MSK Doctors

STARR - ACL Repair

The STARR technique is a cutting-edge approach to ACL repair. It aims to promote natural ligament healing, encouraging the body to regenerate ligament tissue.

At A Glance

About

Natural ligament healing for torn ACLs

Effective

Referrals

Not Needed

Booking

Instant-book option available

Cost

Lincolnshire
£9,800

Nature of STARR – ACL repair

STARR offers a modern, biological alternative to traditional ACL reconstruction. Instead of replacing the torn ligament, this procedure promotes natural healing by bridging the gap between torn ACL ends using sutures and reinforcement techniques. The body’s own blood and cells stimulate regeneration, preserving native tissue. This approach is less invasive than graft-based surgery and may result in faster recovery, reduced pain, and a more natural joint feel.

Common causes of ACL injuries

ACL injuries typically occur due to sudden knee stress or trauma, including:

Sports injuries: Rapid pivots, stops, or direct impacts during activities like football or skiing.

Previous knee trauma: Prior injuries may weaken the ACL or surrounding structures.

Joint instability: Poor muscular support or alignment increases injury risk.

High-impact movements: Jumping or abrupt directional changes strain the ACL over time.

Diagnosis for STARR – ACL repair

Diagnosis starts with a clinical evaluation focusing on joint stability, swelling, and difficulty with movement. Patients typically report a popping sound at the time of injury, followed by pain and knee instability. A physical exam, including the Lachman test or pivot-shift test, helps assess ligament integrity.

Imaging studies such as MRI are used to confirm a complete or partial ACL tear and evaluate tissue quality. When the ligament is freshly torn and intact enough for healing, STARR may be recommended as a less invasive alternative to ligament reconstruction.

Suitable for

ACL tear

ACL tear

Treatment overview

STARR is an advanced approach to Anterior Cruciate Ligament (ACL) repair. It is designed to encourage the body to regrow and stabilise damaged ligament tissue while preserving as much of the native ACL as possible.

STARR

The damaged ACL is reinforced to support healing and restore stability. This approach aims to enhance the structural integrity of the soft tissues, encouraging durability, resilience, and a more natural-feeling recovery than graft-based reconstruction in suitable cases.

Benefits

Minimally invasive with reduced surgical trauma

Stimulates the body’s natural healing response

There is no need for a donor graft

Reduced arthritis risk

90%+ return to sport

How to Pay

We offer a range of flexible payment options to make your treatment experience smooth and stress-free.

Paying for Yourself
(Preferred Option)

Most patients choose to self-fund their treatment. We accept:

Bank Transfers
Credit/Debit Cards
Cash (in person only)

Instalment Plans

We’ve partnered with GoCardless to offer interest-free instalment options. You can easily set up a Direct Debit to spread the cost of your treatment over time.

Finance Options

Looking for a financing plan? You can apply through Kandoo, our trusted finance partner.

Instant online decision
No impact on your credit score
Multiple lenders for competitive rates

Private Medical Insurance (Limited Availability)

We work with a small number of approved insurance providers. However, due to restrictions from many insurers, not all treatments are covered. Please check with your insurer and speak to our team before booking to avoid disappointment.

Treatment Booking Process

01
Online booking/call

Use our website to book an initial consultation, or give us a call.

02
Consultation

Our doctors might request you arrange a scan before your initial consultation. Or, they’ll chat with you (face to face or online) and recommend a scan after your initial consultation, if they think you need one.

03
Treatment

Once your scan results have been reviewed, and your doctor has explained your options, you will be booked in for treatment.

04
Rehab

Following your treatment, your doctor will give you rehab recommendations.

05
Follow Up

You will be booked in for a follow-up consultation, so your doctor can check your progress. You might need further rehab after this consultation.

06
Discharge

Once your doctor is happy with your recovery, you will be discharged. After discharge, we are always here for further questions or support, should you need it.

Frequently Asked Questions

What is the typical recovery time for STARR treatment?

With STARR treatment, you can expect to return to normal function within 6-9 months, compared with 9-12 months for ACL reconstruction.

Many patients experience a quicker return to activity and reduced rates of re-injury when appropriately selected for this approach.

How do I know if STARR is right for me?

STARR may be suitable if your ACL injury pattern and tissue quality support repair rather than full reconstruction. The right approach depends on your injury, recovery goals, activity level, and overall health. Our MSK Doctors can assess whether STARR is the best treatment for you.

Recent Articles & Medical Insights

Explore Insights
Avoiding Common Mistakes After ACL Repair for Safe Recovery
ACL14 Mar 2026

Avoiding Common Mistakes After ACL Repair for Safe Recovery

Recovering from ACL repair surgery requires careful adherence to medical guidance to ensure proper healing and avoid complications like reinjury. This guide details crucial activities to avoid—such as high-impact sports, sudden twisting motions, premature d...

John Davies
ACL Repair as Major Knee Surgery and Recovery Insights
ACL07 Mar 2026

ACL Repair as Major Knee Surgery and Recovery Insights

ACL repair is a major knee surgery aimed at restoring stability and function after ligament injury, commonly affecting athletes and active individuals. The procedure, performed arthroscopically under general anesthesia, involves either repairing or reconstr...

John Davies
Safe Effective Healing Strategies for Faster ACL Recovery
ACL28 Feb 2026

Safe Effective Healing Strategies for Faster ACL Recovery

Recovering from ACL surgery requires a balanced, evidence-based approach to ensure safe and effective rehabilitation. This article, guided by Professor Paul Lee and the MSK Doctors team, outlines key recovery phases—from immediate postoperative care to stre...

John Davies

Looking for Treatment in London?

We now offer select services at our Harley Street London clinic through the London Cartilage Clinic, led by internationally recognised surgeon Professor Paul Lee.

Specialist in Cartilage Repair & Joint Preservation

Our London clinic offers advanced treatments like cartilage regeneration and joint preservation to help patients avoid or delay joint replacement.

Harley Street Clinic

Located in Central London, our clinic provides convenient access to world-className musculoskeletal care without long NHS wait times.

Transparent Pricing & Direct Booking

If you would like to be seen in Central London, visit our London Clinic page for pricing, available treatments, and to book directly online.

Faster Recovery Outcomes

Our Harley Street clinic uses cutting-edge techniques designed to reduce downtime and support faster, more effective recovery, getting you back to your lifestyle sooner.

Book a free Discovery Call

Don’t wait to find relief. Whether it’s a consultation, scan, or treatment, we’re ready to help. Book a call with the admin team to discuss.

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