ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as basketball, soccer, football, downhill skiing and gymnastics.
In ACL reconstruction, the torn ligament is removed and replaced with a piece of tendon from another part of your knee or from a deceased donor. This surgery is an outpatient procedure that's performed through small incisions around your knee joint.
ACL reconstruction is performed by a doctor who specializes in surgical procedures of the bones and joints (orthopedic surgeon).
Joint fusion of the tibia, fibula, and talus (the specific bones entailed in this procedure may vary depending on your specific arthritic problems in this joint area). This procedure is most likely warranted due to severe arthritis in this joint that causes severe pain that has failed all other conservative treatment.
Obtain the assisted walking device that will be used after surgery (crutches, roll-a-bout, wheelchair, walker). You should pick them up at your local pharmacy or medical supply business a few days ahead of time so that you can practice with them. We can write a prescription for you for insurance purposes if you need one. Bring your crutches, walker, or roll-a-bout with you. Obtain pre-operative clearance, if this applies to you. Perform all pre-operative paperwork necessary for surgery.
These procedures are mostly performed in the hospital for post operative pain control. When you wake from the procedure you will have a splint on your lower leg, below your knee to your toes. You will be seen and evaluated by a physical therapist on your first post operative day. They will assist you with ambulation and transfers. Most people will be discharged from the hospital the next day. You will also be seen by Dr. Vieth and/or Jamie (PA) while in the hospital. You may need to stay two nights in the hospital. You will be completely non-weight bearing on this extremity for approximately 6-8 weeks. You will be discharged from the hospital with pain control medication. Follow up will be 10-14 days after your surgery. After you are discharged from the hospital, call Dr. Veith's office to schedule your first post-operative appointment 425-656-5060. Your splint will not be changed until your first post-operative appointment in Dr. Veith's office. If, for some reason, you are experiencing out of the ordinary pain or problems with your ankle or the splint, please call the office, we will most likely have you come into the office early to evaluate.