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Ligament Repair Surgery

Expert surgical and medical interventions delivered with compassionate, patient-first care to help you regain your health and quality of life.

Overview

Ligaments are the tough, fibrous bands of tissue that connect bone to bone, acting as the primary stabilizers for all your joints. When a ligament is severely sprained or completely torn—often due to sports injuries, sudden twists, or falls—the joint becomes unstable, painful, and prone to further damage.

**Ligament Repair Surgery** encompasses a variety of procedures aimed at fixing torn ligaments in the knee (like the MCL, PCL, or LCL), ankle, elbow, or thumb.

At Prakash Hospital, our orthopedic specialists evaluate the specific severity of your tear to determine if it can be directly stitched back together (repair) or if it requires a graft to replace the damaged tissue (reconstruction), ensuring the best possible outcome for your joint's long-term health.

Why is it Done?

Not all ligament tears require surgery. For example, many partial MCL tears in the knee heal exceptionally well with just a brace and physical therapy. However, surgery is indicated when:
  • Multiple Ligaments are Torn: Such as a combined ACL and MCL tear in the knee.
  • Chronic Instability: The joint constantly "gives way" or dislocates, even after months of physical therapy (common in severe ankle sprains).
  • Complete Avulsion: The ligament has completely torn away from the bone, often taking a small piece of bone with it.
  • High-Demand Athletes: Who require absolute, perfect joint stability to perform safely.

What to Expect

Before the Surgery: An MRI is critical to confirm the exact location and severity of the tear, and to check for associated cartilage damage.

During the Procedure: Depending on the ligament involved, the surgery may be done arthroscopically (minimally invasive) or through an open incision. If the ligament is freshly torn cleanly from the bone, the surgeon may use heavy sutures and small bone anchors to reattach it directly. If the tissue is shredded, they may need to augment it with a tissue graft.

After the Surgery: The joint will be heavily protected in a cast, splint, or hinged brace to prevent any stress on the newly repaired tissue while it biologically knits back together.

Risks & Benefits

The Benefits:

Surgical repair restores the mechanical stability of the joint, allowing you to trust your body again during physical activities and preventing early-onset arthritis that results from chronic joint instability.

Understanding the Risks:

Risks include joint stiffness (the most common complication), failure of the repair requiring revision surgery, infection, or nerve damage around the incision site.

Recovery Profile

Ligaments heal very slowly because they have a poor blood supply.

You will likely face a period of strict immobilization (2 to 6 weeks depending on the joint), during which you cannot move the joint. This is the hardest part, as the joint will become very stiff.

Once the surgeon clears you, an intensive, months-long physical therapy program begins. The goal is to slowly stretch out the stiffness, rebuild the surrounding muscles, and retrain the joint's proprioception (balance). Full recovery for severe ligament repairs can take 6 to 9 months.

Frequently Asked Questions

What is the difference between a repair and a reconstruction?

A 'repair' means we directly stitch your original torn ligament back together or reattach it to the bone. A 'reconstruction' (like an ACL surgery) means the original ligament is too damaged to fix, so we completely replace it with a new piece of tendon (a graft).
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Prakash Hospital Pvt. Ltd. is a 100 bedded NABH NABL accredited multispecialty hospital along with a center of trauma and orthopedics. We are in the service of society since 2001.

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