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Medial Collateral Ligament Reconstruction Surgery

Medial Collateral Ligament, often referred to as MCL, plays a critical role in providing stability to the knee. Damage or tear of this ligament can drastically affect a person's mobility and quality of life. Medial Collateral Ligament Reconstruction Surgery is a specialised procedure carried out to treat severe MCL injuries, restoring functionality and stability to the knee. If you are experiencing persistent pain or instability in your knee, don't delay seeking help. Reach out to our team at Pristyn Care and book an appointment with our top orthopaedic specialists today.

Medial Collateral Ligament, often referred to as MCL, plays a critical role in ... Read More

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What is Medial Collateral Ligament Reconstruction Surgery?

Medial Collateral Ligament Reconstruction Surgery is a medical procedure performed to repair a severely injured medial collateral ligament in the knee. The medial collateral ligament is one of the four major ligaments in the knee that provide stability and allow the joint to function properly. An injury or tear in this ligament can cause pain, swelling, and instability, making everyday activities difficult and painful. When conservative treatment fails or when the injury is severe — such as a Grade 3 tear — surgery might be recommended by your doctor.

During this surgery, the damaged ligament is reconstructed using an allograft (tendon taken from a donor) or an autograft (tendon taken from the patient’s own body). The graft is secured in the anatomic position of the native MCL, restoring knee stability and function. The surgery is typically done on an out-patient basis (OPD), meaning you can go home the same day of your operation.

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What Are The Types Of Medial Collateral Ligament Reconstruction Surgery?

There are several types of MCL reconstruction surgeries that doctors may suggest depending on your specific case. Here are the main types:

  • Open Anatomic Reconstruction: In this technique, an open surgical approach is used to reconstruct the MCL using an Achilles tendon allograft. The graft is placed to match the anatomical inserts of the native MCL.
  • Anatomic Flat Double-Bundle Reconstruction: This method uses a double-bundle allograft to reconstruct the MCL anatomically, aiming to restore the native ligament anatomy and biomechanics.
  • MCL Weave Technique: Here, the semitendinosus tendon with its intact tibial attachment is used. The graft is re-routed to the MCL footprint in a weaving fashion, making the reconstruction anatomical and isometric.
  • Minimally Invasive MCL Reconstruction: It’s a less invasive surgical technique wherein a tendon graft, either from the patient (autograft) or a donor (allograft), is used to reconstruct the injured MCL. The graft is secured with anchors and screws in the anatomic position of the native MCL.

These techniques aim to restore the knee’s normal function and stability while reducing post-operative discomfort and speeding up recovery time. Discuss with your doctor which procedure suits your situation best.

Diagnosis Before Medial Collateral Ligament Reconstruction Surgery

Before a patient undergoes Medial Collateral Ligament (MCL) reconstruction surgery, the doctor takes a thorough approach to understanding the severity of the injury. This is done through:

  • Physical Examination: A check-up of the knee is conducted, including a valgus stress test. This test involves bending the knee at approximately 30 degrees while applying pressure on the outer side. Severe pain or instability may indicate an MCL injury.
  • Imaging Tests: X-rays are used to rule out any fractures, while Magnetic Resonance Imaging (MRI) offers detailed images of soft tissues, helping confirm the damage extent to the ligament.

What Is The Procedure For Medial Collateral Ligament Reconstruction Surgery?

Medial Collateral Ligament Reconstruction Surgery is a complex process that involves repairing the damaged ligament to restore knee stability. The procedure includes:

  • Anaesthesia: The surgery is executed under general anaesthesia, ensuring that the patient remains comfortable throughout.
  • Incision: A small incision is made on the inner part of the knee. Depending on the surgical technique, one or two incisions may be necessary.
  • Graft Harvesting: If an autograft is used, a tendon (often from the hamstring or patellar tendon) is harvested from the patient. Alternatively, an allograft (donor tissue) may be considered.
  • Arthroscopic Examination: An arthroscope may be inserted to inspect any associated injuries, such as tears in other ligaments like ACL or PCL.
  • Reconstruction: If the ligament is torn at its attachment points, it is reattached using large stitches or a metal screw. For complete tears, a graft replaces the MCL, secured in position with screws and washers ensuring proper tension and stability.

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Who Is The Right Candidate For Medial Collateral Ligament Reconstruction Surgery?

Deciding on MCL reconstruction surgery is a crucial decision that depends upon the individual’s symptoms and the severity of the injury. Eligibility for this procedure typically hinges on:

  • Severity of Injury: The surgery is often recommended for severe MCL injuries, especially when there’s a complete tear or significant knee instability.
  • Requirement of Stability: This surgical procedure is particularly beneficial for athletes or individuals who require knee stability as an inherent part of their day-to-day activities.

The decision to proceed with the Medial Collateral Ligament Reconstruction Surgery is ultimately taken by your doctor after a thorough assessment of your condition and understanding your lifestyle requirements.

What Are The Benefits Of Medial Collateral Ligament Reconstruction Surgery?

Medial Collateral Ligament (MCL) Reconstruction Surgery is a common treatment for severe knee injuries. This procedure can offer numerous benefits, such as:

  • Improved Knee Stability: The primary aim of MCL Reconstruction Surgery is to restore balance and fortitude to the knee joint. This is particularly beneficial for individuals who have experienced complete MCL tears or chronic instability.
  • Enhanced Functionality: After the operation, patients often notice significant enhancements in knee function. This improvement is reflected by higher scores on assessments like the IKDC and Lysholm activity evaluations.
  • Pain Reduction: MCL Reconstruction Surgery often leads to a decrease in pain and discomfort associated with injuries of the MCL.
  • Return to Activity: Successful surgery allows athletes and physically active individuals to resume their sports and physical activities with greater confidence and stability.

How To Prepare For Medial Collateral Ligament Reconstruction Surgery?

Preparation for MCL Reconstruction Surgery entails a few important steps:

  • Consultation and Assessment: An orthopaedic surgeon will conduct a comprehensive evaluation that includes imaging studies like MRI to ascertain the extent of the injury.
  • Preoperative Instructions: You should adhere to specific preoperative instructions provided by the surgeon, such as dietary restrictions and modifications in medication.
  • Physical Preparation: It may be beneficial to engage in ‘prehabilitation’ exercises advised by your doctor to strengthen surrounding muscles and increase knee functionality.
  • Arrange Postoperative Care: Make arrangements for transportation and assistance post-surgery as mobility may be limited during recovery.

What Are The Recovery Tips and Precactions To Follow After Medial Collateral Ligament Reconstruction Surgery?

Recovery from surgery entails several crucial steps:

  • Follow Rehabilitation Protocols: Adherence to a structured rehabilitation programme is important. This may include physical therapy to regain strength and range of motion.
  • Manage Pain and Swelling: Prescribed painkillers can help manage pain and ice packs can be applied to control swelling.
  • Gradual Return to Activities: Gradually increase activity levels as recommended by the healthcare team. Avoid high-impact activities until clearance is received.
  • Use Assistive Devices: Use aids such as crutches or a knee brace, if recommended, to aid mobility and protect the knee during the healing process.
  • Monitor for Complications: Be mindful of signs of complications such as increased pain, swelling, or signs of an infection, and report these to your doctor immediately.

Potential Risks or Complications Associated with Medial Collateral Ligament Reconstruction Surgery

MCL reconstruction surgery is generally safe, but there can be potential complications:

  • Infection: The risk of an infection at the incision site exists, as with any surgical procedure.
  • Knee Stiffness: Some patients might experience stiffness or reduced range of motion post-surgery.
  • Graft Failure: There is a risk that the graft may not integrate properly or may fail, necessitating further intervention.
  • Hardware Irritation: If screws or anchors are used, they could cause irritation or discomfort in some patients.
  • Recurrent Instability: The knee might not achieve the desired stability in some cases, leading to recurrent instability or further injuries.

Understanding these aspects of MCL reconstruction surgery will help patients prepare better for the procedure and optimise their recovery.

What Is The Cost Of Medial Collateral Ligament Reconstruction Surgery In India?

The Medial Collateral Ligament (MCL) reconstruction surgery, an operation aimed at rebuilding and strengthening the ligament using a graft, is a common procedure for treating severe MCL injuries. However, the cost of this surgery can greatly vary depending on several factors. Several factors can influence these costs. Some of them are:

  • Type of Hospital: Public hospitals might charge less as compared to private ones due to different funding sources and pricing structures.
  • Geographical Location: Costs could be higher in metropolitan cities than in smaller towns due to higher operational costs.
  • Surgeon’s Expertise: More experienced surgeons could charge more for their expertise and skilled services.
  • Complexity of the Procedure: If your MCL injury is more complex and requires advanced surgical techniques or additional procedures, the cost might increase.
  • Post-Surgery Rehabilitation: Physical therapy following the surgery could add to the overall cost.

Is Medial Collateral Ligament Reconstruction Surgery Covered Under Insurance?

Many health insurance providers include Medial Collateral Ligament reconstruction surgery under their coverage plan. However, it’s important to know that the factors covered could vary according to your specific insurance policy. Generally, insurance plans cover costs related to the surgical procedure itself, including surgeon’s fees and anaesthesia costs. They may also cover associated hospitalisation costs if an overnight stay is required after surgery.

In addition to these, many insurance plans also cover post-surgery physical therapy sessions. However, the number of sessions covered may differ based on your policy. Despite this coverage, there could be certain exclusions. For example, if your MCL injury is related to a pre-existing condition or if the surgical technique used is experimental, your insurance provider might limit or deny coverage. Also, if the surgery is performed by a doctor not included in your insurance network, the associated costs might not be fully covered. Therefore, before opting for MCL reconstruction surgery, it’s essential to consult with your insurance provider to understand exactly what your policy covers and what it excludes.

FAQs

What is Medial Collateral Ligament and its function in our body?

The Medial Collateral Ligament (MCL) is a band of tissue on the inner part of your knee. It helps to connect your thigh bone to the bone of your lower leg and keeps your knee stable.

How would I know if my Medial Collateral Ligament is damaged or injured?

You may experience pain on the inner side of your knee, swelling, or difficulty moving your knee in case of MCL injury. Difficulty in walking or feeling that your knee might ‘give way’ could also be symptoms of damage.

Is physiotherapy an alternative to Medial Collateral Ligament Reconstruction Surgery?

In some cases, yes. Physiotherapy can assist in strengthening the muscles around your knee, reducing pain and improving function. However, if the ligament is severely damaged, surgery might be necessitated.

If my Medial Collateral Ligament injury doesn't heal with rest and physical therapy, what's next?

Your doctor may suggest an MRI scan to assess the damage more thoroughly. If the injury is severe, Medial Collateral Ligament Reconstruction Surgery might be recommended.

What happens during a Medial Collateral Ligament Reconstruction Surgery?

During the operation, the surgeon removes the damaged ligament and replaces it with a tissue graft which can either come from another part of your body or a donor.

How long does it take to recover fully after a Medial Collateral Ligament Reconstruction Surgery?

The recovery time varies from person to person and depends on factors like age, general health status, and post-operative care. Typically, it might take anywhere between 3 to 6 months.

What kind of rehabilitation do I need after my Medial Collateral Ligament Reconstruction Surgery?

Many patients will need physiotherapy to regain full function of their knee. The physiotherapy programme usually includes exercises to improve flexibility, strength, and balance.

How long do I need to avoid sports after my Medial Collateral Ligament Reconstruction Surgery?

Generally, you should avoid sporting activities for at least 6 months after the surgery. However, the exact time frame should be discussed with your doctor or physiotherapist as it varies according to individual circumstances.

Can I drive post Medial Collateral Ligament Reconstruction Surgery?

You should be able to drive again between 6 to 8 weeks after your surgery. However, this can vary depending on your recovery progress, so it’s essential to follow your doctor’s advice.

Are there any dietary restrictions or lifestyle changes required after undergoing Medial Collateral Ligament Reconstruction Surgery?

You might be advised by your doctor or dietitian to consume a balanced diet rich in proteins and vitamins that aid healing. Additionally, maintaining a healthy weight can reduce stress on your knee. Smoking and alcohol can delay healing and should be avoided.

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