Arthroscopic Ligament Repair — ACL and Meniscus

Arthroscopy uses a small camera and precision instruments introduced through tiny incisions to examine and treat problems inside a joint. At Apex, arthroscopy is a confirmed service covering ACL and PCL reconstruction, meniscal repair and sports injury management all performed without the soft tissue disruption of open surgery.

ACL reconstruction replaces the torn ligament with a graft taken from the patient's own hamstring or patellar tendon, secured in anatomically positioned bone tunnels. During the same procedure, the surgeon inspects the menisci, articular cartilage and joint structures under direct camera view, addressing any associated damage found. Meniscal repair uses fine sutures to hold torn cartilage against the meniscal body where the tear's location and tissue quality support biological healing. Tears in the avascular inner zone, where no healing blood supply exists, are treated by trimming the unstable fragment while preserving as much healthy meniscal tissue as possible. Apex's Stryker burr system supports minimally invasive joint work, and the image intensifier TV assists intraoperative assessment. Rehabilitation following ligament reconstruction is a staged programme advancing from swelling management and motion restoration to strength rebuilding and sport-specific training.

How the Procedure Can Help

Arthroscopy allows thorough joint inspection and treatment through minimal incisions. Ligament reconstruction restores knee stability in appropriately selected patients. Meniscal repair, where tissue and tear location permit, preserves the joint's load-distributing function and reduces long-term cartilage wear risk.

Risks and Considerations

ACL grafts require biological maturation before full loading return to competitive sport follows objective functional milestones, not a fixed date. Repair failure requiring further arthroscopic surgery remains a possibility. Meniscal trimming, while faster to recover from than repair, reduces the meniscal tissue available to protect the cartilage over time.

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