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Orthopaedic Surgery

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ACL Tear Treatment

The ACL, or anterior cruciate ligament, is a structure within the knee that helps control movement and rotation of the knee joint. It is one of the most common knee ligaments to be injured and may be torn during a sudden, twisting movement of the knee.

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ACL Tear Treatment: Why Choose Johns Hopkins

  • Whether you are a serious athlete determined to return to a sport, or you would just like to get back on your feet to take care of daily tasks, we are here to help you return to your ideal activity level. 
  • Our specialists will help you understand surgical and nonsurgical options, and help you choose the best treatment plan to meet your needs.
  • ACL surgery was once considered too risky in children who are still growing. Our specialists use new minimally invasive techniques to repair or replace knee ligaments with low risk to growing children and teens. 

ACL Tear Treatment Options

Treatment for ACL tears ranges from bracing and physical therapy to surgery, depending on your knee stability and your desired activity level.

Nonsurgical options 

If you and your doctor decide against surgery, nonsurgical treatment options include:

  • Bracing: A brace can protect your knee from instability.
  • Physical therapy: Rehabilitation exercises can help you regain range of motion in the knee and strengthen the leg muscles that support the joint.

ACL Repair Surgery 

If you choose to have ACL reconstruction surgery, the surgeon will replace the damaged ligament with a tendon, which is called a graft. This may be an autograft (using a tendon from your own knee) or an allograft (using a donor tendon).

Our specialists perform the procedure arthroscopically, threading the graft through a small hole in the knee.

After surgery, rehabilitation exercises will help you regain range of motion and strengthen the muscles that support the joint. Athletes commonly return to their sport between seven and nine months after surgery.

sports medicine specialist Dr. Zikria

Our Specialists


Rely on the expertise of our physicians to help you manage your
ACL tear.

Andrew Cosgarea, M.D.
Rajwinder Deu, M.D.
Sameer Dixit, M.D.
R. Jay Lee, M.D.
John Tis, M.D.

John Wilckens, M.D.
Bashir Zikria, M.D., M.Sc.

Dr. Andrew Cosgarea examines an athlete's ACL injury

Tailor-Made Treatment for ACL Tears


An individual approach to repairing ACL damage works best for Dr. Andrew Cosgarea’s diverse patient population. Once he knows how active a patient wants to be, he tailors the operation and graft for that individual’s reconstruction.

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Preventing ACL Tears: 4 Tips for Women and Girls


Sports injury prevention isn’t a one-stop shop when it comes to male and female athletes, especially for injuries like ACL tears, which are four to eight times more common among women than men. Read about four tips for women to help prevent this common injury from occurring.

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