Ligament Repair Or Reconstruction
Advanced solutions for restoring stability and function in the hand and wrist
Ligament repair or reconstruction is a surgical procedure designed to restore stability and function to the hand and wrist following a ligament injury. Ligaments are tough bands of connective tissue that provide essential support to joints, so injuries to these structures can significantly affect grip strength, dexterity, and joint stability. At Melbourne Orthopaedic Clinic, we offer specialised techniques in ligament repair and reconstruction to help patients regain full use of their hands and wrists.
What is Ligament Repair or Reconstruction?
Ligament repair involves suturing torn or damaged ligaments to restore their natural alignment, while ligament reconstruction may involve using grafts to replace a severely damaged or ruptured ligament. These surgeries are often necessary for treating severe ligament injuries caused by trauma, sports injuries, or degenerative conditions that compromise joint stability.
Indications for Ligament Repair or Reconstruction
Ligament repair or reconstruction is typically recommended for:
- Ligament Tears: Partial or complete ligament tears that result from trauma, falls, or sports injuries, impacting joint stability.
- Joint Instability: Joints that feel loose or unstable, particularly after an injury, may benefit from surgical intervention.
- Chronic Pain and Weakness: Persistent pain, weakness, or difficulty with hand movements often indicates the need for surgical repair or reconstruction.
- Degenerative Changes: In cases where ligament damage is linked to degenerative joint conditions, surgical intervention may be needed to restore function.
The Ligament Repair or Reconstruction Procedure
Ligament repair or reconstruction is usually performed under regional or general anaesthesia and typically involves the following steps:
- Incision: A small incision is made over the injured area to access the damaged ligament.
- Ligament Repair: For repair, the damaged ends of the ligament are sutured back together to restore function and stability.
- Ligament Reconstruction: If the ligament is too damaged to repair, a graft (often from a tendon in the patient’s own body) is used to replace the ligament and restore stability.
- Reinforcement and Alignment: In some cases, additional sutures or anchors are placed to reinforce the repair and promote proper alignment.
- Closure: The incision is closed, and a bandage or splint is applied to support the area during initial healing.
Recovery After Ligament Repair or Reconstruction
Following ligament repair or reconstruction, patients can expect:
- Immobilisation: The hand or wrist is immobilised in a splint or cast for several weeks to allow for optimal healing.
- Pain and Swelling Management: Medications are prescribed to manage post-operative pain and minimise swelling.
- Physiotherapy: After the initial healing phase, hand physiotherapy helps restore strength, range of motion, and stability to the affected joint.
- Gradual Return to Activity: Patients are advised to gradually resume regular activities, avoiding heavy lifting or strenuous tasks until full recovery is achieved.
Long-Term Outcomes
With successful ligament repair or reconstruction, most patients experience restored joint stability, reduced pain, and improved function. Following a comprehensive rehabilitation program is essential for achieving the best possible long-term outcome.
Risks and Complications
As with any surgical procedure, ligament repair or reconstruction carries certain risks, including:
- Infection at the surgical site
- Stiffness or limited range of motion
- Scar tissue formation
- Re-injury or graft failure
Prof. Vera Sallen provides thorough, pre- and post-operative guidance to minimise complications and support a smooth recovery.
Ligament repair or reconstruction is an effective solution for patients experiencing ligament injuries that disrupt joint stability and function. Our dedicated team is committed to helping you regain mobility, strength, and confidence in your everyday activities through advanced and personalised care.