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ACL, PCL, and MCL Surgeries

ACL (Anterior Cruciate Ligament), PCL (Posterior Cruciate Ligament), and MCL (Medial Collateral Ligament) surgeries are performed to restore knee stability after ligament injuries. These ligaments are crucial for knee joint function, especially in sports or high-impact activities. Injuries to the ACL, PCL, or MCL can result from sudden twists, direct trauma, or overuse. While minor injuries may respond to conservative management, severe tears often require surgical reconstruction to restore knee strength and prevent long-term instability. Timely surgical intervention helps patients regain mobility and return to their regular activities, including sports.

Causes

Injuries to the ACL, PCL, or MCL are often caused by:

Sudden Changes in Movement

Pivoting or turning rapidly during sports.

Direct Trauma

A blow to the knee during contact sports or accidents.

Overextension of the Knee

Stretching the knee joint beyond its normal range of motion.

Landing Incorrectly

Awkward landings from a jump or fall.

Motor Vehicle Accidents

High-impact trauma affecting the knee structure.

Repetitive Stress or Overuse

Common among athletes in sports like football, basketball, and skiing.

Symptoms

The symptoms of ACL, PCL, or MCL injuries can include:

Sudden Pain in the Knee

Especially at the moment of injury.

Swelling and Inflammation

Often occurs within a few hours of injury.

Instability or Buckling

The knee may feel unstable or give way during movement.

Limited Range of Motion

Difficulty bending or straightening the knee.

Popping Sensation

A noticeable "pop" at the time of ligament tear, especially with ACL injuries.

Bruising and Tenderness

Around the knee joint.

Difficulty Walking

Bearing weight on the injured leg can be painful and unstable.

Diagnosis

Accurate diagnosis is essential to determine the extent of ligament damage and the appropriate treatment approach. Common diagnostic methods include:

Physical Examination

Evaluating joint stability, swelling, and movement.

Lachman Test and Drawer Tests

Used to assess ACL and PCL integrity.

MRI Scan

Provides detailed images of the ligaments and surrounding tissues.

X-rays

To rule out associated bone fractures.

Ultrasound

May be used to check for soft tissue damage.

Arthroscopy

A minimally invasive procedure to visually inspect the knee joint.

Treatment

Treatment for ACL, PCL, and MCL injuries depends on the severity of the tear. Mild sprains may respond to rest and physical therapy, but full tears usually require surgical reconstruction. Here are the common surgical procedures:

ACL Reconstruction Surgery

  • Involves replacing the torn ligament with a tissue graft (from the patient’s own body or a donor).

  • Performed arthroscopically to reduce recovery time and improve outcomes.

  • Helps restore stability, allowing patients to return to sports and physical activities.

PCL Reconstruction Surgery

  • Uses grafts to replace the damaged posterior cruciate ligament.

  • Recommended when the injury leads to knee instability or affects other ligaments.

  • Arthroscopy is commonly used to minimize scarring and speed up recovery.

MCL Repair or Reconstruction

  • Mild MCL injuries often heal with conservative treatment, but severe tears may need surgical repair.

  • Surgery involves stitching the torn ligament or reconstructing it with grafts if necessary.

  • Helps prevent chronic instability and enhances knee function.

Combined Ligament Reconstruction

  • In cases of multi-ligament injury (e.g., ACL + PCL tears), multiple ligaments are repaired or reconstructed in a single surgery.

  • Aims to restore full knee stability and functionality.

Rehabilitation and Recovery

Post-surgical rehabilitation is essential for restoring knee function and preventing re-injury. Recovery timelines can vary, but patients typically follow these steps:

ImmobilizationUse of braces to stabilise the knee during the early healing phase.
Physical TherapyStrengthening exercises to rebuild muscle support and regain range of motion.
Gradual Return to ActivitiesWith guidance from a physiotherapist, patients progress from non-weight-bearing activities to light exercises and eventually to high-impact sports.
Pain ManagementMedications to manage post-operative pain and swelling.
Regular Follow-Ups:Monitoring the healing process and ensuring the grafts are integrating properly.

Conclusion

ACL, PCL, and MCL surgeries play a vital role in restoring knee stability and preventing chronic pain and dysfunction. With advancements in arthroscopic techniques, patients can benefit from minimally invasive procedures, shorter recovery periods, and improved outcomes. Timely surgical intervention, followed by a comprehensive rehabilitation plan, enables individuals to return to their regular activities and athletic pursuits without compromising knee health.

Don’t let knee injuries hold you back - consult with our expert orthopaedic surgeons to explore the best treatment options for your knee condition.

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