ACL Reconstruction
Surgery
Expert ACL reconstruction in Charlotte, NC — using proven graft techniques tailored to your activity level and goals.
What is ACL Reconstruction?
The anterior cruciate ligament (ACL) is one of the four major ligaments stabilizing the knee joint. ACL tears are among the most common sports injuries, affecting athletes and active individuals who participate in cutting, pivoting, or jumping activities such as soccer, basketball, football, and skiing.
When the ACL is torn, the knee becomes unstable — patients typically describe a popping sensation at the time of injury, followed by rapid swelling, pain, and difficulty bearing weight. While some patients can manage with physical therapy alone, most active individuals require surgical reconstruction to restore full knee stability and return to sport.
Dr. Vasileff's Approach to ACL Surgery
Dr. Vasileff performs ACL reconstruction using an arthroscopic technique — small incisions, a camera, and specialized instruments. This minimally invasive approach results in less tissue damage, reduced post-operative pain, and a faster return to activity compared to open surgery.
The torn ligament is replaced with a graft — tissue taken from your own body or from a donor. Dr. Vasileff carefully evaluates each patient to determine the most appropriate graft type based on age, activity level, sport demands, and individual anatomy.
Gold standard for competitive athletes. Strong bone-to-bone healing with excellent long-term outcomes.
AthletesLower donor site morbidity, excellent results in recreational athletes and those with anterior knee pain.
RecreationalDonor tissue — ideal for older or less-active patients, revision cases, or multi-ligament reconstruction.
Revision / Older PatientsACL Surgery Recovery Timeline
Manage swelling and pain. Begin gentle range-of-motion exercises. Crutches for support. Focus on quad activation.
Progressive weight-bearing. Stationary bike, closed-chain strengthening. Swelling reduces significantly.
More aggressive strengthening. Single-leg exercises begin. Most daily activities resume without restriction.
Running, agility drills, sport-specific movements. Neuromuscular training to prevent re-injury.
Clearance for full return to competitive sport after passing functional testing criteria. Average return: 6–9 months.
Frequently Asked Questions
How long does ACL reconstruction surgery take?
The procedure typically takes 1 to 1.5 hours and is performed as outpatient surgery — you go home the same day.
Will I need physical therapy after ACL surgery?
Yes. A structured physical therapy program is essential to successful ACL recovery. Dr. Vasileff works with experienced PT partners throughout the Charlotte area and will provide a specific rehab protocol from day one.
What is the re-tear rate after ACL reconstruction?
Re-tear rates with modern techniques range from 3–10% depending on graft type, age, and return-to-sport timing. Adhering to the full rehabilitation protocol and not returning to sport prematurely significantly reduces this risk.
Can I avoid surgery with a torn ACL?
Some patients — particularly older or less active individuals — can manage without surgery using physical therapy and bracing. Dr. Vasileff evaluates each patient individually and will discuss all options honestly before recommending surgery.
Ready to get your knee evaluated?
Dr. Vasileff sees ACL patients at Carolina Orthopaedic & Sports Medicine Center. Same-week appointments often available.