Helping You Return to a More Active Life
Hoag Orthopedic Institute’s orthopedic-specialized physical therapy
team will work closely with your surgeon to establish a personalized rehabilitation
plan. Our goal is to return you to an active life and the sports you enjoy.
Hoag Orthopedic Institute's sports medicine orthopedic surgeons volunteer
to serve local athletic teams at the sidelines, giving world-class care
to the community.
Contact us today to learn more about the orthopedic services that we offer.
How Reconstructive Surgery Works for Ligament Injuries
Ligaments are tough fibrous cords composed of connective tissue that contains
both collagen and elastic fibers. The elastic fibers allow the ligaments
to stretch to some extent. Ligaments surround joints and bind them together.
They help to strengthen and stabilize joints by permitting movement only
in certain directions. They also connect one bone to another (such as
inside the knee).
Sports-related injuries to the ligaments are fairly common, most often
affecting the knee, elbow and ankle. If you have experienced a ligament
injury that cannot be successfully treated non-surgically, you and your
doctor may decide that ligament reconstruction is your best option. During
reconstructive surgery, the torn ligament will be replaced with a substitute graft.
We Use Only the Most Advanced Technology
There are a number of orthopedic surgeons aligned with Hoag Orthopedic
Institute who have chosen sports injuries as their sub-specialty. These
surgeons are highly trained in leading edge, less invasive surgeries that
are designed to do as little damage as possible to the muscles and tissues
surrounding the joint. The alignment of the ligament reconstruction is
critical, and these surgeries require an experienced surgical team. Hoag
Orthopedic Institute provides orthopedic specialized surgical teams and
the most advanced technology in ligament reconstruction.
Treating Anterior Cruciate Ligament (ACL) Injuries
Knee injuries can occur in basketball, volleyball, soccer, football and
other sports. The most common type of knee ligament reconstruction is
of the Anterior Cruciate Ligament (ACL). The ACL can be injured when there
is a twisting motion of the knee or when it is hit while the foot is planted.
It can also be injured during a sudden stop when the femur moves forcefully
over the tibia.
The tissue that will replace your damaged ACL will come from your own body
or from a donor. Tissue taken from your own body is called an autograft.
The two most common tissue sources are the patellar, a tendon in your
knee, or a hamstring tendon. Tissue may also be used from a donor, this
is called an allograft. The best decision for ACL surgery varies from
person to person.
Ulnar Collateral Ligament (UCL) Reconstruction
Elbow instability injuries can occur in sports that involve repetitive
throwing. Elbow ligament reconstruction is designed to restore the correct
biomechanical function of the ligaments. Surgical treatment options for
elbow instability include ulnar collateral ligament (UCL) reconstruction.
This surgery involves replacing the UCL with a tendon that is obtained
elsewhere in the body.
Common sites include the forearm, knee and hamstring. Your surgeon will
harvest the tendon and loop it through the various holes that have been
drilled in the elbow, in a series of figure-eight patterns. Over time,
the transplanted tendon “ligamentizes,” which basically means
it learns to become a ligament. You can learn more about this procedure
by consulting a physician.
Ligament Reconstruction Surgery of the Ankle
Lateral ligament injuries of the ankle are possibly the most common sports-related
injuries, sustained during basketball, volleyball, soccer and other sports.
The position of the foot when injured dictates the injury sustained, with
the most common injury being of the calcaneo-fibular ligament (CFL). Ligament
reconstruction surgery of the ankle involves harvesting a tendon to replace
your damaged ligament. The most common source is your peroneus brevis
tendon (the tendon that pulls the outside of the foot upward). The tendon
will be routed through the bones of the ankle to reinforce the ankle and
provide the support that the ligament previously provided.
Recovering from a Ligament Reconstruction Procedure
Any type of ligament reconstruction procedure will be followed by an exercise
and rehabilitation program to strengthen the muscles and restore full
joint mobility in the affected area. The physical therapy team at Hoag
Orthopedic Institute is orthopedic specialized, and they will work closely
with your surgeon to establish a personalized rehabilitation plan that
is tailored to your needs. Their expertise will be essential in helping
you regain full motion and return to an active life.
Your recovery time, of course, depends upon the affected joint, the type
of injury and the type of surgery. Your joint will most likely be immobilized
for a time period and then allowed range of motion exercises and strengthening
exercise. The goal of rehabilitation is to return you to your normal activities
as soon as is safely possible. For patients who remain dedicated to physical therapy,
the chances of complete recovery are very high, at above 90 percent.