Loose Knee Ligaments: Treatment Options and Recovery Time - Orthopedics

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Knee ligament laxity?


I have dislocated my kneecap twice.
On Saturday, I saw a doctor who said that the ligaments in my knee are loose, preventing the bone from stabilizing.
The doctor suggested surgery to tighten the knee or resting and wearing a knee brace.
However, due to work commitments, I haven't taken any time off.
The doctor didn't specify how long I should rest.
Do I need to rest? If so, how long? Would surgery be more effective for a complete recovery?

Zoe, 30~39 year old female. Ask Date: 2016/05/10

Dr. Shi Guozheng reply Orthopedics


Are you referring to patellar lateralization or subluxation? The degree of displacement and the severity of symptoms are important factors to consider.
If wearing a knee brace improves the condition, then surgery may not be necessary.
However, if there is already joint surface wear and conservative treatment is ineffective, surgery may be required.
The procedure can be performed arthroscopically or through an open knee approach, both of which may lead to improvement.
If surgery is needed, it is essential to have a thorough discussion with your treating physician, as rest alone may not resolve lateralization or subluxation.

Reply Date: 2016/05/10

More Info


Understanding loose knee ligaments, particularly in the context of recurrent patellar dislocation, is crucial for determining appropriate treatment options and recovery timelines. When the knee ligaments are loose or injured, they can lead to instability in the knee joint, making it susceptible to dislocations. This condition can significantly impact daily activities and overall quality of life.


Treatment Options
1. Conservative Management:
- Rest and Activity Modification: If your doctor has suggested rest, it is essential to take this seriously. Resting the knee allows the ligaments to heal and reduces inflammation. The duration of rest can vary based on the severity of the ligament laxity and your activity level. Generally, a period of 2-6 weeks of reduced activity is recommended, but this can be adjusted based on your symptoms and doctor's advice.

- Bracing: Wearing a knee brace can provide additional support and stability to the knee joint. This is particularly useful during activities that may put stress on the knee. However, if you experience significant discomfort or pressure while wearing a brace, it may be necessary to consult your doctor for an alternative option or adjustment.

- Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around the knee, improving stability and function. A physical therapist can provide exercises tailored to your specific needs, focusing on strengthening the quadriceps, hamstrings, and other supporting muscles.

2. Surgical Intervention:
- If conservative measures fail to provide adequate stability or if the dislocations continue to occur, surgical options may be considered. Surgical procedures can involve tightening the ligaments or reconstructing them to restore proper knee function. The specific type of surgery will depend on the extent of the ligament laxity and any associated injuries.

- Surgery can provide a more definitive solution, especially if the ligaments are significantly compromised. However, it is essential to discuss the risks and benefits of surgery with your orthopedic surgeon, as recovery from surgery can be lengthy and may require extensive rehabilitation.


Recovery Time
Recovery time varies significantly based on the treatment approach:
- Conservative Treatment: If you opt for rest and physical therapy, you may start to see improvements within a few weeks. However, full recovery and return to high-impact activities may take several months, typically around 3-6 months, depending on your adherence to rehabilitation and the severity of the ligament laxity.


- Surgical Recovery: If surgery is performed, the recovery timeline can be longer. Initial recovery may take 6-12 weeks, during which you may need to use crutches and avoid putting weight on the knee. Full rehabilitation, including physical therapy, can take 4-6 months or longer, depending on your progress and the specific surgical procedure performed.


Conclusion
In summary, if your knee ligaments are loose and causing recurrent dislocations, it is essential to consider both conservative and surgical treatment options. Resting the knee, wearing a brace, and engaging in physical therapy can be effective initial strategies. However, if these measures do not provide sufficient stability, surgical intervention may be necessary for a more permanent solution. Always consult with your healthcare provider to determine the best course of action based on your specific situation and lifestyle needs. Remember that prioritizing your knee health now can prevent more severe issues in the future.

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