ACL and PCL Reconstruction
Surgical reconstruction of the anterior and posterior cruciate ligaments using a tendon graft — restoring complete knee stability after multi-ligament injuries.
What is ACL and PCL Reconstruction?
ACL and PCL Reconstruction restores stability to the knee after injuries to one or both of its major cruciate ligaments. The ACL (Anterior Cruciate Ligament) controls forward shin-bone movement and rotational stability, while the PCL (Posterior Cruciate Ligament) prevents the shin bone from moving backward. When either tears due to sports injuries, accidents, or sudden twisting movements, the knee becomes unstable and painful. Reconstruction involves replacing the torn ligament with a tendon graft — taken from the patient's own hamstring or patellar tendon, or from a donor source — which is fixed in place to restore the natural function and stability of the knee joint.
SUITABLE FOR Patients with confirmed ACL or PCL tears causing knee instability, pain, or difficulty with physical activities — including those with multi-ligament knee injuries requiring combined reconstruction.
How the Procedure Works
Pre-operative Assessment
Clinical examination and MRI confirm the ligament injury and assess any associated cartilage or meniscus damage; anaesthesia is administered on the day of surgery.
Arthroscopic Access
Small keyhole incisions allow insertion of the arthroscope, providing a clear view of all knee structures to guide precise graft placement.
Removal of Torn Ligament
The damaged ligament tissue is carefully removed while preserving the surrounding joint structures as completely as possible.
Graft Preparation & Bone Tunnels
A tendon graft is prepared from the hamstring, patellar tendon, or donor source; tunnels are created in the femur and tibia at the correct anatomical positions.
Graft Fixation & Stability Testing
The graft is passed through the bone tunnels and secured using screws or fixation devices; knee movement and stability are confirmed.
Wound Closure & Rehabilitation Start
Incisions are closed with sutures and a dressing applied; a structured rehabilitation programme begins to restore knee strength and mobility.
Outcomes
Who Needs This Treatment?
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Restores full knee stability after single or multi-ligament injuries
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Minimally invasive arthroscopic approach — small incisions, less tissue disruption
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Graft source selected based on individual patient anatomy and demands
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ACL and PCL can be addressed in the same surgical session when required
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Prevents progressive knee cartilage damage caused by persistent instability
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Structured physiotherapy guides safe, progressive return to activity and sport
“Knee ligament reconstruction — whether of the ACL, PCL, or both — is about giving the patient back a stable, functional joint. The right graft, precise tunnel positioning, and committed rehabilitation are what make the difference between a good and an excellent outcome.”
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
ACL & PCL Reconstruction Cost in Hyderabad
The cost of ACL & PCL Reconstruction in Hyderabad generally ranges from ₹1,60,000 to ₹3,20,000, with an indicative average cost of around ₹2,40,000. ACL and PCL reconstruction is performed for selected patients with combined ligament injuries of the knee when surgical stabilisation is considered appropriate. The final cost depends on the extent of ligament damage, graft selection, fixation implants, associated injuries and rehabilitation requirements.
| Procedure | Approximate Cost Range |
|---|---|
| ACL & PCL Reconstruction | ₹1,60,000 – ₹3,20,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. Combined ligament injuries may require additional procedures for associated meniscus, cartilage or other ligament injuries, which can affect the overall treatment cost.
Factors Affecting the Cost of ACL & PCL Reconstruction
The overall cost of combined ACL and PCL reconstruction can vary depending on the severity and pattern of ligament injury, graft selection, fixation requirements, associated knee injuries and postoperative rehabilitation.
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Extent of ligament injury: The complexity of the ACL and PCL tears, degree of knee instability and presence of other ligament injuries can influence surgical planning and treatment requirements.
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Graft selection: The type and source of graft used for ligament reconstruction may affect the overall cost. Graft selection depends on factors such as the patient's age, activity level, injury pattern and surgeon's assessment.
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Fixation implants: Specialised fixation devices, screws, buttons, anchors or other implants may be required to secure the reconstructed ligaments. The type and number of implants can affect the final package.
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Associated meniscus or cartilage injuries: Combined ACL and PCL injuries may occur with meniscus tears, cartilage damage or other knee injuries. Additional procedures performed during the same surgery can increase the overall cost.
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Anaesthesia and hospital charges: Operating-room charges, anaesthesia, surgical consumables, medicines and hospital or day-care services may be included according to the hospital's package structure.
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Rehabilitation requirements: Combined ligament reconstruction generally requires structured physiotherapy and rehabilitation to restore knee movement, strength, stability and functional activity. Rehabilitation costs may be separate from the surgical package.
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Surgical complexity: Previous surgery, significant tissue damage, additional ligament injuries or other patient-specific factors may make reconstruction more complex and affect the final treatment cost.
Insurance Coverage for ACL & PCL Reconstruction
ACL & PCL Reconstruction may be covered by health insurance when medically necessary, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm pre-authorisation requirements and applicable coverage with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with combined ACL and PCL injuries and assess knee stability, associated injuries and treatment options based on clinical examination and imaging findings. During the consultation, the doctor may assess: Injury history: The doctor may review how the injury occurred, whether it involved a sports injury, road traffic accident or other trauma, and the timing and progression of symptoms. Knee stability: Clinical tests may be performed to assess ACL and PCL function along with overall knee stability and the presence of associated ligament instability. Range of motion and function: Knee movement, swelling, pain, muscle strength, walking ability and functional limitations may be evaluated during the examination. Imaging findings: MRI and X-ray reports may be reviewed to assess the ACL, PCL, menisci, cartilage, bones and other supporting structures of the knee. Associated injuries: The doctor may assess for meniscus tears, cartilage damage, collateral ligament injuries or other conditions that may need treatment along with ligament reconstruction. Graft and surgical planning: If reconstruction is recommended, the doctor may discuss graft options, fixation methods, possible additional procedures and the expected rehabilitation process.
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