Knee Ligament Repair

Knee ligament repair (also known as knee ligament reconstruction) is a surgical procedure used to restore stability and function to the knee joint after a ligament is torn or severely damaged. When ligaments are injured, it can result in instability, pain, and a significant reduction in mobility.

If you’re dealing with a knee injury or suspect a torn ligament, Precision Orthopaedic Specialties can help. Contact one of our four locations in Northeast Ohio today to book your consultation!

Why is Knee Ligament Repair Necessary?

Knee ligament repair is typically necessary when a ligament, such as the anterior cruciate ligament (ACL) or medial collateral ligament (MCL), is torn. These injuries can occur during high-impact activities, like sports, or from trauma, such as falls.

An ACL injury, for example, often happens during sudden changes in direction, jumping, or direct contact in sports. Without proper treatment, an injury to the knee’s ligaments can lead to ongoing pain, knee instability, and eventually more serious joint issues like arthritis.

Common reasons for knee ligament repair include:

  • A torn ACL that causes severe instability
  • Damage to the posterior cruciate ligament (PCL), leading to knee dysfunction
  • ACL injuries that haven’t improved with physical therapy
  • Individuals looking to return to an active lifestyle after a significant ligament injury
Surgeons performing knee ligament reconstruction in Northeast, Ohio.

Candidates for Knee Ligament Repair

Knee ligament repair is often recommended for:

How to Prepare for the Surgery

Preparing for knee ligament repair involves a combination of medical evaluations, physical preparation, and lifestyle adjustments. Key steps include:

  • Pre-Surgical Evaluations: Your orthopedic surgeon will review your medical history and perform a physical exam to confirm the need for surgery.
  • Pre-Surgery Physical Therapy: Strengthening the muscles around the knee, especially the quadriceps and hamstrings, can enhance recovery after surgery.
  • Lifestyle Adjustments: Stopping smoking (if applicable) and managing medications like blood thinners are important pre-surgery steps.
  • Surgical Graft Decisions: Depending on the injury, your surgeon may use tissue from your own body (such as the patellar tendon or hamstring tendon) or allograft tissue (donor tissue) to repair the ligament.

What to Expect During the Surgery

During knee ligament repair, the surgeon will typically use arthroscopic techniques, which involve making small incisions in the knee. An arthroscope, or small camera, allows the surgeon to view the knee joint and repair or reconstruct the damaged ligament.

For ACL surgery, specifically anterior cruciate ligament repair, the torn ACL is replaced with a graft from the patellar tendon, hamstring tendon, or allograft tissue. Your surgeon will drill small holes in the thigh bone and the shin bone and thread the tendon through, and attach with surgical staples or screws. This procedure, also known as anterior cruciate ligament reconstruction, helps restore the knee’s stability and function.

ACL reconstruction generally takes one to two hours, depending on the severity of the injury and whether there is other soft tissue damage that needs to be prepared.

After Surgery and Recovery

Recovery from knee ligament repair requires time and a commitment to rehabilitation. After the surgery, you may need to wear a knee brace and use crutches for several weeks to protect the repaired ligament. Physical therapy begins soon after surgery, focusing on gradually restoring range of motion, rebuilding muscle strength, and improving stability.

The recovery timeline varies, but most patients return to light activities within 6 to 12 weeks. For athletes or those involved in high-impact activities, returning to full activity might take six months to a year. Key components of recovery include:

  • Gradually increasing weight-bearing exercises as healing progresses
  • Ongoing physical therapy to strengthen the muscles around the knee joint
  • Patience, as rushing the process could lead to further complications or re-injury

Risks and Possible Complications

As with any surgical procedure, knee ligament repair carries some risks, including:

It’s essential to discuss potential risks with your surgeon to fully understand the procedure and what to expect.

Getting Back to Your Active Lifestyle

If you’re struggling with an ACL injury or any other knee ligament damage, Precision Orthopaedic Specialties is here to help you regain strength and stability. Our expert team of knee specialists offers advanced treatments to restore your knee function and support you in resuming your favorite activities.

With four convenient locations in Chardon, Chagrin Falls, Middlefield, and Geneva, Ohio, we’re ready to assist you in every step of your recovery. Contact us today to schedule a consultation and take the next step toward a pain-free, active life!


Medically reviewed by Albert S.M. Dunn, D.O., FAAOS