How Long Can You Wait for Ligament Tear Surgery? - Orthopedics

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What is the longest surgical delay for a ligament tear?


On New Year's Eve this year, I accidentally fell off my motorcycle at my doorstep.
Initially, I thought it was just a simple sprain and did not seek medical attention right away.
However, after about a month, I noticed persistent swelling and pain on the outer side of my left ankle, which led me to seek medical care and undergo an MRI.
I have been advised that I need surgery to repair the ligament.
Due to work commitments, I am currently unable to decide on a surgery date in the short term.
I am concerned that delaying the surgery may affect my recovery.
How long is it generally recommended to wait before undergoing surgery for a ligament tear?

Gua, 20~29 year old female. Ask Date: 2022/04/19

Dr. Chen Yongxue reply Orthopedics


The earlier the surgery is performed, the better the outcome; do not delay for more than one month.

Reply Date: 2022/04/19

More Info


When it comes to ligament tear surgery, timing can be crucial for optimal recovery and function. In your case, having sustained an injury over a month ago and now facing the recommendation for surgery, it is understandable to have concerns about how long you can wait before proceeding with the operation.

Generally, the timeline for ligament repair surgery can vary based on several factors, including the severity of the tear, the specific ligament involved, and your overall health and activity level. In most cases, it is advisable to undergo surgery within a few weeks to a few months after the injury. Waiting too long can lead to complications such as chronic instability, increased pain, and potential damage to surrounding tissues, which could complicate the surgery and prolong recovery.

For instance, if you have a complete tear of a ligament, surgical intervention is often recommended sooner rather than later. This is because the longer the ligament remains torn, the more likely it is that the surrounding muscles and tendons may weaken or adapt to the instability, making surgical repair more challenging. Additionally, prolonged waiting can lead to the development of scar tissue, which can further complicate the surgical procedure and recovery.

In your specific situation, since you have already experienced significant swelling and pain for over a month, it is essential to consider the potential risks of delaying surgery. While it may be tempting to postpone the procedure due to work commitments, it is crucial to weigh these against the long-term implications for your ankle's function and your overall quality of life.
Post-surgery, the rehabilitation process will also play a critical role in your recovery. Typically, after ligament repair surgery, patients may need several weeks to months of physical therapy to regain strength, flexibility, and stability in the affected joint. The timeline for returning to normal activities can vary widely based on the individual and the specific ligament involved. For example, athletes may require a more extended rehabilitation period to ensure they can return to their sport safely.

In conclusion, while it is understandable that work commitments may delay your decision, it is generally advisable to schedule ligament tear surgery sooner rather than later to avoid complications and ensure a smoother recovery process. It would be beneficial to discuss your specific situation with your orthopedic surgeon, who can provide tailored advice based on the details of your injury and your lifestyle needs. They can help you weigh the risks and benefits of delaying surgery and assist in planning a timeline that accommodates both your recovery and your professional obligations.

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