ACL (Anterior Cruciate Ligament) Surgery Treatment in India

ACL (Anterior Cruciate Ligament) Surgery Treatment Cost in India

Cost of Treatment Including Tests / Investigations $ 2200
Cost of Stay & Meals for 5 days (For 2 persons) $ 00
Cost of Taxi, Phone, Internet for 6 days $ 18
Medical Visa Cost For One person $ 0 0
Flight Cost Return Airfare Book Online
Total Cost (All Inclusive)
$ 00
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Top Doctors for ACL (Anterior Cruciate Ligament) Surgery

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Dr. Thirumalesh K Reddy

M.Ch., MBBS, MS, MSc

Sr. Consultant

16 years of experience

Dr. M S Somanna



13 years of experience

Dr Dilip Gopalakrishnan

D. Ortho., MBBS, MS

Sr. Consultant - Orthopedic

36 years of experience

Dr. A.Dorairajan

D. Ortho., DNB, FRCS, MBBS, MSc


27 years of experience

Dr. Balaji Saibaba



8 years of experience

Dr Ram Mohan Reddy V


Senior Consultant

28 years of experience

Dr Nitish Bhan

DNB, Fellowship, M.Ch., MBBS, MNAMS


12 years of experience

Dr Amith Reddy P

DNB, Fellowship, M.Ch., MBBS, MNAMS


15 years of experience

Dr Venkataswamy Boorgula



22 years of experience




15 years of experience

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Top Hospitals for ACL (Anterior Cruciate Ligament) Surgery

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Columbia Asia, Pune
Apollo Indraprastha Hospital, Delhi - NCR
Fortis Hospital, Bannerghatta, Bangalore
Max Hospital, Saket, Delhi - NCR
Apollo Hospital, Chennai, Chennai
Continental Hospital, Hyderabad
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Medanta Hospital, Delhi - NCR
BLK Hospital, Delhi - NCR
Paras Hospital, Delhi - NCR
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Frequently Asked Questions About ACL (Anterior Cruciate Ligament) Surgery

The knee is like a hinge where the thigh bone called femur is joined with the shinbone of the leg called the tibia. The knee is the joint that holds them together with the help of 4 numbers of ligaments namely

  • Posterior cruciate ligament
  • Lateral collateral ligament
  • Medial collateral ligament
  • Anterior cruciate ligament

The last is a ligament which diagonally runs from the femur to the tibia. This works by making the tibia slide in front of the femur from the thigh bone. This helps keep the knee stable when moving from one leg to the other.

The aim of ACL surgery is to preserve knee stabilization and restore strength through the repair of the anterior cruciate ligament (ACL). Remnants of the torn ligaments are surgically removed and then replaced with ligament acquired from the patient's body or obtainable from a cadaver's tissue.

Most of the ACL injuries have been found to occur through non-contact mechanisms while in a smaller percentage group it is a result of direct contact with an object or another player. Some of the ways in which this injury happens are deceleration along with:

  • Pivoting
  • Cutting
  • Awkward landing
  • Sidestepping maneuvers
  • Or out of control play
  • Females are more prone in some sports due to different lower extremity leg alignment and the effects of hormones like estrogen on ligaments.

Symptoms observed after an ACL injury are:

  • Instability in the knee
  • Extreme pain and swelling on the knee
  • The patient will feel loss of full range of motion
  • Along with the joint line extreme pain and tenderness
  • Discomfort while walking

The patient may be advised by the doctor for an x-ray to examine the injury and check for any fractures in the bone. In order to check for the evidence of damage to any other knee ligaments, articular cartilage or meniscus cartilage, the doctor may also suggest a magnetic resonance imaging (MRI) for the affected region of the patient. To examine damages to other knee ligaments or find out the possibility of meniscus tears, a test which is usually recommended by the doctor is a Lachman’s test aimed at finding out how intact is the ACL.

If the ACL is found to be damaged then the doctor will increase the upward anterior motion of the tibia in comparison with the femur and a very soft and mushy endpoint is detected after the end of this movement.

ACL reconstruction technique is a combination of arthroscopy and open surgery. Through an arthroscope, the surgeon checks the knee and repairs conditions such as rubbed down articular cartilage or torn meniscus.

Small holes will be drilled in the bone via an incision in the hip. The new ACL is added to be guarded via the tunnels. With the healing process, the tendon is strengthened through the passages of the body. Through the arthroscope, the inflow cannula responsible for bringing blood into the joint is visualized. The trochlear groove is located in the arthroscopic view at the left, and the patella is found at the top. For inspection of the meniscal cartilage, a probe is inserted.


With a motorized device called shaver, the damaged ACL is removed. In some patients, the notch that houses the ACL can be quite narrow. This has to be widened in that case to prevent the rupture of the new ACL with the help of a burr.

Now the patella tendon has to be focussed on.  At the tibial tubercle and at the inferior pole of the patella some incisions are made. These incisions are 1.5 inches each in length.

The tendon is identified after the skin incisions are made and harvesting of the central third with a bone block at each of the tendons is then done. From the tibial tubercle are the tendon is removed and a graft is made to pass under the skin and retrieved through the superior incision. In this way, the harvesting is completed.

Via the bone blocks, the sutures are placed on the graft. Now focus is on the arthroscopic part.  On the tibia, the tibial drill guide is positioned. The guidewire is penetrated into the tibia and leaving the region through the joint. The drill hole of the tibia is then positioned.

Through the tibial drill hole, the endoscopic femoral drill guide is placed. Behind the femur, the guide is positioned. The femoral drill makes a hole in the femur after the femoral guide is withdrawn. The hole has to be inspected and the graft is then placed via the tibia, and inside the femoral drill hole via the knee joint.

It is important that blood vessels start growing into the reconstructed ACL for the graft to heal. The graft is made to stay in place with the help of a screw inserted into the femoral drill hole. This screw is a special screw since it is bioabsorbable.  Another screw is placed in the tibia to keep that particular reconstruction part in place.

The ACL is now inspected which is actually a rigid rope-like structure meant to provide strength and stability to the joint. The procedure is completed by closing the incisions.

The patient will fix several appointments with the surgeon prior to the procedure.  The kind of anesthesia will be discussed as suitable for the patient. The patient is also expected to reveal to the doctor in case he or she is on any particular medication. Some of the relevant questions to be asked to the doctor are the sources that may be used for the ACL. The sources can be

  • Patellar tendon
  • Hamstring tendon
  • Quadriceps tendon
  • Or a cadaver which is called an allograft (tissue is taken from a dead body)

As a practice, all cadavers are examined properly before the surgery to check for anomaly or any disease but it is advisable to share any concerns.

The doctor may put the patient on 12 hours fast prior to surgery and advise a family member or friend to accompany the patient after surgery.

The patient may be advised with some pain medication along with words to keep the incision clean and dry. A follow-up appointment will be scheduled after a few weeks of the surgery. During the recovery period, patients will feel pain and certain activities will be restricted for some months. Patients may have to walk with crutches for 6 weeks and wear a knee brace for one week.

Some range of motions will be possible after a few weeks of surgery. Most sportsmen return to their normal practice lives within a period of 6 to 12 months.  If the surgery has been considered successful then a physical therapy regimen will be started.
One of the breakthrough achievements as an alternative to ACL is stem cell injection which reduces the need for invasive surgery. Other alternatives can include rehabilitation programs aimed at targeting the problem based on the intensity and extent of the injury.

For international patients, ACL surgery cost or ACL reconstruction cost in India varies between $2000 - 3500.

Similar Treatments

Knee Arthroscopy

Costs $2,000