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A single torn knee ligament can lead to knee pain and instability. However, when multiple ligaments are involved in a tear, these symptoms are certain and severe. These types of injuries most often occur due to extreme force or trauma to the joint such as that experienced in a car accident. They are also common among athletes.
The knee joint is constructed by three bones - femur, tibia and patella. Additionally, there are four main ligaments which support, protect, and ensure proper alignment of the knee.
While some isolated ligament injuries may heal without surgery, nearly all cases of multi-ligament knee injuries will require a surgical repair. Ideally, this repair will occur within three weeks of the injury. This timeline allows initial swelling to subside, reduces scar tissue, and improves post-operative outcomes.
The specific type of surgery to be performed will depend on the patient, severity of the injury, and the specific ligaments involved. In most cases, reconstruction of the ligaments will be necessary. This can be accomplished by using the patient's own tissue or cadaver tissue if necessary.
Rehabilitation of the knee following ligament repair is vital to recovering fully. Immediately following surgery, patients can expect to be greatly limited in mobility and weight bearing. Around 8 weeks post-op, most patients will be allowed to bear at least 50%, if not 100% of their weight. During this time, regular orthopedic physical therapy will also be an important component, including exercises to improve balance, strength, and gait.
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