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ACL Reconstruction: The Questions Patients Actually Ask — Answered by Physicians

ACL Reconstruction generates some of the most repetitive phone calls in any orthopedics practice: brace and crutch timelines, return-to-sport testing, and graft questions. PrepQ, a patient-education platform built by physicians and operated by PrepQ LLC, maintains 55 physician-written answers about acl reconstruction as part of a library of more than 7,500 answers covering 700-plus procedures across 14 specialties. Practices that subscribe to PrepQ give their patients a dedicated phone number to text or call at any hour, and the platform replies instantly with content the practice's own clinicians have reviewed and approved in advance. Questions outside the approved library are referred back to the office, and any message that suggests urgent symptoms is directed to 911 or the practice instead of being answered by software. The result: patients arrive prepared, day-of cancellations drop, and staff stop repeating the same acl reconstruction instructions dozens of times a week.

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Real acl reconstruction questions from our physician-reviewed library

A sample of the 55 acl reconstruction answers in PrepQ's library. Before any practice goes live, its own clinicians review and approve every answer — and can customize each one to their protocols.

Can I have ACL surgery if I have a meniscus tear too?
Yes — ACL tears and meniscus tears frequently occur together, and both can often be addressed during the same surgery. Depending on the meniscus tear type, the surgeon may perform a meniscus repair (sutures to heal the tear) or partial meniscectomy (trimming the torn portion) simultaneously. Meniscus repair may extend crutch use and restrict early weight bearing, so recovery timelines are adjusted accordingly.
Can I tear my ACL again after surgery?
Yes, you can tear your ACL again, either the reconstructed knee or the other knee, usually from a new twisting or pivoting injury. Completing rehab, regaining strength, and following your return-to-sport timeline reduce the risk. If the knee suddenly gives way, swells quickly, or becomes very painful, stop activity and contact your surgeon's office, and seek prompt care if you can't bear weight or the knee looks deformed.
Can my ACL graft re-tear?
Yes, an ACL graft can re-tear, most often from a new injury, a fall, or returning to cutting and pivoting sports before it has fully healed and you've completed rehab. Following your physical therapy and return-to-sport timeline lowers the risk. If your knee suddenly gives way, swells, or becomes very painful, stop the activity and contact your surgeon's office, and seek prompt care if you can't bear weight.
Do I need surgery for an ACL tear?
Not everyone with an ACL tear needs surgery. Non-surgical treatment (physical therapy and bracing) works well for older, less active individuals or those willing to modify their activity to avoid pivoting sports. Surgery is typically recommended for young, active patients who want to return to cutting and pivoting sports, or those who have persistent instability despite rehabilitation. The decision is individualized based on your age, activity goals, knee stability, and associated injuries (like meniscus tears).
Do I need to see a doctor for Anterior cruciate ligament (ACL) injury - aftercare?
During ACL recovery, it can help to stay in touch with your provider, especially if you have growing pain, swelling, or trouble moving the knee. If there are signs like severe pain, a leg that turns cold or pale, or new numbness, it is important to seek medical care promptly. Your care team can guide you.
Do I need to see a doctor for Anterior cruciate ligament (ACL) injury?
It can help to check in with a provider after a knee injury, especially with pain, swelling, or a knee that feels unstable. If the leg becomes cold, pale, or numb, or there is severe pain you cannot manage, it is important to seek medical care promptly. A provider can guide next steps.
Do I need to stop blood thinners before ACL surgery?
Whether a blood thinner needs to be held before ACL surgery depends on the specific medicine, why you take it, and your situation. Never stop a blood thinner on your own, as that carries its own risk. The doctor who prescribes it, along with your surgical team, will tell you whether to hold it and the exact timing for stopping and restarting that's right for you.
Do you have information about ACL reconstruction
ACL reconstruction is a general term for surgery that rebuilds a torn anterior cruciate ligament in the knee using a graft of tissue. The goal is to restore stability so the knee works more normally. Whether it fits a particular situation is something to discuss with a provider, who can explain what it involves.
Do you have information about ACL reconstruction - discharge
ACL reconstruction discharge refers to the general guidance given when a person leaves the hospital or clinic after ACL reconstruction surgery. This often covers protecting the knee, activity, and follow-up care during recovery. Plans are tailored to each person, so the care team is the best source for specifics.
How do I care for my knee wound after ACL surgery?
Keep the small arthroscopic portal wounds dry and covered initially. Most ACL wounds are closed with absorbable sutures and covered with small bandages or surgical tape strips. Inspect daily for redness, swelling, or drainage. Your surgeon will give specific instructions for when to change dressings. Generally, wounds heal within 2 weeks and require minimal care beyond keeping them clean and dry.

Your staff answers these 55 questions by phone. PrepQ answers them by text, instantly.

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