Mr Dennis Molloy
ACL Knee Reconstruction
Are you experiencing knee instability after a ligament injury?
Does your knee give way when you turn, twist, or change direction? You may notice swelling, pain, or difficulty returning to sport or regular activity.
An injury to your anterior cruciate ligament, often called the ACL, can affect how stable your knee feels. This ligament helps control movement in your knee joint. When it is torn, your knee may feel weak or unreliable during everyday activities such as walking on uneven ground, climbing stairs, or exercising.
You may be able to manage mild symptoms with physiotherapy. If your knee continues to feel unstable, surgery may be considered.
What Is ACL Reconstruction Surgery?
ACL reconstruction surgery is a procedure used to repair a torn anterior cruciate ligament in your knee. The damaged ligament is replaced with a graft, usually taken from another tendon in your body or from donor tissue.
The procedure is commonly carried out using keyhole techniques. Small instruments and a camera are inserted through small cuts around your knee. The damaged ligament is removed and the new graft is secured in place to restore stability.
This procedure may be suitable if you have ongoing knee instability, want to return to sport or physical activity, or have damage to other structures in your knee.
A consultant orthopaedic surgeon will assess your knee, review any scans, and discuss whether ACL reconstruction surgery is right for you.
Still have questions about ACL reconstruction surgery? Check out our FAQs.
Healthcare Without
the Wait
Many patients in Ireland experience long waiting times for ACL surgery through the HSE. In some cases, reimbursement may be available through the Cross Border Healthcare Plan.
We provide access to ACL surgery using an enhanced recovery pathway. This approach supports early mobilisation and, for many patients, discharge within 24 hours, depending on clinical need.
With locations in Belfast, Ballykelly and Newry, we are easily accessible for patients from border counties and across Ireland.
Next Available Appointment
Belfast
3 days
Steps to get started
If you are considering ACL reconstruction surgery, you can arrange a consultation directly with Kingsbridge Private Hospital to discuss your knee symptoms, assessment, and treatment options.
ACL Reconstruction Cost
The cost of ACL reconstruction surgery can vary depending on your individual treatment plan, the consultant involved, and any imaging or rehabilitation required.
You will receive clear information about the expected cost before treatment. The team can explain what is included and answer any questions you may have.
You will receive clear information about the expected cost before treatment. The team can explain what is included and answer any questions you may have.
Cross-Border Healthcare Scheme
Many patients in Ireland face long waiting times for orthopaedic surgery through the HSE. Some patients may be eligible to claim reimbursement for ACL reconstruction surgery through the Cross Border Healthcare Scheme.
This scheme allows patients who normally live in the Republic of Ireland to travel to Northern Ireland for treatment and apply to the HSE to reclaim part of the cost.
This scheme allows patients who normally live in the Republic of Ireland to travel to Northern Ireland for treatment and apply to the HSE to reclaim part of the cost.
If you’re using health insurance
Check with your provider to see what’s covered. We’re happy to help with any paperwork and can work directly with many insurance companies to make the process smoother for you.
If you’re paying for treatment yourself
We’ll give you clear information about costs and help you plan your care. You’ll know exactly what to expect, with no hidden fees.
Meet Our ACL Knee Reconstruction Consultants
At Kingsbridge, you’ll be in the expert hands of Ireland and the UK’s top orthopaedic consultants.
Our Locations
Our locations are easily accessible via major transport routes, making them convenient for patients travelling from border counties and across Ireland.
Approximate travel times:
- Dublin to Belfast: 2.5 hours
- Dublin to Ballykelly: 3 hours
This ensures a smooth and convenient journey for patients seeking timely treatment.
Frequently Asked Questions
The following frequently asked questions address common concerns and help you understand what to expect from ACL reconstruction surgery.
How can I access ACL reconstruction surgery in Ireland?
You can access ACL reconstruction surgery through the public health service or private care.
Within the public system, your GP can refer you to an orthopaedic consultant through the HSE. You may need imaging, such as an MRI scan, before surgery is considered.
If you choose private care through Kingsbridge Private Hospital, you can book directly for an initial consultation without waiting.
Following your consultation, your consultant will assess your knee, arrange any imaging needed, and discuss whether ACL reconstruction surgery is suitable for you.
What are the waiting times for ACL reconstruction surgery?
Waiting times through the HSE can be several months or longer, depending on demand and location.
Private treatment through Kingsbridge Private Hospital usually offers faster access to consultation, imaging, and surgery.
Your exact waiting time will depend on your assessment and the availability of your consultant.
How much does ACL reconstruction surgery cost?
The cost of ACL reconstruction surgery in Ireland can vary depending on your treatment plan, consultant fees, imaging, and rehabilitation.
If you live in the Republic of Ireland, you may be eligible to apply for reimbursement through the HSE Cross Border Healthcare Scheme.
This allows you to travel to Northern Ireland for treatment and claim back part of the cost once approved.
How long does ACL reconstruction surgery take?
The operation usually takes between one and two hours.
You will attend hospital on the day of surgery. Including preparation and recovery time, you may spend several hours in hospital. Many people return home the same day, although an overnight stay may sometimes be needed.
What happens before, during, and after the procedure?
Before surgery, you will have a consultation with your orthopaedic surgeon. Imaging such as an MRI scan may be used to confirm the injury. Pre assessment checks will ensure you are fit for surgery.
During the procedure, keyhole techniques are used to remove the torn ligament and position the new graft. The graft is secured within your knee using fixation devices.
After surgery, you will spend time in recovery as the anaesthetic wears off. Physiotherapy usually begins soon after to support movement and strength.
Are there different types of ACL reconstruction?
Yes. The main difference between procedures is the type of graft used to replace the ligament.
Common graft options include:
Hamstring tendon graft
A section of your hamstring tendon is used to create the new ligament. This is a common option and involves smaller incisions. It may result in less pain at the front of your knee after surgery.
Patellar tendon graft
A portion of the tendon connecting your kneecap to your shin bone is used. This option provides strong fixation and may be recommended if you want to return to high demand sports. Some people may notice pain at the front of the knee, especially when kneeling.
Quadriceps tendon graft
A section of the tendon above your kneecap is used. This can be a suitable option in certain cases, particularly if other grafts are not appropriate.
Donor graft
Tissue from a donor is used to reconstruct the ligament. This avoids taking tissue from your own body and may be considered in specific cases.
Your consultant will discuss the most suitable option based on your age, activity level, and the condition of your knee.
How long does recovery take after ACL reconstruction surgery?
Recovery takes time and involves a structured rehabilitation programme.
You may need crutches for the first one to two weeks. Physiotherapy usually starts soon after surgery to help restore movement and strength.
You can often return to daily activities such as walking and desk based work within several weeks. More demanding activity will take longer.
Return to sport or high impact exercise usually takes six to nine months, depending on your progress.
What aftercare is provided following ACL reconstruction surgery?
You will have follow up appointments with your consultant to monitor your recovery.
Physiotherapy is an important part of your aftercare and supports strength, balance, and movement in your knee. You will be guided through each stage of rehabilitation.
You will also receive advice on pain relief and how to manage swelling after surgery.
Are there alternatives to ACL reconstruction surgery?
You may be able to manage your ACL injury without surgery if your knee remains stable during daily activities.
Non surgical options include physiotherapy, muscle strengthening, activity modification, and knee bracing.
Surgery may be recommended if your knee continues to give way or if you want to return to sports that involve turning or sudden changes in direction.