

  • Your stitches have come apart.

  • You fall on the knee you had surgery on.

  • You have pain in your lower leg.

  • You have sudden shortness of breath or chest pain .

  • Your leg or toes feel numb, tingly, cool to the touch, or look blue or pale.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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