Cedar Orthopaedic Surgery Center

ACL RECONSTRUCTION

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Knee injuries are often an unwelcome result of awesome athletic moves in highly demanding sports such as football, basketball or soccer.  In fact, tears or sprains in the anterior cruciate ligament (ACL) are among the most common sports injuries. When there is a tear, surgery is generally the most preferred remedy. So you may need to look for your least expensive ACL surgery.

WHAT IS AN ANTERIOR CRUCIATE LIGAMENT?

Three bones join to make up the entire knee joint.  These bones include the shinbone (tibia), thighbone (femur), and kneecap (patella).  The kneecap protects the joint of the thighbone and shinbone.

The function of ligaments is to connect bones to each other.  So, four primary ligaments keep the knee joint functioning and stable.  The American Academy of Orthopaedic Surgeons explains that the function of these ligaments is similar to strong ropes holding the knee joint together.

Collateral ligaments

These two ligaments run along the sides of the knee joint.  They protect the knee’s sideways motion, bracing it against unusual sideways movement.  The lateral collateral ligament is located on the outside of the knee joint while the medial collateral ligament is found on the inside of the knee. 

Cruciate ligaments

These ligaments are deep within the knee joint.  The anterior cruciate ligament crosses in front of the posterior cruciate ligament, with the two forming an “X”.  Both ligaments guide the knee’s back and forth motion. The primary function of the anterior cruciate ligament is preventing the shinbone from sliding forward in front of the thighbone.  This ligament also assists in protecting the knee’s rotational stability. 

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ACL INJURIES

There are two ways that ACL injuries are described – sprains and tears. Simply, they are the same.  Nevertheless, the AAOS describes both sprains and tears to occur with differing degrees of severity. 

Grade one sprain 

This is the mildest injury.  It involves minor stretching of the ligament; and the knee will remain stable with this type of injury. 

Grade two sprain

This type of sprain results in the cruciate ligament being stretched to the degree that it becomes loose.  The medical community considers this sprain to be a partial ligament tear. 

Grade three sprain

The grade three sprain is basically considered to be a complete ligament tear.  In this case, the ligament has been torn off of the bone. This causes instability of the knee joint and generally requires surgery. 

Common causes of ACL injuries.

  • Collision (for instance, football tackle)
  • Wrong landing from a jump
  • Slowdown while running
  • Sudden stops
  • Sudden change in direction

SYMPTOMS

When you first injure your ACL, you may hear a “popping” noise or “tearing” sensation.  You may also feel your knee give out from under you. Here are a few other indications that you may have suffered an ACL injury. 

  • Joint line tenderness
  • A sensation of knee instability
  • Discomfort with walking
  • Loss of a full range of motion

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DIAGNOSIS AND TREATMENT

Physical exam – The evaluation generally consists of your physician examining the injured knee’s structure and comparing it to the non-injured knee.  Physicians can often diagnose a ligament injury by conducting a thorough physical examination.

X-rays – This imaging will not reliably identify a ligament injury.  It can rule out a broken bone though.

Magnetic Resonance Imaging (MRI) – This test provides a superior picture of soft tissue such as ligaments.  It is not absolutely necessary for diagnosing an ACL tear, but it can be helpful in identifying other related injuries within the knee. 

There are non-surgical and surgical treatments for an ACL injury, depending upon the severity of the injury.  Unfortunately, a complete tear will not heal without surgery. So, if your doctor has told you that you have an ACL tear and you face surgery, you will probably want to find the least expensive ACL reconstruction, especially if you have insurance with a high deductible.

NON-SURGICAL TREATMENT

Although a complete tear cannot heal without surgery, some non-surgical treatments may benefit elderly patients or others who are not very physically active.  A physician may recommend non-surgical care for torn ACLs in less active patients if the overall stability of the knee remains.

These two non-surgical treatments can be helpful for mild ACL sprains and less active patients: 

Bracing – Your doctor may recommend that you use a knee brace to help keep your knee stable.  Additionally, your doctor may recommend crutches so you can keep your weight off that knee.

Physical therapy – After the initial swelling from the ACL injury lessens, patients may begin a careful rehabilitation regimen.  Certain exercises can restore knee function and strengthen the leg muscles supporting it.

Our pricing is Transparent! See for yourself!

DIAGNOSIS AND TREATMENT

Physical exam – The evaluation generally consists of your physician examining the injured knee’s structure and comparing it to the non-injured knee.  Physicians can often diagnose a ligament injury by conducting a thorough physical examination.

X-rays – This imaging will not reliably identify a ligament injury.  It can rule out a broken bone though.

Magnetic Resonance Imaging (MRI) – This test provides a superior picture of soft tissue such as ligaments.  It is not absolutely necessary for diagnosing an ACL tear, but it can be helpful in identifying other related injuries within the knee. 

There are non-surgical and surgical treatments for an ACL injury, depending upon the severity of the injury.  Unfortunately, a complete tear will not heal without surgery. So, if your doctor has told you that you have an ACL tear and you face surgery, you will probably want to find the least expensive ACL reconstruction, especially if you have insurance with a high deductible.

NON-SURGICAL TREATMENT

Although a complete tear cannot heal without surgery, some non-surgical treatments may benefit elderly patients or others who are not very physically active.  A physician may recommend non-surgical care for torn ACLs in less active patients if the overall stability of the knee remains.

These two non-surgical treatments can be helpful for mild ACL sprains and less active patients: 

Bracing – Your doctor may recommend that you use a knee brace to help keep your knee stable.  Additionally, your doctor may recommend crutches so you can keep your weight off that knee.

Physical therapy – After the initial swelling from the ACL injury lessens, patients may begin a careful rehabilitation regimen.  Certain exercises can restore knee function and strengthen the leg muscles supporting it.

ACL SURGICAL TREATMENT 

If your doctor has diagnosed your ACL injury as a complete tear, it is important that you have your knee surgically repaired within a reasonable time period, especially if you are young and expect to be physically active throughout your life.  However, Web MD suggests that if you are older than 40 years of age and not very physically active, your physician may direct you to some non-surgical remedies for the injury. 

If surgery appears to be your best option and you schedule your operation, here is what you can expect… 

THE PROCEDURE

The surgeon removes all of the torn ligament and replaces it with a tendon graft.

There are two sources of graft the surgeon may use to replace the torn ligament.

  • Autograft – Tendons from other areas of the body – bone-patellar tendon-bone or hamstring tendon
  • Allograft – Tendon from a cadaver donor.

LEAST EXPENSIVE ACL SURGERY

Dr. Randy Delcore at Cedar Orthopaedic Surgery Center has nearly 30 years of experience diagnosing and reconstructing ACL injuries; and the surgery center consistently earns high quality ratings.  While Cedar Orthopaedic Surgery Center proudly accepts most insurances, those patients who are either uninsured or have a high deductible should certainly check out the transparent and bundled pricing for any orthopaedic surgeries at delcore.org.

Dr. Delcore performs both autograft and allograft ACL reconstruction surgeries.  The all-inclusive cost of the autograft procedure is $6,000. That means the price for the procedure at COSC includes the surgeon’s fee, the anesthesiologist fee, and the facility fee.  The all-inclusive price for reconstruction surgery using an allograft is $8,800.

If you are looking for your least expensive ACL surgery, call Cedar Orthopaedic Surgery Specialty Clinic for an initial consultation.

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(Implants Included)

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PLEASE NOTE:  If you schedule surgery at our facility and will be using insurance, the prices listed on this website do not apply to you.
We want your surgery to be as easy to plan for as possible.  Please read this disclaimer in its entirety so you can make the most informed decision regarding our prices and services.  The cash prices on our website are only for patients who will not be filing an insurance claim or prefer to pay for their own surgical needs.  The fees listed will be paid up front via cash, check or credit card and are to be paid in full prior to the surgery.

Price quoted is for payment via cash, check, or money order.  For credit card charges, a 3% transaction fee will be added to cover merchant services.

The prices for the surgeries listed on our website cover the following:

  • The initial consultation with the surgeon is included, as is uncomplicated follow-up care.  There is an initial $150 fee which will be applied to the total cost of the procedure if surgery is indicated and you choose to have the surgery.  If the surgery is not indicated or you choose to not have the surgery, the fee will be retained by the surgeon for the consultation.
  • Cedar Orthopaedic Surgery Center – Same Day Surgery, Post Anesthesia Unit (if applicable) and Operating Room
  • Surgeon’s Fees
  • Anesthesia Fees (If applicable)
  • Joint Replacements – The fee also covers the implants and Physical Therapy.
  • In-Surgery X-Rays/Imagery (If applicable)

The prices for the surgeries listed on our website DO NOT cover the following:

  • Any diagnostic studies necessary prior to surgery such as labs, MRI, X-Rays, specialist consultations to determine medical risk/management, physical therapy.
  • Any hardware for fractures (including, but not limited to, pins, screws, plates, rods, and external fixation devices).  These types of surgeries may need a single or numerous implants, depending on the nature of the injury. Once you have had your consultation with Dr. Delcore, the price information will be provided to you regarding the necessary implants.  We only charge invoice costs to our patients and do not mark up implants.
  • Postoperative prescription medications and/or any required assistive devices.
  • Expenses for travel and lodging
  • Expenses or fees from complications during/following the completion of surgery and discharge from Cedar Orthopaedic Surgery Center.

The procedures listed on our website are only a partial list of the surgeries we can offer.  If you have a surgical need that is not listed on our website, please contact us and we will discuss the availability and pricing.

PLEASE NOTE: If you have a BMI (Body Mass Index) of 35.0 or higher, you may well qualify for up to a $3,000 surcharge.

If you have any questions regarding our services and prices, please contact us via email or phone and our dedicated staff will work with you to answer any questions you may have.