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Knee Surgery · Dubai

ACL Surgery

Advanced anterior cruciate ligament reconstruction by British-trained orthopaedic surgeon Dr. Mohammad Ashfaq Konchwalla — with over 2,000 ACL and multiligament procedures performed at Medcare Hospital, Dubai.

ACL Reconstruction Hamstring Graft Patellar Tendon Graft Multiligament Knee Meniscus Repair Return to Sport
2000+
ACL Procedures
1–2h
Procedure Duration
9–12
Months to Full Sport
FRCS
Royal College Certified
About ACL Surgery

Restoring Knee Strength & Stability

The anterior cruciate ligament (ACL) is the primary stabilising ligament of the knee — a strong band of tissue running diagonally through the centre of the joint, connecting the femur to the tibia and controlling the rotational stability and forward movement of the knee. ACL injuries are among the most common and most significant sports injury treatment in Dubai cases, affecting athletes across all ages and disciplines from elite professionals to recreational participants. A torn ACL does not heal on its own — the ligament's limited blood supply and the mechanical environment of the knee joint prevent spontaneous repair — meaning that ACL reconstruction surgery in Dubai is required in the majority of active patients who want to return to pivoting, cutting, and high-demand sport.

"Every ACL reconstruction I perform is about more than restoring a ligament — it is about comprehensively restoring the knee so that every associated injury is addressed and the athlete can return to full competitive sport with confidence."
— Dr. Mohammad Ashfaq Konchwalla, FRCS

Dr. Mohammad Ashfaq Konchwalla has performed over 2,000 ACL and multiligament reconstructions during his career — a volume that places him among the best ACL surgeon in Dubai and the UAE. His training at King's College London and FRCS qualifications in Trauma and Orthopaedics underpin his meticulous surgical technique and outcomes-focused approach. Every arthroscopic knee surgery in Dubai is performed through 2–3 small portals using carefully selected graft tissue to rebuild the torn ligament and restore the precise anatomical tension and biomechanics of the native ACL.

ACL injuries are never isolated events — they frequently involve concurrent damage to the menisci, articular cartilage, and other knee ligaments (PCL, MCL, posterolateral corner). Dr. Konchwalla's comprehensive surgical assessment and planning ensures that every associated injury is identified and addressed at the time of ACL reconstruction, preventing the secondary damage and re-injury that result from incomplete treatment. The result is a knee that is not simply stable, but comprehensively restored — able to withstand the full demands of competitive sport and an active life.

ACL Surgery Dubai — Dr. Konchwalla performing arthroscopic ACL reconstruction
Procedure Type
Arthroscopic ACL Reconstruction
Keyhole surgery through 2–3 small portals.
Duration
1 – 2 Hours
Combined procedures may take longer.
Anaesthesia
General or Spinal
With regional nerve block for pain control.
Hospital Stay
Same Day or One Night
Day-case for primary ACL reconstruction.
Return to Sport
9 – 12 Months
Based on objective performance criteria, not calendar alone.
Consultant Surgeon
Dr. Mohammad Ashfaq Konchwalla
FRCS (Eng) · FRCS (Glas) · FRCS (Tr & Ortho) — trained at King's College London
Location
Medcare Hospital Dubai
22A Street, from Sheikh Zayed Road, 2nd Interchange, Dubai UAE
Book a Consultation
Appointments typically available within 48 hours
Recognising an ACL Injury

Symptoms of an ACL Tear

A loud or felt popping sensation at the moment of injury, reported by the majority of ACL-injured patients. The injury typically occurs without contact — a pivot, sudden deceleration, or awkward landing.
The knee swells rapidly within 2–4 hours due to haemarthrosis (bleeding into the joint). This rapid swelling distinguishes ACL tears from other knee injuries.
A feeling of the knee "giving way," collapsing, or shifting — particularly during pivoting, cutting, and direction changes. This is the hallmark symptom of ACL deficiency.
Inability to fully straighten the knee due to swelling and muscle guarding. Pain variable in intensity — some patients can continue playing immediately before the full extent becomes apparent. Most athletes are unable to return to the field on the same day.
Not every ACL tear requires surgery. ACL reconstruction is recommended when: you are an athlete or active individual wanting to return to pivoting sport; the knee feels unstable during daily activities; a concurrent meniscus tear requires repair; the patient is young and active; or there are multiligament injuries. Dr. Konchwalla typically recommends a pre-operative physiotherapy programme of 4–8 weeks before reconstruction to optimise the knee.
Benefits

Why Choose ACL Reconstruction?

ACL reconstruction eliminates the giving-way and instability that prevent return to pivoting and contact sport — restoring the mechanical stability the knee needs for all high-demand activities.
Early reconstruction prevents the recurrent giving-way episodes that progressively damage the menisci and articular cartilage in an ACL-deficient knee — reducing the risk of early-onset arthritis by up to 50%.
The majority of athletes who undergo ACL reconstruction with expert surgery and structured rehabilitation return to their previous sport level — with reported return-to-sport rates of 82–90% in well-selected patients.
All ACL reconstructions are performed through 2–3 small portals — avoiding the large incisions, quadriceps damage, and prolonged recovery of older open surgical techniques.
ACL Injury Patterns

Conditions Treated with ACL Surgery

ACL injuries rarely occur in isolation. Select a condition below to learn more about how Dr. Konchwalla diagnoses and treats it at Medcare Hospital Dubai.

Primary ACL Tear

A primary (first-time) ACL tear is the most common indication for ACL reconstruction. The ACL ruptures completely — most commonly from a non-contact pivoting or deceleration mechanism — leading to acute knee haemarthrosis, instability, and inability to return to sport. Dr. Konchwalla performs arthroscopic ACL reconstruction using the patient's preferred graft choice, precisely replicating the anatomical footprint of the native ACL. The procedure simultaneously allows assessment and treatment of any meniscus tears or cartilage damage identified at arthroscopy. Outcomes for primary ACL reconstruction in well-selected patients are excellent, with the majority of athletes achieving full return to their previous sport level.
At a Glance
Mechanism
Non-contact pivot / deceleration
Graft Options
Hamstring, patellar tendon, allograft
Surgery
Arthroscopic reconstruction
Return to sport
9–12 months

ACL Tear with Meniscus Injury

ACL tears are accompanied by meniscus tears in approximately 50% of cases — the most common combined injury pattern in knee ligament surgery in Dubai. When a meniscus tear occurs alongside an ACL rupture, both injuries must be addressed simultaneously during reconstruction. Where possible, Dr. Konchwalla prioritises meniscus repair over removal — preserving the meniscus's critical load-bearing and protective function and preventing the accelerated arthritis that follows meniscectomy. Meniscus repair in the context of ACL reconstruction has a significantly higher healing rate than isolated repair.
At a Glance
Incidence
~50% of ACL tears
Priority
Meniscus repair over removal
Treatment
Combined ACL + meniscus repair
Return to sport
9–12 months

Revision ACL Reconstruction

Revision ACL surgery — re-reconstruction of a previously failed ACL graft — is among the most technically demanding procedures in sports surgery. Graft failure may result from traumatic re-rupture, tunnel malplacement, inadequate fixation, premature return to sport, or failure to address concurrent instability at the initial reconstruction. Revision surgery requires careful pre-operative planning including CT scanning to assess tunnel positions and bone stock, selection of an alternative graft source, and in some cases staged surgery with bone grafting. Dr. Konchwalla's extensive ACL experience — over 2,000 procedures — includes a significant proportion of complex revision cases referred from within Dubai and internationally.
At a Glance
Complexity
Highest in ACL surgery
Planning
CT scan, tunnel assessment
Approach
Alternative graft, staged if needed
Experience
2,000+ ACL procedures

Multiligament Knee Reconstruction

Multiligament knee injuries involve tears to two or more of the knee's stabilising structures — typically occurring from high-energy sporting trauma, road traffic accidents, or knee dislocations. The ACL may be torn in combination with the PCL, MCL, LCL, or posterolateral corner. These are among the most complex injuries in all of orthopaedic surgery, often involving concurrent neurovascular injury requiring urgent assessment. Dr. Konchwalla's multiligament reconstruction expertise encompasses staged and single-stage approaches, with meticulous planning to restore all planes of knee stability.
At a Glance
Structures
ACL + PCL, MCL, LCL, or PLC
Cause
High-energy trauma, dislocations
Approach
Staged or single-stage reconstruction
Urgency
Early specialist assessment critical

ACL Tear with Cartilage Damage

Articular cartilage damage — osteochondral lesions and chondral defects — frequently accompany ACL tears, either from the force of the initial injury or from the cumulative damage caused by recurrent giving-way episodes in a chronically ACL-deficient knee. At the time of ACL reconstruction, Dr. Konchwalla performs a thorough arthroscopic assessment and addresses cartilage damage simultaneously through chondroplasty, microfracture, or knee cartilage repair surgery Dubai procedures. This comprehensive approach provides the best long-term protection of knee health.
At a Glance
Damage type
Osteochondral & chondral defects
Treatment
Chondroplasty, microfracture, grafting
Timing
Addressed during ACL reconstruction
Goal
Prevent progressive arthritis

Paediatric & Young Athlete ACL Tears

ACL tears in skeletally immature patients — children and adolescents with open growth plates — present a unique surgical challenge. Traditional tunnel drilling risks damaging the physes, potentially causing limb length discrepancy or angular deformity. Dr. Konchwalla employs growth-plate-sparing or physeal-respecting techniques tailored to the patient's skeletal maturity — combining the safety of physis preservation with the stability of full reconstruction to allow young athletes to safely continue their sporting careers.
At a Glance
Challenge
Open growth plates
Technique
Physeal-respecting reconstruction
Risk if delayed
Meniscus & cartilage damage
Goal
Safe return to youth sport
Surgical Technique

Choosing the Right ACL Graft

The ACL cannot be sutured back together — it must be reconstructed using a graft of tendon tissue to replace the torn ligament. Graft selection is one of the most important decisions in ACL surgery and is made individually for each patient based on their age, activity level, sport, anatomy, and prior surgeries. As a British-trained consultant in Dubai, Dr. Konchwalla discusses all graft options at consultation so every patient understands the rationale for their chosen approach.

Most Commonly Used

Hamstring Tendon Graft (Semitendinosus & Gracilis)

Harvested from the inner hamstring tendons through a small incision below the knee. Produces a strong, multi-stranded graft with excellent biomechanical properties. Lower donor-site morbidity than patellar tendon — preserving quadriceps strength and reducing anterior knee pain. The preferred choice for most athletes and the most commonly performed ACL graft worldwide.
Highest Initial Strength

Patellar Tendon Graft (Bone-Patellar Tendon-Bone)

Harvested from the central third of the patellar tendon with a bone plug at each end. The bone-to-bone fixation allows the fastest tunnel incorporation and provides the highest initial graft stiffness. The traditional "gold standard" in high-demand pivoting athletes — particularly footballers, rugby players, and in revision ACL surgery where strong fixation is critical.
For Selected Cases

Allograft (Donor Tendon)

Cadaveric donor tendon used when autograft harvest is not feasible — in revision cases where autograft sources are already used, multiligament reconstructions requiring multiple grafts, and in older or lower-demand patients. Avoids donor site morbidity but has slower biological incorporation and higher re-tear rates in young, high-demand athletes.
The Procedure

How ACL Reconstruction Works

Every ACL reconstruction at Medcare Hospital Dubai follows a precise surgical protocol refined through Dr. Konchwalla's 2,000+ ACL procedures. Click any step to expand details.

01

Diagnosis & Pre-Op Planning

Before Surgery

Clinical examination (Lachman, Anterior Drawer, Pivot Shift tests). MRI confirms ACL tear and identifies concurrent meniscus or cartilage damage. Graft selection discussed. Pre-operative physiotherapy optimises the knee before surgery.

Lachman TestMRI ScanGraft SelectionPre-Op Physio
Location
Medcare Hospital
Pre-Op Physio
4–8 weeks
Imaging
MRI + X-Ray
02

Anaesthesia & Arthroscopy

Day of Surgery

General or spinal anaesthesia with nerve block. Arthroscope introduced through small portals. Complete joint assessment — both menisci, articular cartilage, posterior structures, and the ACL remnant. Any concurrent meniscus tears addressed.

General or SpinalNerve BlockJoint Assessment
Type
General / Spinal
Pain Block
Peripheral Nerve
Portals
2–3 small
03

Graft Harvest & Tunnel Drilling

Core Procedure

Graft harvested through a small incision (hamstring or patellar tendon) and prepared on the back table. Tibial and femoral bone tunnels drilled in precise anatomical positions that replicate the native ACL footprint under arthroscopic and fluoroscopic guidance.

Graft HarvestTunnel DrillingAnatomical Placement
Graft Options
Hamstring / Patellar
Guidance
Arthroscopic + Fluoro
Precision
Anatomical footprint
04

Graft Passage & Fixation

Fixation

Graft passed through the tibial tunnel, through the knee, and into the femoral tunnel. Tensioned in the correct position and secured with interference screws or cortical buttons. Stability confirmed arthroscopically. Knee put through full range of motion to verify correct graft tension.

Graft PassageTension SettingSecure Fixation
Fixation
Screws / Buttons
Verification
Full ROM Check
Total Time
1–2 hours
05

Recovery & Discharge

Same Day

Patients are fitted with a knee brace and provided with crutches before same-day or next-morning discharge. Written aftercare instructions, home exercise programme, and physiotherapy referrals are arranged before leaving Medcare Hospital.

Knee BraceCrutchesHome ExercisesPhysio Referral
Stay
Day Case / 1 Night
Aid
Crutches + Brace
Follow-up
Within 2 weeks
1–2h
Procedure
2,000+
ACL Procedures
Same Day
Discharge
9–12 Mo
Return to Sport
Book Consultation
Recovery & Rehabilitation

Your ACL Surgery Recovery Timeline

ACL rehabilitation is a structured, criterion-based process. Progress is driven by achieving specific strength, neuromuscular control, and functional milestones — not by the calendar alone. Rushing rehabilitation is the single biggest risk factor for ACL re-rupture.

9–12
Months to Sport
Weeks 1–2
01

Acute Phase — Swelling & Motion

Crutches for mobility. Ice and elevation. Gentle range-of-motion exercises begin immediately. Quadriceps activation and straight-leg raises from day one.
Weeks 2–6
02

Early Strengthening

Crutches discontinued. Full range of motion restored. Progressive closed-chain strengthening — squats, leg press, step-ups. Stationary cycling introduced.
Months 2–4
03

Neuromuscular Control

Balance and proprioception training. Progressive resistance and power exercises. Swimming. Return to driving and gym training.
Months 4–6
04

Running & Sport-Specific Training

Jogging when quad symmetry ≥70%. Progressive running volume and speed. Agility and change-of-direction drills. Sport-specific skill training begins.
Months 6–9
05

Advanced Training & Testing

Full training intensity. Pivoting, cutting, jumping drills. Contact sport preparation. Isokinetic strength testing and hop tests to confirm readiness.
Months 9–12
06

Return to Competitive Sport

Clearance when limb symmetry ≥90%, passing hop tests, and psychological readiness ≥65. Dr. Konchwalla reviews at 6 weeks, 3, 6, and 12 months.
Your Surgeon
Why Dr. Konchwalla?

British-trained. FRCS-certified. Over 2,000 ACL procedures. Trusted by professional athletes across Dubai and the UAE.

Qualifications
FRCS (Eng) · FRCS (Glas) · FRCS (Tr & Ortho)
Trained at King's College London and leading UK surgical institutions.
Experience
2,000+ ACL procedures — primary reconstruction, revision ACL, multiligament knee injuries, and combined meniscus repair.
Comprehensive Care
Not just reconstructing the ligament — identifying and treating every associated injury, optimising with pre-op physio, and guiding structured return-to-sport.
Conservative First
Dr. Konchwalla always explores physiotherapy and bracing before recommending surgical intervention where appropriate.
Personalised Rehab
Custom rehabilitation programmes built around your sport, your level, and your specific goals — with criterion-based return-to-sport protocols.
Sport-Specific ACL Care

ACL Surgery for Athletes

The ACL is the most frequently torn ligament in competitive sport. Dr. Konchwalla tailors both the surgical approach and rehabilitation to each athlete's sport.

Football & Rugby

Highest ACL incidence of any sport. Non-contact pivoting, tackles, and awkward landings. Combined meniscus tears common.
🏏

Cricket

ACL injuries from diving, sudden stops, awkward bowling landings, and fielding pivots. Rehabilitation targets batting and bowling biomechanics.
🎾

Tennis & Racket Sports

Lateral pivots, split-step landings, and explosive direction changes. Often combined with medial meniscus tears.
🥋

Martial Arts & Combat

ACL tears from takedown mechanics, leg sweeps, and hyperextension loading. Multiligament injuries from high-energy grappling.
FAQs

Frequently Asked Questions

Common questions about ACL surgery in Dubai — answered by Dr. Konchwalla's team at Dubai Sports Surgery.

Full recovery from ACL reconstruction is a 9–12 month process for safe return to competitive sport. Key milestones: crutches at 1–2 weeks, walking without crutches at 4 weeks, jogging at 3–4 months, sport-specific training at 5–6 months, competitive sport at 9–12 months. Return-to-sport clearance is based on objective criteria — not just time.
Not always — but active patients, athletes, and anyone with combined meniscus tears nearly always benefit from surgery. An ACL-deficient knee is at very high risk of progressive meniscus damage and arthritis without reconstruction. Dr. Konchwalla will advise the most appropriate management at consultation.
There is no single "best" graft — the optimal choice depends on your age, sport, activity demands, and anatomy. Hamstring graft is the most commonly used. Patellar tendon graft has the highest initial strength. Allograft is used in revision surgery and multiligament cases. Dr. Konchwalla discusses all options at consultation.
An untreated ACL-deficient knee is at very high risk of progressive joint damage. 80% of ACL-deficient knees develop meniscus tears within 5 years. Articular cartilage damage and early-onset osteoarthritis follow. In young, active patients, early reconstruction is the most effective strategy for protecting long-term knee health.
Yes — the majority of primary ACL reconstructions at Medcare Hospital Dubai are performed as same-day or next-morning discharge surgery. Complex combined procedures may require one overnight stay for pain management and monitoring.
You should see Dr. Konchwalla as soon as possible after your injury — ideally within 1–2 weeks. Early specialist assessment allows accurate diagnosis and initiation of pre-operative physiotherapy. Most ACL reconstructions are performed 4–8 weeks after injury once the knee has settled.
A multiligament knee injury involves tears to two or more of the knee's major ligaments — the ACL combined with the PCL, MCL, LCL, or posterolateral corner. These are among the most complex injuries in orthopaedic surgery and require specialist planning and Dr. Konchwalla's multiligament expertise.
Yes — return to competitive sport is the primary goal. Studies report 82–90% return-to-previous-sport rates following expert ACL reconstruction with structured rehabilitation. The timeline is 9–12 months. Dr. Konchwalla uses objective criteria to clear athletes — ensuring the safest possible return.
Book the Best Dubai Sports Surgeon

Consult Dr. Ashfaq Konchwalla
Reclaim Your Peak

Book a consultation with Dubai's top sports surgery expert — British-trained orthopaedic & sports surgery specialist. Take the first step toward a full, confident recovery. Appointments available within 48 hours.

Location
Dubai, United Arab Emirates
Clinic Hours
Sunday – Thursday  9:00 – 17:00
Emergencies
Available on Request