acl surgery hamstring graft scar

OP Authors 2025

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16-03-2025

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Understanding Your Hamstring Graft Scar After ACL Surgery

Anterior cruciate ligament (ACL) reconstruction surgery is a common procedure for athletes and active individuals. While many techniques exist, using a hamstring tendon autograft is a popular choice. This involves harvesting a portion of your hamstring tendons to create the new ACL. This article will explore the typical appearance and healing process of the hamstring graft scar after ACL surgery.

What to Expect Post-Surgery:

Immediately following surgery, you'll likely have a dressing over the surgical sites, both in your knee and on your hamstring. The hamstring incision will typically be a small, relatively inconspicuous cut, usually on the inner thigh. The initial scar will appear red, swollen, and potentially tender. This is a normal part of the healing process.

The Healing Timeline:

• Weeks 1-4: The scar will be most prominent during these initial weeks. Expect some redness, swelling, and possible bruising. Pain should gradually subside with proper pain management and physical therapy. The scar tissue will feel firm and raised.
• Weeks 4-8: The redness and swelling will typically decrease significantly. The scar will begin to fade and flatten. You might still experience some tenderness to the touch.
• Months 2-6: The scar will continue to fade, becoming less noticeable. It will likely become paler and softer to the touch. While some residual firmness might remain, it should not significantly impair your range of motion.
• Months 6-12 and Beyond: The scar will generally mature over this period, becoming thinner and less noticeable. The final appearance will vary depending on individual factors such as skin type, genetics, and adherence to post-operative instructions.

Scar Appearance:

The appearance of your hamstring graft scar can vary. Factors influencing its final look include:

• Skin type: Individuals with lighter skin tones may notice the scar less prominently than those with darker skin.
• Surgical technique: The surgeon's technique plays a significant role in minimizing scar visibility.
• Healing process: Proper wound care and adherence to post-operative instructions contribute to optimal healing and a less noticeable scar.
• Genetics: Individual genetic predisposition influences how scars heal.

Managing Your Scar:

While the scar is healing, your surgeon or physical therapist may recommend techniques to improve its appearance and reduce discomfort:

• Massage: Gentle massage can help to soften and break down scar tissue.
• Silicone sheeting: Applying silicone sheeting to the scar can help reduce redness, itching, and improve the overall appearance.
• Pressure garments: Wearing compression garments can reduce swelling and help the scar to flatten.

When to Seek Medical Attention:

While some discomfort is normal, contact your surgeon or physical therapist if you experience:

• Excessive pain or swelling that doesn't improve with medication.
• Signs of infection, such as increased redness, pus, or fever.
• Opening of the wound.
• Significant numbness or tingling around the scar.

In Conclusion:

The hamstring graft scar after ACL surgery is a normal part of the healing process. While it may be noticeable initially, it typically fades significantly over time with proper care. By following your surgeon's instructions and engaging in recommended physical therapy, you can minimize discomfort and optimize the appearance of your scar. Remember to communicate any concerns you have with your medical team throughout your recovery. This information is for general knowledge and does not constitute medical advice. Always consult with your healthcare provider for personalized guidance.