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ACL Revision Surgery

There are several factors that can determine the success of and ACL revision surgery and rehab. Failure of lack of application of even one can lead to minimal outcomes. If after the initial ACL reconstruction the graft fails to hold it becomes necessary to perform an ACL revision surgery. Dr. Ron Noy, Director of Orthopedics at Prestige Medicine has developed specialized stitching techniques that increase the strength and outcome of an ACL graph. This procedure has been performed and optimized for patients from all over the world suffering from a failed ACL reconstruction of re injury to the ACL. 

Even after a successful reconstruction, it is possible to reinjure the ACL. Most primary ACL reconstruction surgeries have an 80-90% success rate; however acl revision surgery  may be needed if poor reconstruction, poor rehabilitation, or reinjury occurs. Typical symptoms of a poor reconstruction include: knee instability, pain, and an inability to return to desired activities. If failure of the primary ACL reconstruction occurs within six months, it is usually due to failure of the graft, negligent surgery technique, or a rehabilitation that was overly aggressive. Failure occurring after one year will most likely be caused by reinjury to the ligament itself. Whether the cause is failure or injury ACL revision surgery can bring you back to strength.

Revision ACL Surgery Opinions

Preoperative planning is absolutely vital for a successful revision. This allows Dr. Noy to identify exactly how the revision must be performed in order to correctly address every factor contributing to the primary surgery’s failure. Once the patient’s individual needs have been ascertained, Dr. Noy will discuss every surgery and grafting option available to the patient in order to achieve maximum rehabilitation.

normal acl before surgery
acl revision surgery after

Why could I need ACL revision surgery?


  • Improper placement of the drill hole

  • The graph fails to attach where it was placed

  • The graph becomes blocked or impeded

  • Trauma or re-injury to the ACL reconstruction

ACL Revision After Surgery

Depending on the extent of failure in the original reconstruction, multiple surgeries may be necessary. If this is the case, preparatory surgeries are first performed to remove the old hardware, administer bone grafts to heal and fill drill holes so that new hardware can properly fit, and to realign the knee so that successful revision may be achieved. If a preparatory surgery is needed, it will be three to six months before the secondary revision may be performed. Depending on the specifics of the case, it is in this second surgery that new hardware is placed, new ligament tunnels are drilled, and the new graft is performed.

Revision ACL Surgery Recovery

Recovery times vary with each individual case, and modifications to rehabilitation may be required. These modifications, dependent on the patient’s weight-bearing status and range-of-motion limitations, require a lengthier, less aggressive rehabilitation than with the initial ACL Reconstruction. The results of revision surgery are never as good as the primary reconstruction, making it important for the patient’s expectations to be properly placed. The goal of revision is to return to normal daily activities, but not competitive athletics. Fortunately, with thorough evaluation, treatment, and rehabilitation, most cases of Revision ACL Surgery are successful in correcting the damaged knee.

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Meet Our Founder Dr. Ron Noy

The founding mission of Prestige Orthopaedics & Sports Medicine is to provide safer, more effective and quicker recoveries with less pain and unrivaled service

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