cpt code for open acl reconstruction with hamstring autograft cpt code for open acl reconstruction with hamstring autograft

SQ closed 2-0 vicryl inverted interrupted, Steri-strips, mastasol, portal sites closed with steri-strips. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. There is no CPT code for the reconstitution of tendon allograft. official website and that any information you provide is encrypted Compress tendons with sheath trial. registered for member area and forum access, http://www2.aaos.org/aaos/archives/bulletin/apr05/code.asp. xbbf`b``3 1x4>0 Love this place From the minute I called I was treated kindly. Autogenous tissue has been compromised (e.g., by previous surgery, previous injury), Multi-ligament reconstruction is being performed, Pathology such as chronic patellar tendonitis and hamstring injury exists, M22.2X1-M22.3X9 Patellofemoral disorders and other derangements of patella, (including lateral, medial, anterior and posterior ligaments), M22.8X1-M22.8X9 Other disorders of patella (including lateral, medial, anterior and posterior ligaments), M23.50-M23.52 Chronic instability of knee (including lateral, medial, anterior and posterior ligaments), M23.601-M23.8X9 Other spontaneous disruption of ligament(s) of knee and other internal derangements of knee (including lateral, medial, anterior and posterior ligaments), 0SUC0KZ-0SUD4KZ Supplement knee joint with nonautologous tissue substitute, 27427 Ligamentous reconstruction, knee; extra-articular, 27428 Ligamentous reconstruction, knee; intra-articular (open), 27429 Ligamentous reconstruction, knee; intra-articular and extra-articular, 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction, 29889 Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction. Although the irradiation kills any infectious agent, there might still be a possibility of transmission of a disease agent. A local anesthetic completely blocks pain from your knee area and you will stay awake during the operation. Anterior cruciate ligament (ACL) reconstruction is one of the most common orthopedic surgeries. The allograft ACL reconstruction is also considered to be less strong than the autograft reconstruction. Three months later I had the other knee done and went home the very next day. I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . (Mather RC, JBJS 2013;95A:1751), at 11.5 year follow up: 7.0% graft failure forBPTB and HT autograft;Kellgren-Lawrence grade 2 arthritis found in 52.0% ofBPTB and 51.0% HT autograft patients (Belk, JW, Arthroscopy. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an overall easier surgical recovery compared with bone patellar tendon bone autograft. PLS reconstruction was performed using the BFT hybrid autograft. Called Dr. Karkare. This would be her third time under the knife in the past year. A surgeon performs an anterior cruciate ligament (ACL) repair (29888), a lateral meniscectomy (29881), and a synovectomy (29876) in the patella and medial compartments. The allograft is usually irradiated to kill any infectious agent such as bacteria/viruses. Dr Vaksha was so kind and helpful. He put in a rod and two screws in her hip. June 7, 2020. Cpt Code For Acl Reconstruction With Allograft PDF Download May 1st, 2018 - Cpt Code For Acl Reconstruction With Allograft Acl reconstruction with allograft vs autograft aapc i would really appreciate your assistance with clarification when an acl reconstruction is performed 29888 is the Chronic Distal Biceps Repair With an Achilles Allograft jumping, cutting, side-to-side sports, heavy manual labor), documents failure of nonoperative management, describes accepted indications and contraindications for surgical intervention, diagnose and management of early complications, focus rehab on exercises that do not place excess stress on graft, isometric hamstring contractions at any angle, isometric quadriceps, or simultaneous quadriceps and hamstrings contraction, active knee motion between 35 degrees and 90 degrees of flexion, emphasize closed chain (foot planted) exercises, isokinetic quadricep strengthening (15-30) during early rehab, bone bruising occurs in more than half of acute ACL tears, subchondral changes on MRI can persist years after injury, quadricep avoidance gait (does not actively extend knee), grading A= firm endpoint, B= no endpoint, patient must be completely relaxed (easier to elicit under anesthesia), describe complications of surgery including, diagnose ACL tear and any other pathology that will be addressed during the ACL reconstruction, asses for physeal closure on femur and tibia. All Rights Reserved. 2017 Oct;475(10):2459-2468. doi: 10.1007/s11999-017-5278-9. The allograft also leads to early incorporation in the bone tunnel. 2000;8:226). This involves harvesting a piece of bone from the patella (kneecap), the central 1cm of the patellar tendon, and a piece of bone from the tibia to create the new ACL. An Arthroscopically aided ACL repair/reconstruction includes the . by | Jun 3, 2022 | four factors leading america out of isolationism included | cheng yi and crystal yuan latest news | Jun 3, 2022 | four factors leading america out of isolationism included | cheng yi and crystal yuan latest news 2014;2014:6. doi: 10.1016/j.eats.2019.09.021. [14-16] Reconstructed ACL graft rupture more commonly occurred in the hamstring autograft than in the patellar tendon autograft. After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. This was my 1st time breaking something in my 27 years on this planet. Federal government websites often end in .gov or .mil. JavaScript is disabled. Lateral view: Center of graft should be 40% of the a/p length of the tibial plateau posterior to the anterior edge of the plateau. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. ACL reconstruction is both less costly and more effective than nonoperative treatment for ACL injury. ACL Patella Tendon Autograft Reconstruction Protocol ACL Patella Tendon Autograft Reconstruction Protocol The intent of this protocol is to provide the clinician with a guideline for the post-operative . 3. the ACL remnant is removed from the notch usually with a shaver and/or a radiofrequency ablation device while noting the anatomic footprint on the femoral and tibial side for later reconstruction. This is to make sure you can move your knee as fully as possible before your operation. ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) a major ligament in your knee. Anterior Cruciate Ligament (ACL) Reconstruction with Allograft reconstruction is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after Anterior Cruciate Ligament injury. Bundling injection codes by payors. Postoperative images showing quadriceps tendon autograft scar and range of motion. diagnose ACL tear and any other pathology that will be addressed during the ACL reconstruction. Femoral tunnel should be at least 60% posterior along Blumensaat's line. Documentation of the additional physician's work must be very specific significantly above and beyond the work associated with a primary ACL reconstruction. triangular tibial plug 9mmx20mm for femoral tunnel, trapezoidal patellar plug 10mmx25mm for tibial tunnel, 230 oscillating sawblade start distally to avoid blood in field, 7mm anterior to PCL, posterior edge anterior horn LM, posterior to notch in extension, ellipiticises anterolatcially to ease graft placement. After 1wk may begin low-resistance stationalry bike out of brace, quad sets, straight leg raises, early hamstring resistance exercises, closed-chain exercises with elastic cord. Thank you very much to everyone who replied. For example, the spine surgeon performs a L4-5 interbody fusion, places an anterior plate L4-5 and then places a polyetheretherketone (PEEK) interbody cage. This allows any swelling to go down. ACL surgery is defined by CPT 29888 (Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction). ACL Hamstring Tendon Autograft Reconstruction Protocol . If so, this should be done by direct communication with the therapist, or in writing on the . Risks Ohio State College of Medicine | Ohio State College of Medicine Author links open overlay panel Derek N. Pamukoff a, Melissa M. Montgomery a, Skylar C. Holmes a, Tyler J. Moffit a, Steven A. Garcia a, Michael N. Vakula b. Dr. Karkare put my fears to rest . and transmitted securely. Both surgeons are reimbursed 62.5 percent of the allowable for CPT 22558. - Learn more about the other types of grafts here - after harvest you should note muscle fibers coming off both sides of tendon. My mom had a total hip replacement by dr karkare. This may be painful and may limit your athletic performance. There are three main sources of autograft: bone-tendon-bone (BTB) graft of the patellar tendon or a tendon graft from hamstring or quadricep tendon. Dr. Vaksha was very thorough and kind. Tunnel malpositioning and widening remain the most common indications for two-stage revision ACLR. Clin Orthop Relat Res. 2022 Jun 20;12(2):e20.00053. CPT Codes 27427 - Ligamentous reconstruction, knee; extra-articular 27428 - Ligamentous reconstruction, knee; intra-articular (open) 27429 - Ligamentous reconstruction, knee; intra-articular and extra-articular 29888 - Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction synonyms: MCL repair, MCL reconstruction, medial collateral ligament repair MCL Repair CPT 27405 27409 See all Collateral Knee CPT codes. Im very thankful and happy to be a patient here at Complete Orthopedics. The information on this website is intended for orthopaedic surgeons. He really takes his time and explains treatment options. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. During the past decades, hamstring tendon (HT) and bone- patellar tendon (middle 1/3)-bone (BPTB) autografts are the most used grafts for ACL reconstruction. This creates a two- or four-strand tendon graft. Autograft tendons are the most . .elizabeth .thank you so much . The staff is very professional and helpful. For a better experience, please enable JavaScript in your browser before proceeding. (Beynnon BD, Am J Sports Med. Three cases required ACL reconstruction using the Semi-T hybrid autografts. Note: These lists of codes may not be all-inclusive. 2011;60:499-521, Driscoll MD, Isabell GP Jr, Conditt MA, Ismaily SK, Jupiter DC, Noble PC, Lowe WR. 2013-05-15 Price: $6,790.00. Cpt Code For Acl Reconstruction With Allograft PDF Download May . Dissection to sartorius fascia, incise fascia just above Gracilis. This study aims to identify potential factors for both femoral and tibial tunnel widening (TW) and to investigate the effect of TW on postoperative outcomes after anterior cruciate ligament (ACL) reconstruction with a tibialis anterior allograft. description of potential complications and steps to avoid them, operative table, choice of using leg post, leg holder or neither, examine the operative and non-operative leg, assess range of motion, Lachman, Pivot Shift, LCL, MCL, and pulse exam, if using a leg post, position the patients heels at the edge of the bed and shift the patient closer to the side of the post, ensure that the post is in the proper location to produce a valgus stress, if using a leg holder, the end of the bed is often lowered allowing the operative leg to flex to 90 degrees free, the non-operative leg is either placed in a well leg holder or on padding, the operative leg must be able to flex to at least 120 degrees, if using a leg holder, a non-sterile assistant will need to unlock the top of the holder when high flexion is needed, approximately 3cm incision can be made located approximately 3 finger breaths distal to the joint line and 2 finger breaths medial to the tibial tubercle, the pes tendons can usually be palpated prior to incision, dissect thought subcutaneous tissue until the sartorial fascia is identified, The pes tendons should e palpable deep to the sartorial fascia, a blunt object such as a freer elevator or the tip of the closed Metzenbaum scissors can be slid behind the sartorial fascia from superior to inferior once the superior border is found, this will protect the MCL which is deep to the sartorial fascia, once the sartorial fascia is elevated with the blunt object it can be incised longitudinally, the tendons will be located on the deep aspect of the sartorial fascia. Neil Duplantier MD. endstream endobj 831 0 obj<>/W[1 1 1]/Type/XRef/Index[22 589]>>stream 817-375-520024/7 Scheduling Payment Portal Copyright 2023 Lineage Medical, Inc. All rights reserved. I was up walking mere hours after the surgery, and on the workout machines the next morning. cpt code for open acl reconstruction with hamstring autograft. There are two grafts commonly used to repair a torn ACL. 3-4cm incision 3 fingers breadths below medial joint line, midline tibial shaft between crests. Patients will be prescribed to receive a soft tissue hamstring autograft to for ACL reconstruction. Instr Course Lect. Advanced Orthopaedic Associates 2778 N. Webb Rd. Dr. Vaksha is awesome and takes the time to listen to his patients. Currently, CPT code 29876 bundles with 29888. Int J Surg Case Rep. 2020;76:81-84. doi: 10.1016/j.ijscr.2020.09.136. 2012 Oct;28(10):1481-9. doi: 10.1016/j.arthro.2012.03.019. 17. The office staff is the best, love Andrea.You wont find a better doctor. He took extra time with us and explained things so thoroughly. -, Goldblatt J.P., Fitzsimmons S.E., Balk E., Richmond J.C. Reconstruction of the anterior cruciate ligament: Meta-analysis of patellar tendon versus hamstring tendon autograft. Peroneus Longus Tendon Harvesting for Anterior Cruciate Ligament Reconstruction. Bone Graft Substitutes American . If your child or adolescent has open growth plates and an ACL tear, talk to the surgeon about the risks and benefits of surgery, as the growth plates can be avoided with certain surgical techniques. CPT is a registered trademark of the American Medical Association.Mary LeGrand, RN, MA-CCS-P, CPC, a consultant with KarenZupko & Associates in Chicago, discusses the following three orthopedic coding challenges. I suffered with pain in both knees for years. Results Of 16 131 included patients, 44% did not achieve the MIC for the combined Sport/Rec and QoL subscales 1 year after ACL-R. From the multivariable stepwise logistic regression, older patients (OR 0.91, 95% CI 0.88 to 0.94; p<0.0001), males (OR 0.93, 95% CI 0.87 to 0.99; p=0.034) and patients receiving hamstring tendon autograft ACL-R (OR 0.70, 95% CI 0.60 to 0.81; p<0.0001) had lower . The ACL runs through a special notch in the femur called the intercondylar notch and attaches to a special area of the tibia called the tibial spine. Semitendinosis-flat, larger, broader insertion, difficult to palpate. sharing sensitive information, make sure youre on a federal Bookshelf 16. This protocol is intended to be a general outline only. Am J Sports Med. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. Hamstring tendon autograft for ACL reconstruction is completed by harvesting the patient's semitendinosis and gracilis tendons. Other autografts that may be used for ACL reconstruction include the quadriceps tendon and the peroneal tendon. Zeroform, 4x4s, ABDs, sterile-webril, Ace bandage, cryo-cuff, knee immobilizer locked at 15 degrees. This was the right decision no pain and no limp. Discuss the possible options with your orthopedic sports surgeon before surgery. 8600 Rockville Pike I came back in for my follow up and had the same great experience. The ACL helps stabilize and support the joint. Allografts in patients aged 30 or less have been associated with early graft failure. You must log in or register to reply here. He had is team ready at the hospital and operated on me within 6 hours after my injury. 8months=if 90% of hamstring and quadriceps strength have been regained and patient has full unrestricted ROM they may return to full, unrestricted sport with functional knee brace. The holes form tunnels through which the graft will be anchored. The semitendinosus tendon is then obtained using an open hamstring harvester tool. QT autograft has less harvest site pain compared with BPTB autograft and better functional outcome compared with HT autograft. Epub 2019 May 16. This site needs JavaScript to work properly. ACL reconstruction usually would be considered medically necessary and covered by health insurance. Outside-in technique versus inside-out semitendinosus graft harvest technique in ACLR: a randomised control trial. The failure may result from the rejection of the cadaveric graft tissue. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions. Competitive pricing and excellent customer service for our valued patients and their families. Intraoperative photograph (left leg) showing, Intraoperative photograph (left leg) showing the location of the incision for semitendinosus and. Full Extension Lateral View: anterior border of tibial tunnel should be posterior to, and parallel with Blumensaats line. ACL or anterior cruciate ligament reconstruction with a quadriceps tendon autograft is a surgical procedure to replace or reconstruct a torn ACL ligament of your knee with part of the quadriceps tendon taken from your own leg. The doctors are amazing,always professional, compassionate and great listeners. Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. Soft-tissue. Elizabeth you the best thank you for you help always and you big smile and positive actitud. Olivos-Meza A, Suarez-Ahedo C, Jimnez-Aroche CA, Pantanali N, Valdez-Chvez MV, Prez-Jimnez FJ, Olivos-Daz B, Olivos-Grces NA, Gonzlez-Hernndez A, Ibarra C. Arthrosc Tech. Privacy Policy. You are using an out of date browser. Knee brace may be removed when non-weight bearing. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best. TECHNIQUE STEPS. Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result. Surgeons are making use of autograft lengths of between 6-6.5 cm for ACL reconstruction. He explained everything to us, and the office staff set everything up for us and made the process easy. 2015 Mar;22(2):100-10. doi: 10.1016/j.knee.2014.11.014. For revision ACL reconstruction consider freeze-dried allograft bone dowels to fill bony defects. Xie X, Liu X, Chen Z, Yu Y, Peng S, Li Q. Knee. Place a line on the graft 6mm distal to the femoral tunnel length to indicate the point at which the graft is seated deep enough to flip the endobutton. Quadriceps and hamstring strength at least 85% of uninvolved lower extremity per isokinetic strength test I had an issue with paperwork and she cleared it right up. If the surgeon performs these two services at distinct separate locations, documentation of medical necessity exists for both procedures and the work is clearly detailed in the procedure note, the surgeon may report both services. Knee Surg Sports . Your ankle and shin may be bruised or swollen. Should we code the synovectomy procedure when surgeons perform the ACL repair during the same episode* Bone grafting is commonly reported using iliac crest autograft and allograft bone chips and dowels, while hamstring autograft and BPTB autograft were the most utilized grafts during the second-stage definitive reconstruction. All Rights Reserved. (McCarty EC, OKU-8). 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference, 8th Annual Health IT + Digital Health + RCM Conference, 29th Annual Meeting - The Business & Operations of ASCs, 580+ ASCs with total joint replacements | 2023, State-by state breakdown of 2022's 183 new ASCs, 510 of America's 'Best' ASCs in 2023: Newsweek, UPMC, surgeon to pay $8.5M for allegedly performing multiple complex surgeries at once, ASCs' reimbursement woes: What's worrying leaders in 2023, UnitedHealthcare changes prior authorization requirements for GI care. Intraoperative photograph (left leg) showing the use of the tendon stripper to harvest the semitendinosus tendon after whip-stitching the free end with a high-strength nonabsorbable suture (Ethicon); the gracilis tendon has previously been harvested. . Graft excursion <2.5mm from full flexion to full extension. In this case, we demonstrate with radiographic and arthroscopic evidence, a robustly healed ACL after repair with internal bracing. -, Ma C.B., Keifa E., Dunn W., Fu F.H., Harner C.D. CPT Code: 29888. Bone-to-bone healing of BTB autografts can occur within 6 weeks. See this image and copyright information in PMC. This information is very helpful..THANKS!! Repeat injury to the graft (just like the original ligament). https://doi.org/10.1016/j.arthro.2017.11.032, Revision ACL recon= 29999(unlisted) or 29888-22, Complete tear, IKDC Level 1 or 2 activity, Partial tear with >50% of ACL intact and no functional instability, Isolated complete tear in patient with IKDC Level 3 or 4 functional level, Non-operative treatment: physical therapy, ACL brace. Insert screw. Intraoperative pivot-shift accelerometry combined with anesthesia improves the measure of rotatory knee instability in anterior cruciate ligament injury. Ensure interference screw is not divergent. When it comes to ACL reconstruction surgery you have two main options, autograft and allograft. 27,40 An undertensioned graft can be nonfunctional and lead to . CPT Code: 29888 Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after anterior cruciate ligament injury. The tendons, harvested with an open-ended tendon stripper while their tibial insertions are preserved, are looped around to prepare a quadrupled graft. Proximal attachment is circumferential, i.e. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. The front and back office people are amazing and so helpful. Setting up physical therapy is right there as well.I'm so glad I found this place. government site. The allograft is readily available and comes in different sizes. Jefferson and my wife, Mary Ann, broke her hip. Although the technique of hamstring autograft harvest is relatively straightforward, it is critical to pay attention to several technical steps to avoid iatrogenic neurovascular damage as well as to avoid premature amputation of the graft while using a tendon stripper. Arthroscopy. From the time I entered Dr. Karkares office for the first time until now, his staff has been amazing. The quadrupled tendon has more strength than the natural ACL. The results of ACL reconstruction with a hamstring graft are good. Office very clean. Problems with the graft tendon (loosening, stretching, reinjury, or scar tissue). The torn ligament is removed from the knee before the graft is inserted through a hole created by a single incision. In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. cpt code for open acl reconstruction with hamstring autograft So about one month after our initial meeting I had the first knee done. Patellar tendon grafts have been associated with pain located in front of the knee. Similarly, hamstring autograft may cause inhibition of the hamstrings. I was seen on time. Rebecca K. - What a true burst of sunshine. If youre having a general anesthetic, its important to follow your anesthetists advice. Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs. All-inside anterior cruciate ligament graft link: Graft preparation technique. Tibial tunnel;just lateral to medial tibial spine, 7mm anterior to PCL in posterior half of ACL footprint, along posterior edge of anterior horn of lateral meniscus. Active Comparator: Quadriceps tendon Patients in this arm will undergo soft-tissue autograft reconstruction using all-soft-tissue quadriceps (i.e. (Nguyen T, Knee Surg Traumatol Arthrosc. [17-19] However, whether the risk of CACL tear is . What a great place! Grating of the kneecap (crepitus) as it moves against the lower end of the thighbone (femur), which may develop in people who did not have it before surgery. All Rights Reserved. ChiroCode.com for Chiropractors CMS 1500 Claim Form Code-A-Note - Computer Assisted Coding Codapedia.com - Coding Forum Q&A CPT Codes DRGs & APCs DRG Grouper E/M Guidelines HCPCS Codes HCC Coding, Risk Adjustment ICD-10-CM Diagnosis Codes ICD-10-PCS Procedure Codes Medicare Guidelines NCCI Edits Validator NDC National Drug Codes NPI Look-Up . The patient is educated regarding the type of graft to be used for their surgery. Medical College, Patiala, India. I specialize in musculoskeletal disorders and their management, and have personally approved of and written this content. Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo. Driving: may drive after 6 weeks for right leg; 2 weeks for left leg. (Howell JBJS Am 1993;75:1044-1055.). QT autograft has comparable clinical and functional outcomes and graft survival rate compared with BPTB and HT autografts. So the vascular surgeon reports CPT 22558-62, 22845-80 and 22851-80, assuming that modifier -80 is appropriate. The graft material may either be harvested from the patients own body which is known as autograft or from a cadaver known as an allograft. Qlb3|5:A48*zYl&*,6CwPdTb3d Patellar Tendon Autograft June 7, 2020 The patellar tendon autograft is the second most common choice used for an ACL reconstruction autograft after the hamstring tendon autograft. Caracciolo G, Yez R, Silvestre R, De la Fuente C, Zamorano H, Ossio A, Strmbck L, Abusleme S, P Carpes F. J Exp Orthop. The hamstrings are required to bend the knee and a tendon graft from the hamstring may cause knee weakness. --------------------------------------------------------------------------------. Physicians see income drop what happens next? If you have a general anesthetic it means you will be asleep during your operation. Postoperative images showing quadriceps tendon autograft scar and range of motion. Thank You. Anterior Cruciate Ligament (ACL) Repair with Allograft reconstruction surgery is often done on an outpatient basis, which means that you do not spend a night in the hospital. Am J Sports Med. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired.