

That sudden pop. The immediate swelling. The feeling that your knee has completely let you down. If you’ve heard or felt that crack during a football match, a cricket dive, or a gym pivot and are now walking with a knee that feels unstable and unpredictable — there’s a strong chance you’ve torn your anterior cruciate ligament (ACL).
ACL treatment in Faridabad at Dr. Sunil Choudhary’s Bone & Joints Clinic is designed specifically to get you from that moment of injury back to the sport, activity, or daily function you want — with a structured, evidence-based pathway that doesn’t cut corners.
As a UK-trained knee subspecialist and the leading ACL specialist in Faridabad, Dr. Choudhary has performed hundreds of ACL reconstructions across the full spectrum — from recreational sportspeople to competitive athletes.
The anterior cruciate ligament is one of four major ligaments stabilising the knee joint. It runs diagonally through the centre of the knee, connecting the femur (thigh bone) to the tibia (shin bone), and controls rotational stability and anterior translation — preventing the shin bone from sliding forward relative to the thigh.
ACL tears occur when the knee is subjected to forces it wasn’t designed to absorb:
High-risk sports: Football, cricket, basketball, kabaddi, badminton, skiing, gymnastics
Why women are at higher risk: Anatomical differences (wider Q angle, smaller notch width) and hormonal factors increase ACL tear risk in female athletes — approximately 2–8× higher than male athletes in the same sport.
In the First 24–48 Hours
In the Weeks Following Injury
Clinical Examination
Dr. Sunil Choudhary uses specific clinical tests that are highly sensitive for ACL tears:
MRI of the Knee
MRI confirms the ACL tear, assesses whether it is partial or complete, and — critically — identifies associated injuries that are frequently present alongside ACL tears:
Who Can Be Treated Without Surgery?
Not every ACL tear requires reconstruction. Conservative management — structured physiotherapy without surgery — is appropriate for:
However, for active individuals — particularly those who play sport, have physically demanding jobs, or have associated meniscal or cartilage injuries that require surgical treatment regardless — ACL reconstruction is almost always the recommended path.
Prolonged instability with an untreated complete ACL tear causes progressive damage to the menisci and cartilage — conditions that are far more difficult to treat than the original ligament injury.
ACL reconstruction is an arthroscopic (keyhole) procedure — performed through 2–3 small incisions around the knee, with no large surgical scar and minimal muscle disruption.
The procedure:
Graft options:
| Graft Type | Source | Best For |
| Hamstring tendon autograft | Patient’s own hamstring | Primary standard option; most commonly used |
| Bone-Patellar Tendon-Bone (BTB) | Patient’s own patellar tendon | High-demand athletes; stronger fixation |
| Quadriceps tendon | Patient’s own quad tendon | Growing preference; excellent tensile strength |
| Allograft | Donor tissue | Revision ACL; multiple ligament reconstruction |
Dr. Choudhary selects the graft based on patient age, activity level, sport, and whether other ligament reconstruction is required simultaneously.
Concomitant procedures: If the MRI shows a concurrent meniscal tear or cartilage defect, these are addressed in the same surgical session — avoiding a second anaesthetic and recovery period.
| Phase | Timeline | Goals |
| Acute | Weeks 0–2 | Reduce swelling; restore range of motion; weight-bearing |
| Early rehab | Weeks 2–6 | Quadriceps activation; closed-chain strengthening |
| Strengthening | Weeks 6–16 | Progressive resistance; proprioception training |
| Running | Month 4–5 | Straight-line jogging introduced |
| Agility | Month 5–7 | Change of direction; sport-specific drills |
| Return to sport | Month 9–12 | Based on functional testing, not time alone |
Why 9–12 months? The graft undergoes a biological transformation called ligamentisation — remodelling from its original tissue type into a true ligament. This process takes 12–18 months. The primary risk factor for ACL re-tear after reconstruction is returning to sport before the graft has sufficiently matured. Dr. Choudhary uses validated return-to-sport criteria — not calendar dates — to make this decision safely.
For sports injuries beyond the ACL, read our guide to Best Sports Injury Specialist in Faridabad.
An ACL tear is not the end of your sporting life. With accurate diagnosis, the right surgical technique, and commitment to a structured rehabilitation programme, the overwhelming majority of patients return to full, unrestricted activity — often with a knee that is more stable than it was before the injury.
As Faridabad’s leading ACL specialist, Dr. Sunil Choudhary combines arthroscopic surgical expertise with personalised, evidence-based rehabilitation guidance — giving every patient the best possible chance of a complete and lasting return to function.
Don’t play through an unstable knee — every pivot risks more cartilage damage.
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