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Ligament Injuries
What is a knee ligament injury?
Ligament injuries consist of partial or complete tearing of the ligaments that hold the bones together and stabilize your knee. Each knee consists of a lateral (outside) collateral ligament, medial (inside) collateral ligament, anterior (front) cruciate ligament, and posterior (back) cruciate ligament.
Recovery after a ligament injury depends on how much
damage you have and whether you need open knee surgery to
repair it. With a mild ligament injury, your recovery may take
6 months or longer. With a severe injury, recovery may take
up to a year.
Arthroscopy findings
After a mild injury, your surgeon may find a partially torn
ligament in your knee. With the severe "terrible triad" injury,
your anterior cruciate ligament, medial collateral ligament,
and meniscus are torn. Some ligaments can be repaired during
arthroscopy, while others, because of their location or damage,
need open knee surgery.
Ligament surgery
The normal support of a torn ligament can be restored by
suturing, stapling, or using supplemental tissue to bridge
the tear. For mild ligament tears, your surgeon may either
staple or suture the ligament during arthroscopy. After a
severe injury, your surgeon may perform open knee surgery,
making larger incisions to reconnect, replace, or add other
tissue to strengthen your torn ligaments and to repair
meniscus damage.
Your recovery
Because ligaments take a long time to heal, you may have
to keep weight off your leg for several weeks. A cast or
hinged splint immobilizes your knee. During this time, you
can use crutches to be up and around. Exercises are needed
to regain strength and range of motion in your knee after
your rest period, and to help supplement ligament support
with muscle support. It may take up to a year to return to
vigorous sports, and you may need to wear a protective brace
for some stop-and-go sports in the future.
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