Doctor insights on:
Collateral Ligament Repair
Sorry, but only your surgeon who knows details of your injury, personality characteristics, planned operation etc. Will be able to provide you with meaningful advice/information.
Best wishes. ...Read more
Varies: It varies somewhat based upon surgical technique used and surgeons preference, but usually in the 8-12 week range. ...Read more
Had ligament repair but now have over flexible ligaments. Is there anything I can do? Ankle gives way at least 4 times per week
Therapy /alignment: typically ligament repair is performed to increase stability and tighten structures. Physical therapy can assist to increase muscle strength and proprioception at the ankle which could be very helpful. I would also recommend a bio mechanical exam to evaluate alignment and function of extremity. Bracing can be beneficial during increased activity to prevent injury. See doc if persists. ...Read more
"can a torn outside ligament repair it self? I am told the" -- because it falls within my area of xpertise. I just need a few m "can a torn outside ligament repair it self? I am told the" -- because it falls within my area of expertise. I just need a few
I : I dont understand your entire question...But simply put, yes a torn outside ligament (known as a lateral collateral ligament or lcl) does have the potential capacity to repair itself, especially if it is an isolated injury. If associated with other ligament injuries, more instability is present leading to more unpredictable results. Regardless, adequate time and bracing as well as rehabilitation are needed for optimal healing. ...Read more
Depends: It depends on what ligament, what location and how it was repaired. It would be best to talk to you doctor about it. ...Read more
Different options: Most ankle ligament surgery involves either tightening up existing ligaments if they are in satisfactory condition (modified brostrum) or using a portion of a tendon to replace the deficient ligaments (anatomic free tendon reconstruction). "non anatomic reconstructions" have fallen out of favor. ...Read more
If my scaphoid lunate ligament repair surgery was not successful why must the scaphoid bone now be removed?
Blood supply: Sometimes the blood supply may be compromised. This may be a risk for future infection. ...Read more
Anything is possible:
But the torn acl doesn't repair itself strongly, that it can function normally. It usually is stretched out tissue, which is no good to the its normal job. There might be some scar tissue hitching the 2 ends of the acl together, but in no way, is that acl functional.
I hope I have answered your question.
Good luck and happy holidays. ...Read more
Is there any reason why a sciatic nerve block wouldn't be appropriate (vs GA) for lateral ligament repair with internal brace?
Ask the anaesthetist: Spinal might be appropriate but sciatic nerve block only can be technically difficult/unavailable depending on the facility and skill of the staff plus ga can be quicker recovery You should get a chance to meet an anaesthetist before the operation and could discuss this option as part of your rights re making an informed decision. Usually they will talk on the day of op. ...Read more
My toes feel like theyre cold, but they aren't cold to the touch, and I can't seem to warm them up. Im in short leg cast after ligament repair surgery?
Contact surgeon: Call the office to describe the situation. They will need to tell you how to deal it it and might want to see you to evaluate the healing. No one else is nearly as good to provide answers. This is part of post-op care. Feel better soon! ...Read more
Anterior ankle ligament repair, 12 days post op. Pain ++ in last 3 days, over entire foot and shin. Turns blue when down, No fever or chills - normal?
No: No, I would not say that is normal at all. I would definitely let your surgeon know and be checked immediately to make sure you have not had some type of complication. ...Read more
Depends: It depends on the severity of the injury. Mild to moderate injury is almost always physical therapy. Severe injury or complete disruption is usually addressed with operative repair. The decision is complex. Based on the age and health of the patient as well as the other parts of the knee that were injured at the time. ...Read more
6-12 weeks: The lateral (fibular) collateral ligament is uncommonly injured, but if it is injured in isolation, it can be treated in a hinged knee brace x 6 wks and may heal on its own. Stress xrays can be used to measure if it heals. This is followed by strengthening and a return to activities between 8-12 weeks. ...Read more
What happens to an 8 month old medial collateral ligament tear that I haven't had fixed, is there any need to at this point?
Depends: It depends on whether it has healed and your knee is stable. ...Read more
Large forces: Lateral collateral ligament strains are relatively uncommon. Lateral collateral injuries can occur with direct forceful blows to the inside of the knee, high energy trauma such as car accidents, motorcycle accidents, and falls from height. It can also be associated with other ligament injuries such as PCL and less commonly acl tears. ...Read more
6-12 weeks: The lateral (fibular) collateral ligament is uncommonly injured, but if it is injured in isolation, it can be treated in a hinged knee brace x 6 wks and may heal on its own. Stress xrays can be used to measure if it heals. This is followed by strengthening and a return to activities between 8-12 weeks. Often, it requires a surgery to reconstruct it and the surrounding "posterolateral corner.". ...Read more
LCL evaluation knee: The lcl in the knee is evaluated at o degrees (full extension) and at 30 degrees of flexion with varus stress applied. Degree of opening is assessed by estimating in mm and comparing to opposite side; lcl sprains or tears are measured as grade i, ii, or iii. The posterolateral corner (e.g. Arcuate complex) should be assessed as well as the cruciate and medial collateral ligaments. Mri is also used. ...Read more
Loose ligament: Laxity is an orthopaedic term for looseness. Normally, ligaments don't really stretch much. If a ligament gets partially torn, it can be functionally lengthened which can make a joint unstable. Some people have more lax ligaments than others. If there are no symptoms of instability, no worries! ...Read more
The inside: Where you knees touch when you put them togetherit keeps your knee from opening toward the inside. ...Read more
If I sprained my lateral collateral ligament what can be done to speed recovery so I can return to soccer?
Brace: A lateral (fibular) collateral ligament injury can be treated in a hinged knee brace x 6 wks followed by strengthening and return to activities in 8-12 weeks. Stress xrays can help determine if it heals correctly. However, this is commonly associated with other ligament injuries and usually needs to be surgically reconstructed in this setting. That requires a wait of 1 year to return to sport. ...Read more
No, but often: The lateral (fibular) collateral ligament is uncommonly injured, but if it is injured in the setting of other ligament injuries (acl, pcl), it needs to be reconstructed to help prevent the other ligament surgeries from stretching out over time. If it is injured in isolation, it can be treated in a hinged knee brace x 6 wks and may heal on its own. Stress xrays can be used to measure if it heals. ...Read more
What to do if I have swelling at fibular head where the lateral collateral ligament hooks in. could What to do if I have a stress fractur?
Muscle Strengthening: Typically, it involves strengthening the muscles such as the quadriceps and hamstrings. These muscles act as secondary stabilizers and with strengthening they can help unload the knee, stabilize it and allow the medial collateral ligament to continue to heal. ...Read more
Many possibilities: The knee is an important weight bearing joint with a complex inner and outer structure. Your pain could be as a result of many different things. A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. Causes of pain may include: trauma (fracture, tendon or ligamentous tear, arthritis), infection, and metabolic conditions. ...Read more