Procedures
ACL Reconstruction Surgery in Doha
Quick answer
ACL reconstruction is keyhole (arthroscopic) surgery that replaces a torn anterior cruciate ligament with a tendon graft, restoring knee stability. Dr. Pablo Gelber performs ACL reconstruction at Aman Hospital in Doha. Most patients walk with crutches within a day and return to pivoting sports at around 9–12 months after rehabilitation.
Who ACL reconstruction is for
ACL reconstruction is usually recommended for people whose knee keeps giving way after an ACL tear, and for those who want to return to football, padel, basketball or other sports that involve cutting and pivoting. It is also considered when the ACL tear comes with a repairable meniscus tear.
Not every ACL tear needs surgery. Some less active people, or those happy to avoid pivoting sports, do well with a structured physiotherapy programme. Dr. Gelber discusses your activity level, goals and examination findings before recommending either path.
How the operation is done
The operation is performed under general or spinal anaesthesia, usually combined with a nerve block for pain relief. Through a few small incisions, a camera is used to inspect the whole knee and treat any meniscus or cartilage problems at the same time.
The torn ligament remnant is cleared, small tunnels are drilled in the thigh bone (femur) and shin bone (tibia) where the original ligament attached, and the graft is passed through them and fixed in place. Over the following months the body gradually incorporates the graft, which then works as a new ligament.
Graft options
- Hamstring tendons
- Patellar tendon (bone-tendon-bone)
- Quadriceps tendon
The right graft depends on your sport, age, anatomy and any previous surgery. Dr. Gelber explains the trade-offs before you decide.
Protecting the knee for the long term
Meniscus tears found during ACL surgery are repaired whenever possible. In high-risk patients, an additional lateral extra-articular procedure can be added to reduce the risk of re-rupture.
The day of surgery at Aman Hospital
You will be asked to fast for several hours before the operation; the hospital team confirms the exact timing. On admission you meet the anaesthetist and the surgical team, and the knee to be operated on is marked.
Many patients go home the same day or after one night in hospital, depending on pain control, how confidently they walk with crutches and whether other procedures were needed. Before you leave, a physiotherapist shows you how to use crutches and which exercises to start at home.
Recovery timeline
- Day 1: walking with crutches, starting physiotherapy
- Weeks 2–6: regaining full extension, walking normally
- Months 3–6: running and strength work
- Months 9–12: return to pivoting sports after passing tests
Risks
ACL reconstruction is a common, well-established operation and most patients recover without major problems. As with any surgery there are risks, which Dr. Gelber explains before you consent:
- Knee stiffness or difficulty regaining full straightening, usually helped by early physiotherapy
- Infection, which is uncommon
- Blood clots in the leg
- Numbness of the skin near the incisions
- Graft re-tear or persisting looseness, more likely with an early return to sport
Following the rehabilitation plan and returning to sport only after passing strength and movement tests are among the most useful ways to lower these risks.
Preparing for surgery in Doha
- Bring your MRI images and report, and any previous operation notes
- Start the exercises your physiotherapist recommends: a knee that moves well with little swelling usually recovers more smoothly
- Insurance pre-approval may be needed, so check with your insurer before booking a date
- Tell the team about all your medicines, especially blood thinners
- Arrange for someone to take you home and help for the first few days
If surgery would fall during Ramadan, summer travel or an important sports season, discuss the timing with Dr. Gelber.
Frequently asked questions
How long does ACL surgery take?
The operation usually takes around one to two hours, depending on whether meniscus or cartilage work is also needed.
Is ACL reconstruction painful?
Pain is controlled with nerve blocks and medication. Most patients find the first week the most uncomfortable, with steady improvement afterwards.
Where can I get ACL surgery in Doha?
Dr. Pablo Gelber performs ACL reconstruction at Aman Hospital in Doha, Qatar.
Do I need surgery for every ACL tear?
No. Surgery is usually advised for people who want to return to pivoting sports or whose knee keeps giving way. Others do well with physiotherapy and activity changes. The decision depends on your knee, your goals and any other injuries.
When can I drive after ACL surgery?
Usually once you can walk without crutches and control the leg safely, often between two and six weeks after surgery, and sooner for the left knee in an automatic car. Ask Dr. Gelber before you start driving again.
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