Orthopedics and sports medicine · Munich
ACL injury
An anterior cruciate ligament injury affects rotational stability of the knee. The choice between rehabilitation and reconstruction depends on giving-way episodes, associated injuries and the demands of work and sport. Age or an MRI diagnosis alone is not enough to choose a pathway.
Assessment
What the assessment considers
Examination, original MRI images and the history of instability are considered together. Meniscus tears, cartilage injury and other ligament damage can change the plan. The assessment also looks at current swelling, extension, strength and progress with rehabilitation.
Next steps
Treatment and next steps
A structured rehabilitation programme is important with or without surgery. Reconstruction may be considered for persistent instability or specific sporting demands. Return to pivoting sport is based on recovery, functional testing and psychological readiness as well as the time elapsed.
Your consultation
Prepare for the consultation
Bring original images and reports, previous operation notes, a medication list and a short timeline of symptoms and treatment. Write down the activities you want to regain and your most important question. Initial inquiries should not include confidential medical attachments; agree a suitable transfer route with the practice first.
Travel and continuity of care
Coming from abroad?
Confirm the consultation language, any interpreting needs, fees and the appropriate appointment before booking travel. This website’s language does not guarantee a consultation in that language. Follow-up and communication with your local clinicians should be planned in advance.
Related information
Continue with your next question.
Second opinion
A second opinion examines whether an existing recommendation fits your symptoms, function and goals. It may confirm the proposed treatment or identify an alternative; it is not a promise to avoid surgery.
Rehabilitation
Plan recovery around function, progressive loading and your activity goals.
Detailed German article
The original German page, including its detailed discussion and references.
Common questions
Answers to common questions.
Does an ACL that looks continuous again on MRI mean I can return to sport?
No. In some injured knees, MRI can show ligament continuity again. Whether the tissue provides enough tension and rotational stability still requires clinical and functional assessment. A follow-up MRI alone is not clearance to return to sport.
Does a complete ACL tear always require reconstruction?
No. For a recent isolated injury, structured rehabilitation with the option of later reconstruction may be reasonable. The decision depends on knee stability and activity goals. Repeated giving way, persistent problems, a meniscus needing repair, multiple ligament injuries or demanding pivoting sport make surgical stabilization more relevant.
What determines recovery after ACL surgery?
Everyday activities and straight-line training may be possible earlier than pivoting sport. Return to sport also depends on strength, jumping and movement tests, stability and readiness, not a date alone. Meniscus repair or other associated injuries can extend rehabilitation.
Do I need to repeat my scans?
Not automatically. Bring the original images and reports first. Further imaging is considered if the existing study does not answer the clinical question or if your condition has changed.
Can this be assessed without travelling?
Some questions can be reviewed from records, but physical examination may be essential. Ask the practice to confirm suitability, scope and a secure document-transfer route before sending records or booking travel.
How are treatment costs and follow-up agreed?
Request an individual estimate and clarify reimbursement with your insurer. Ask which examinations, written reports and follow-up visits are included. International patients should also plan rehabilitation and medical contact after returning home.
PD Dr med Daniel P. BertholdOrthopedic surgeon · University lecturer · Sports orthopedicsAuthor and medically responsiblePD Dr. med. Daniel P. BertholdSpecialist in Orthopaedics and Trauma SurgeryUpdated
Next step
Which contact route fits your request?
Choose between a clinical appointment, second opinion, athlete care or a professional inquiry.
