Multi-ligament knee injuries are severe and often result from high-energy trauma, sports injuries, or accidents. When multiple ligaments in the knee are torn or injured, surgery may be necessary to restore stability and function to the joint. Multi-ligament knee reconstruction surgery aims to repair or reconstruct these ligaments to allow for improved knee function and reduced risk of long-term complications.
During multi-ligament knee reconstruction surgery, Dr Shales will make several small incisions around the knee to access the damaged ligaments. Depending on the specific injuries, different techniques may be used to repair or reconstruct the ligaments using either autografts (tissue from the patient's own body) or allografts (donor tissue). Dr Shales will meticulously repair or reconstruct each ligament, ensuring proper tension and alignment to restore stability to the knee joint. Once the ligaments are repaired, the incisions are closed, and the knee is typically immobilised using a brace to aid in healing.
Prior to surgery, Dr Shales will conduct a thorough evaluation of your knee and overall health to ensure you are a suitable candidate for the procedure. You may be instructed to undergo pre-operative testing, such as blood tests or imaging scans, and to make necessary arrangements for post-operative care and rehabilitation. It's essential to follow any pre-operative instructions provided by your surgical team, including guidelines for fasting and medication management.
Recovery from multi-ligament knee reconstruction surgery can be lengthy and challenging. Initially, you will need to rest and elevate your leg to reduce swelling and pain. Physiotherapy will be initiated early to regain strength, mobility, and range of motion in the knee. Dr Shales will provide specific instructions for weight-bearing and activity levels as you progress through the recovery process. It's crucial to attend all follow-up appointments and adhere to your rehabilitation program to optimize your recovery.
Rehabilitation plays a crucial role in the success of multi-ligament knee reconstruction surgery. Your physiotherapist will design a customised rehabilitation program tailored to your specific needs and goals. This program will include exercises to strengthen the muscles around the knee, improve flexibility, and gradually reintroduce functional activities. Consistent participation in rehabilitation exercises and activities is essential for achieving optimal outcomes and preventing complications.
As with any surgical procedure, multi-ligament knee reconstruction surgery carries risks and potential complications. These may include:
- Infection
- Blood clots
- Nerve or blood vessel damage
- Stiffness
- Persistent pain
- Failure of the reconstructed ligaments.
Dr Shales will discuss these risks with you in detail and take appropriate measures to minimise them during surgery.
The success of multi-ligament knee reconstruction surgery depends on various factors, including the extent of the injuries, the quality of tissue repair or reconstruction, and the patient's commitment to rehabilitation. While many patients experience significant improvements in knee function and stability following surgery, full recovery may take several months to a year. Dr Shales will provide guidance and support throughout your recovery journey to help you achieve the best possible outcome.
Multi-ligament knee reconstruction surgery is a complex procedure designed to address severe knee injuries and restore stability and function to the joint. While the road to recovery may be challenging, with proper preparation, rehabilitation, and ongoing support from your healthcare team, many patients can regain an active and fulfilling lifestyle following surgery.
Here are a number of the questions we often get asked.
Recovery times can vary depending on the extent of the injuries and individual factors. In general, it may take several months to a year to fully recover and return to normal activities.
Yes, you will likely be provided with a brace to support and protect your knee during the initial stages of recovery. Dr Shales will advise you on how long to wear the brace and when it can be gradually discontinued.
Follow your surgeon's post-operative instructions closely, attend all scheduled physioherapy sessions, and maintain open communication with your healthcare team. It's essential to be patient and committed to your rehabilitation program for the best possible outcome
