Surgical Planning & Preparation
ACL replacement surgery should not be performed immediately after the injury. Normally, we recommend an initial six-week preoperative rehabilitation programme of physiotherapy in order to maximally strengthen the muscles of the thigh in preparation for surgery. Surgery is then performed after completion of physiotherapy. In some cases, physiotherapy alone will strengthen the thigh muscles enough to alleviate the pain so that it is possible to perform all normal activities of daily living without pain. In this case, surgery can be delayed.