Recovery Timeline for MCL Sprain and Tibial Avulsion Fracture - Orthopedics

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Ligament injury


Hello, doctor.
I injured my right knee while playing basketball last week, suffering a sprain of the medial collateral ligament and an avulsion fracture of the tibia.
I would like to know how long it will take to heal and when I can walk normally again (I am currently using crutches).
Will I be able to continue playing basketball after recovery? I really love sports.

Xiao Song, 10~19 year old female. Ask Date: 2016/10/15

Dr. Wang Shouji reply Orthopedics


Hello: The recovery time must be assessed based on the severity of the ligament tear and fracture.
For such injuries, if surgical fixation is not required, it will take at least two months before rehabilitation can begin, depending on the healing status of the fracture.
Only then can we evaluate when intense physical activity can be resumed.
Thank you!

Reply Date: 2016/10/15

More Info


Recovering from a medial collateral ligament (MCL) sprain and a tibial avulsion fracture can be a complex process, and the timeline for recovery can vary significantly based on the severity of the injuries, your age, overall health, and adherence to rehabilitation protocols.
1. Recovery Timeline: Generally, MCL sprains are classified into three grades:
- Grade I: Mild sprain with minor damage to the ligament. Recovery can take about 1 to 3 weeks.

- Grade II: Moderate sprain with partial tearing of the ligament. Recovery may take 3 to 6 weeks.

- Grade III: Severe sprain with complete tearing of the ligament. Recovery can take 6 to 12 weeks or longer, depending on the treatment approach.

For a tibial avulsion fracture, the healing time can also vary. If the fracture is stable and treated conservatively (with rest, ice, compression, and elevation), you might expect healing to take about 6 to 8 weeks. However, if surgical intervention is required, the recovery could extend beyond this timeframe.

2. Walking and Mobility: Since you are currently using crutches, it is essential to follow your doctor's advice regarding weight-bearing activities. Typically, you may be advised to avoid putting weight on the injured leg for a few weeks. Once your doctor assesses that the fracture is healing well, you may gradually begin to bear weight on the leg, often starting with partial weight-bearing before progressing to full weight-bearing. This process can take several weeks, and physical therapy will play a crucial role in regaining strength and mobility.

3. Rehabilitation: Rehabilitation is vital for both MCL sprains and tibial fractures. A physical therapist will guide you through exercises to restore range of motion, strength, and stability. Initially, the focus will be on gentle range-of-motion exercises, followed by strengthening exercises as healing progresses. The timeline for returning to sports, including basketball, will depend on your recovery progress and the advice of your healthcare provider.
4. Return to Sports: Once you have regained full range of motion, strength, and stability in your knee, and you can perform functional movements without pain, you may be cleared to return to sports. This process can take anywhere from a few weeks to several months, depending on the severity of your injuries and your commitment to rehabilitation. It is crucial to ensure that you are fully healed to prevent re-injury, especially in a high-impact sport like basketball.

5. Preventive Measures: After recovery, consider engaging in preventive measures to reduce the risk of future injuries. This may include strength training, flexibility exercises, and sport-specific drills. Additionally, wearing appropriate footwear and using protective gear can help minimize the risk of re-injury.

In conclusion, while the recovery timeline for an MCL sprain and tibial avulsion fracture can vary, with proper care and rehabilitation, many individuals can return to their previous level of activity, including sports like basketball. Always consult with your healthcare provider for personalized advice and to monitor your progress throughout the recovery process.

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