SPORTS PROCEDURES
Knee collateral ligament repair and reconstruction (MCL and LCL)
The collateral ligaments are on either side of the knee, the inside being the medial collateral ligament (MCL), the outside being the lateral collateral ligament (LCL), both being responsible for controlling the sideways motion of the knee. These ligaments connect the femur to the shin bone. Collateral ligament repair and reconstruction may be needed if one of these ligaments become damaged by sideways force on the knee due to contact injuries in sports like soccer or rugby, or trauma.
What would surgery entail?
MCL repair and reconstruction
Reconstruction or repair of the MCL may be needed after an injury to the knee. Under general anaesthesia, this surgery is done by open means. Dr Bismilla may investigate the knee joint and see if any other ligaments or tendons were damaged. The MCL can then be repaired or reconstructed with a tendon graft. A tunnel is created with a guide pin connecting the femur to the tibia. Here the tendon graft is placed and fixed in position with screws.
LCL repair and reconstruction
Reconstruction or repair of the LCL would be needed after a blow to the side of the knee. This procedure will need to be done using open surgery. Under general anaesthesia, an incision will be made on the outside of the knee. The torn lateral collateral ligament is replaced with a tendon graft by creating tunnels through which the tendon can be attached to the femur and fibula bone. Once in place, the tendon graft is secured with screws.
What can I expect after surgery?
You will be asked to get up and walk the same day or one day after surgery with the help of physiotherapy to aid recovery. With crutches or walking aid, you will be advised to walk to enhance the mobility of the joint. Your knee will be placed in a brace for the next 6 weeks to ensure it stays in position while healing. Some pain and swelling can be expected for the next few days. You will be given medication to help with this and also be advised to keep your leg elevated.
With the help of physiotherapy exercises, you should be able to return to normal after 6-8 weeks and get back to sport and jogging in about 6 months.
