Understanding Knee Ligament Surgery

A Comprehensive Guide for Patients

Orthopedics

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Last updated: Mar 24, 2025

Overview

Knee ligament surgery is a procedure to repair or reconstruct damaged ligaments that provide stability to the knee joint. The most common type is ACL (Anterior Cruciate Ligament) reconstruction, though surgeries may also address other ligaments like the PCL, MCL, or LCL.

Types of Knee Ligament Surgery

ACL Reconstruction

  • Most common knee ligament surgery
  • Uses grafts from patient's own tissue or donor tissue
  • Typically performed arthroscopically
  • Success rate: 85-95%

Other Ligament Procedures

  • PCL (Posterior Cruciate Ligament) reconstruction
  • MCL (Medial Collateral Ligament) repair
  • LCL (Lateral Collateral Ligament) repair

Pre-Surgery Preparation

  1. Physical examination and imaging
  2. Pre-operative physical therapy
  3. Medication review
  4. Lifestyle adjustments

The Surgical Procedure

Steps

  1. Anesthesia administration
  2. Arthroscopic examination
  3. Graft preparation
  4. Tunnel creation
  5. Graft placement and fixation
  6. Closure and bandaging

Recovery and Rehabilitation

Timeline

  • Week 1-2: Rest and pain management
  • Weeks 2-6: Basic exercises and mobility
  • Months 2-3: Progressive strengthening
  • Months 4-6: Advanced rehabilitation
  • Months 6-9: Return to sports

Post-Surgery Care

  • Regular physical therapy sessions
  • Proper wound care
  • Gradual return to activities
  • Follow-up appointments

Potential Risks and Complications

  • Infection
  • Blood clots
  • Stiffness
  • Graft failure
  • Persistent pain

Long-Term Outlook

Most patients return to normal activities within 6-12 months, with proper rehabilitation essential for optimal outcomes.

When to Contact Your Doctor

  • Severe pain or swelling
  • Signs of infection
  • Fever above 101.5°F
  • Limited range of motion
  • Unusual symptoms

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