ACL Reconstruction in Auburn Hills & Rochester Hills, MI
The anterior cruciate ligament (ACL) is one of the main stabilizing ligaments of the knee. ACL tears are among the most common sports injuries, especially in sports that involve cutting, pivoting and jumping, such as soccer, basketball, football and skiing.
What Is an ACL Tear?
The ACL runs through the center of the knee, connecting the thigh bone (femur) to the shin bone (tibia). It keeps the shin bone from sliding forward and helps control twisting. A torn ACL does not heal on its own in most people, and the knee may feel unstable or "give way," especially with sports.
Symptoms
- A "pop" at the time of injury
- Rapid swelling within the first few hours
- Pain and difficulty bearing weight
- A feeling that the knee shifts or gives way
- Loss of full range of motion
Diagnosis
Dr. Prince starts with a careful history and a hands-on exam of knee stability. X-rays rule out fractures, and an MRI confirms the ACL tear and shows any injury to the meniscus, cartilage or other ligaments, which is common with ACL tears.
Nonsurgical Treatment
Some less active patients, or those who do not play pivoting sports, do well with physical therapy, strengthening and activity changes. A brace may help in certain situations. Dr. Prince will talk through whether nonsurgical care fits your goals.
ACL Reconstruction Surgery
For active patients and athletes who want to return to cutting and pivoting sports, ACL reconstruction is the standard treatment. The procedure is done arthroscopically through small incisions. The torn ligament is replaced with a graft, either your own tendon (such as patellar tendon, hamstring or quadriceps tendon) or donor tissue. Graft choice depends on your age, sport and goals, and Dr. Prince will explain the pros and cons of each. Most ACL reconstructions are done as outpatient surgery, so you go home the same day.
Recovery Timeline
- First 2 weeks: control swelling, regain full straightening of the knee, begin physical therapy
- Weeks 2–12: restore motion and strength; most patients walk normally within several weeks
- Months 3–6: progressive strengthening, balance and running program
- Months 9–12: sport-specific training and return-to-play testing
Return to sport is based on strength, function and testing, not just time. Your timeline may differ.
Risks
As with any surgery, risks include infection, blood clots, stiffness, graft failure or re-tear, and persistent pain. Following your rehabilitation plan closely is one of the most important things you can do to lower these risks.
Why Choose Dr. Prince?
- Fellowship-trained in Orthopaedic Sports Medicine at Mayo Clinic
- Board-certified orthopedic surgeon; team physician for the U.S. Ski Team
- Published research on complex knee ligament reconstruction
- 4.8-star patient ratings on Google, Birdeye and Vitals
ACL Reconstruction FAQs
Can an ACL tear heal without surgery?
A completely torn ACL usually does not heal back together. Some people function well without it through therapy and activity changes, but athletes in pivoting sports typically need reconstruction to return safely.
How soon after injury should I have surgery?
Most surgeons wait until swelling has calmed down and the knee has regained motion, often a few weeks after the injury. Dr. Prince will time surgery to give you the best result.
When can I return to sports?
Most athletes return to full competition around 9 to 12 months after surgery, once strength and functional testing show the knee is ready.
This page is general information, not medical advice. Dr. Prince will recommend a plan based on your exam, imaging and goals.
Request an Appointment
Get an expert evaluation for acl reconstruction and a clear plan.
Request an AppointmentCall: (248) 377-8000
3100 Cross Creek Parkway, Suite 200
Auburn Hills, MI 48326
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