Knee Ligament Reconstruction

Knee ligament reconstruction, also known as knee ligament repair, replaces a damaged knee ligament with a healthy tendon to restore stability. The procedure depends on which ligament is injured; ACL reconstruction, for instance, is typically performed in a minimally invasive way using an arthroscope.

What Is Ligament Reconstruction?

Four major ligaments hold the knee together: the anterior and posterior cruciate ligaments (ACL and PCL) inside the joint, and the medial and lateral collateral ligaments (MCL and LCL) on its sides. A torn ligament can leave the knee unstable, especially with cutting and pivoting.
 
Reconstruction rebuilds the torn ligament with a tendon graft that is anchored to the bone and gradually becomes a new ligament. Ligament tears often occur with meniscus tears and other sports injuries.

Types Of Ligament Reconstruction

There are many ligaments in the knee, and identifying the damaged ligament is critical to choosing the right procedure:

ACL

Anterior cruciate ligament

The most common reconstruction, typically arthroscopic.

PCL

Posterior cruciate ligament

Restores stability at the back of the knee.

PLC

Posterolateral corner

Repairs the complex of structures on the outer back of the knee.

LCL and MCL

Collateral ligaments

Reconstruct the ligaments on the outer and inner sides of the knee.

Diagnosing A Ligament Injury

A physical examination by a licensed physician is the best way to determine the optimal treatment. Specific tests check the stability of each ligament, and MRI confirms which ligament is torn and whether the meniscus or cartilage is also injured.
 
If you have persistent symptoms that do not appear to be healing, schedule a full examination to determine the best treatment path.

How ACL Reconstruction Works

ACL reconstruction is typically arthroscopic and outpatient:

  1. 1

    Anesthesia

    You are made comfortable for the procedure.

  2. 2

    Arthroscopy

    Small incisions allow a camera to view the inside of the knee.

  3. 3

    Preparing the graft

    A tendon graft is prepared to replace the torn ligament.

  4. 4

    Placing the graft

    The graft is positioned through small tunnels in the bone and secured.

  5. 5

    Rehabilitation

    Physical therapy restores motion, strength, and stability.

Frequently Asked Questions

What is knee ligament reconstruction?

Knee ligament reconstruction, also called knee ligament repair, replaces a torn knee ligament with a healthy tendon graft to restore stability.

Which ligaments can be reconstructed?

Procedures include ACL (anterior cruciate ligament), PCL (posterior cruciate ligament), PLC (posterolateral corner), LCL (lateral collateral ligament), and MCL (medial collateral ligament) reconstruction.

Is ACL reconstruction minimally invasive?

Yes. ACL reconstruction is typically performed in a minimally invasive way using an arthroscope.

What symptoms suggest a ligament tear?

A popping noise or sensation, intense pain that stops activity, rapid swelling, limited range of motion, and a feeling that the knee gives way.

Does every ligament tear need surgery?

No. Some ligament injuries, especially many MCL tears, heal with bracing and therapy. Reconstruction is considered for unstable knees or when returning to pivoting sports.

Where does the graft come from?

The new ligament is made from a tendon graft, taken from your own body or from a donor. Your surgeon will discuss the best option for you.

How long is recovery after ACL reconstruction?

Rehabilitation is gradual. Many patients walk with support within days and progress through physical therapy over several months before returning to sports.

How is a ligament injury diagnosed?

A physical examination tests the stability of each ligament, and MRI confirms which ligament is torn. Call (321) 499-4646 to schedule.

Symptoms Indicating Ligament Reconstruction

Common symptoms of a knee injury that may require ligament reconstruction include:

  • A popping noise or sensation in the knee.
  • Intense pain, often stopping physical activity.
  • Intense swelling.
  • Limited range of motion.
  • Instability, or the knee giving way.

Related Treatments

Arthroscopic Vs. Open Surgery

The Arthroscopic Advantage

How arthroscopic (keyhole) surgery of the knee compares with traditional open surgery.

Open surgeryArthroscopicMinimally invasive
IncisionOne larger incision to open the joint.A few small incisions for a camera and slim instruments.
Soft tissueMore disruption of muscle and tissue.Less disruption of the surrounding tissue.
VisualizationDirect view through the open incision.A magnified camera view inside the joint.
Hospital stayMay require a hospital stay.Usually outpatient; most patients go home the same day.
Recovery and scarringA longer recovery and a larger scar.Typically less pain, smaller scars, and a quicker start to rehabilitation.

ACL reconstruction is typically performed arthroscopically, through small incisions, so rehabilitation can begin sooner.

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • Experts in knee injuries

    Our orthopedic physicians are experienced in diagnosing and treating all kinds of knee injuries.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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