Arthroscopy Advanced ACL(Anterior cruciate Ligament) reconstruction surgeries
Arthroscopy Advanced ACL(Anterior cruciate Ligament) reconstruction surgeries
Under the leadership of Dr. Raghu Nagaraj, who has performed over 6,000 ACL reconstructions since 2009, Arthomed Clinic offers the latest in arthroscopic ACL surgery, ranging from all‑inside and central quadriceps grafts to bone‑patellar tendon‑bone, hamstring, and peroneus longus autografts, along with selective primary repair for acute femoral‑side tears. Our suites are equipped with Smith & Nephew and Stryker high‑definition cameras, radio‑frequency ablation units, oscillating shavers, and fluid‑pump systems to ensure precise visualization and tissue handling, and our dedicated home‑care physiotherapy team delivers zero-day mobilization protocols and individualized rehab plans for a rapid, safe return to sport.
Under the leadership of Dr. Raghu Nagaraj, who has performed over 6,000 ACL reconstructions since 2009, Arthomed Clinic offers the latest in arthroscopic ACL surgery, ranging from all‑inside and central quadriceps grafts to bone‑patellar tendon‑bone, hamstring, and peroneus longus autografts, along with selective primary repair for acute femoral‑side tears. Our suites are equipped with Smith & Nephew and Stryker high‑definition cameras, radio‑frequency ablation units, oscillating shavers, and fluid‑pump systems to ensure precise visualization and tissue handling, and our dedicated home‑care physiotherapy team delivers zero-day mobilization protocols and individualized rehab plans for a rapid, safe return to sport.
All‑Inside ACL Reconstruction
The all‑inside technique utilizes retrograde drills to fashion closed‑socket tunnels in both the femur and tibia, minimizing cortical bone removal and reducing postoperative pain. Fixation is achieved with dual suspensory devices or an internal brace, which acts as a secondary stabilizer to prevent graft elongation under load. Meta‑analyses demonstrate comparable knee laxity, functional scores and re‑rupture rates between all‑inside and full‑tunnel techniques, with reduced tibial tunnel widening in the all‑inside cohort.
The all‑inside technique utilizes retrograde drills to fashion closed‑socket tunnels in both the femur and tibia, minimizing cortical bone removal and reducing postoperative pain. Fixation is achieved with dual suspensory devices or an internal brace, which acts as a secondary stabilizer to prevent graft elongation under load. Meta‑analyses demonstrate comparable knee laxity, functional scores and re‑rupture rates between all‑inside and full‑tunnel techniques, with reduced tibial tunnel widening in the all‑inside cohort.
Central Quadriceps Tendon Autograft
Harvesting the mid‑portion of the quadriceps tendon—with or without a patellar bone block—yields a robust graft of consistent diameter and favorable biomechanical strength. Short‑term studies report high patient‑reported outcomes (Lysholm >94, IKDC >90) and low complication rates, with anterior‑knee pain and kneeling difficulty significantly less frequent than in bone‑patellar tendon‑bone grafts.
Harvesting the mid‑portion of the quadriceps tendon—with or without a patellar bone block—yields a robust graft of consistent diameter and favorable biomechanical strength. Short‑term studies report high patient‑reported outcomes (Lysholm >94, IKDC >90) and low complication rates, with anterior‑knee pain and kneeling difficulty significantly less frequent than in bone‑patellar tendon‑bone grafts.
Bone‑Patellar Tendon‑Bone (BPTB) Autograft
The gold‑standard BPTB graft—harvesting central patellar tendon strips with bone plugs—provides bone‑to‑bone healing and excellent initial fixation strength. Long‑term series (>15 years) demonstrate durable graft survival, though radiographic osteoarthritic changes may be more frequent than with soft‑tissue grafts. Comparative studies show lower rerupture rates, improved knee stability and superior single‑leg hop performance versus allograft BPTB.
The gold‑standard BPTB graft—harvesting central patellar tendon strips with bone plugs—provides bone‑to‑bone healing and excellent initial fixation strength. Long‑term series (>15 years) demonstrate durable graft survival, though radiographic osteoarthritic changes may be more frequent than with soft‑tissue grafts. Comparative studies show lower rerupture rates, improved knee stability and superior single‑leg hop performance versus allograft BPTB.
Hamstring Tendon Autograft
Quadrupled semitendinosus–gracilis constructs are widely used for their low donor‑site morbidity and minimal anterior‑knee pain. Reoperation rates in adolescent cohorts range from 13 % to 24 % over two years, largely related to early‑phase graft healing; meticulous graft preparation and modern fixation mitigate these risks.
Quadrupled semitendinosus–gracilis constructs are widely used for their low donor‑site morbidity and minimal anterior‑knee pain. Reoperation rates in adolescent cohorts range from 13 % to 24 % over two years, largely related to early‑phase graft healing; meticulous graft preparation and modern fixation mitigate these risks.
Peroneus Longus Tendon Autograft
The peroneus longus tendon offers sufficient length and diameter, with biomechanical strength comparable to hamstring grafts and negligible donor‑site dysfunction. Three‑year follow‑up shows excellent functional outcomes, restored knee stability and zero reported morbidity at the lateral foot.
The peroneus longus tendon offers sufficient length and diameter, with biomechanical strength comparable to hamstring grafts and negligible donor‑site dysfunction. Three‑year follow‑up shows excellent functional outcomes, restored knee stability and zero reported morbidity at the lateral foot.
6. Primary ACL Repair (Selective Femoral‑Side Tears)
In acute proximal (femoral) avulsion injuries treated within two weeks, arthroscopic primary repair with high‑strength sutures or knotless anchors re‑approximates the native ligament to its footprint, preserving proprioceptive fibers.
In acute proximal (femoral) avulsion injuries treated within two weeks, arthroscopic primary repair with high‑strength sutures or knotless anchors re‑approximates the native ligament to its footprint, preserving proprioceptive fibers.
Systematic reviews report combined failure rates of 11–12.6 % at two years—comparable to reconstruction—particularly when augmented with an internal brace in high‑grade pivot‑shift cases.
Systematic reviews report combined failure rates of 11–12.6 % at two years—comparable to reconstruction—particularly when augmented with an internal brace in high‑grade pivot‑shift cases.
Early rehab protocols allow accelerated range‑of‑motion and weight‑bearing advances, with preserved vascularity and reduced surgical morbidity.
Early rehab protocols allow accelerated range‑of‑motion and weight‑bearing advances, with preserved vascularity and reduced surgical morbidity.
By integrating these advanced graft options and primary‑repair strategies with Arthomed Clinic’s state‑of‑the‑art arthroscopy platforms and Dr. Raghu Nagaraj’s extensive expertise, we ensure personalized, evidence‑based ACL care that maximizes knee stability, minimizes downtime and expedites a safe return to sports.
By integrating these advanced graft options and primary‑repair strategies with Arthomed Clinic’s state‑of‑the‑art arthroscopy platforms and Dr. Raghu Nagaraj’s extensive expertise, we ensure personalized, evidence‑based ACL care that maximizes knee stability, minimizes downtime and expedites a safe return to sports.
In 2017, Dr. Raghu Nagaraj founded Arthomed clinic with a vision to provide top quality Orthopaedic care with latest technology at affordable cost and supreme care.
Our Departments
We’re Available
Check out Arthomed's Office hours to plan your visit.
Monday
09.00am - 8.00pm
Tuesday
09.00am - 8.00pm
Wednesday
09.00am - 8.00pm
Thursday
09.00am - 8.00pm
Friday
09.00am - 8.00pm
Sunday
09.00am - 8.00pm
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© 2025, Arthomed Clinic. All Rights Reserved.
In 2017, Dr. Raghu Nagaraj founded Arthomed clinic with a vision to provide top quality Orthopaedic care with latest technology at affordable cost and supreme care.
Our Departments
We’re Available
Check out Arthomed's Office hours to plan your visit.
Monday
09.00am - 8.00pm
Tuesday
09.00am - 8.00pm
Wednesday
09.00am - 8.00pm
Thursday
09.00am - 8.00pm
Friday
09.00am - 8.00pm
Sunday
09.00am - 8.00pm
Powered by Bellissimo Graphix Pvt. Ltd.
© 2025, Arthomed Clinic. All Rights Reserved.
In 2017, Dr. Raghu Nagaraj founded Arthomed clinic with a vision to provide top quality Orthopaedic care with latest technology at affordable cost and supreme care.
Our Departments
We’re Available
Check out Arthomed's Office hours to plan your visit.
Monday
09.00am - 8.00pm
Tuesday
09.00am - 8.00pm
Wednesday
09.00am - 8.00pm
Thursday
09.00am - 8.00pm
Friday
09.00am - 8.00pm
Sunday
09.00am - 8.00pm
Powered by Bellissimo Graphix Pvt. Ltd.
© 2025, Arthomed Clinic. All Rights Reserved.
