Multiligament Tear Specialist Singapore
Dr. Bryan Tan
FRCS Ed (Orth)
A multiligament knee tear or injury occurs when at least two of four major knee ligaments are torn. When numerous ligaments of the knee are damaged, further complications such as dislocation or fracture develop. Recognising the symptoms and seeking medical treatment immediately is vital to prevent further knee complications.
Dr. Bryan TanOrthopaedic Surgeon
Sports have always played a big part in Dr Bryan’s life. His interest in sports and varied sporting activities give him a deep understanding of sports injuries and the mindset of an athlete.
The condition often develops gradually over time and is difficult to detect. This painful condition affects 2-5% of the general population.
Dr Bryan Tan is a fellowship-trained orthopaedic surgeon, based in Singapore. He completed 2 fellowships in Orthopaedic Sports, Shoulder and Elbow Surgery in Sydney, Australia and Nice, France. Prior to private practice, Dr Bryan was a consultant in the Division of Shoulder and Elbow Surgery in National University Hospital (NUH), Singapore. He is currently still a visiting consultant at NUH where he actively teaches medical students and young orthopaedic surgical trainees. In addition, he travels to regional countries to teach advanced arthroscopic surgical techniques.
Dr. Bryan has a special interest in keyhole surgery and performs most of his surgeries using advanced, modern keyhole surgical techniques. He regularly visits fellow surgeons from other countries to ensure his skills and knowledge are cutting edge.read full bio
What is a Multiligament Tear?
The knee contains four elastic connective tissues called ligaments. The anterior and posterior cruciate ligaments restrict the forward and backward movement of your shinbone (tibia). The lateral and medial collateral ligaments stabilise the knee joint when it moves from side to side.
A multi-ligament injury occurs when two or more of these ligaments are injured. These rare complex injuries typically result from high-impact traumatic occurrences such as hard tackles, car accidents, or steep falls.
What Are The Causes of A Multiligament Injury?
Multi-ligament injury may be caused by the following:
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Diagnosis Of A Multiligament Injury
Your diagnosis starts with a comprehensive clinical evaluation by your doctor.
- A gap test measures the distance or space between the femur and tibia.
- The arthroscopic examination tests the functionality of your knee and draws a conclusive diagnosis before reconstruction surgery.
Imaging procedures such as x-ray and MRI may be needed to further evaluate the best course of action for your treatment.Contact clinic
Treatment Procedures for Multiligament Injury
If the medial and lateral collateral ligaments of your knee are the only region that is damaged, you may respond to non-surgical treatment and recover from the tear.
RICE. The majority of sports-related injuries can be treated with the RICE protocol. RICE is the acronym for Rest, Ice, Compression, and Elevation.
- Rest. Immediately stop engaging in the activity that injured you.
- Ice. Apply cold packs every 3 to 4 hours on and off to reduce pain and swelling.
- Compression. Wear a stretchable compression bandage to prevent swelling and a brace to stabilise your knee joint.
- Elevation. When resting, lean back and elevate your leg above your heart to help minimise pain and swelling.
To lessen the aftermath effect of the trauma, the doctor may advise you to take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, aspirin, or naproxen to reduce pain, swelling, and discomfort.
Stabilising your joints also requires strengthening activities. Depending on the severity of your tear or injury, your physiotherapist decides what exercises you should do to strengthen your knee joint.
Multi-ligament Reconstruction Surgery of the Knee
Multi-ligament reconstruction surgery of the knee is performed arthroscopically. Small keyhole incisions are made over the knee and arthroscopic equipment is then introduced to repair ligaments to the bone with specific sutures.
Another option for reconstructive surgery is the use of donor tissue (allograft) or the patient’s own tissue (autograft). To insert the grafts in the damaged ligaments, a tunnel is created in the thigh bone and shinbone. Fixation devices are used to put the ligaments in their place after graft implantation.
Depending on how closely you follow your prescribed rehabilitation program, it may take up to nine (9) months to fully recuperate and return to regular activities.
What Are The Symptoms Of A Multiligament Injury?
The following are the symptoms of a multi-ligament tear:
Your Treatment Roadmap with Dr. Bryan
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With Dr. Bryan
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Initial Consultation & Diagnosis of your Condition
During your consultation, Dr. Bryan will evaluate your medical history and the pain you are experiencing. You may also ask Dr. Bryan any questions you may have about your condition.
Treatment & Follow Up Visits With Dr. Bryan
After your consultation with Dr. Bryan, our friendly clinic staff will assist you with your follow-up appointment, and provide you with instructions/information for any prescribed treatment plans from Dr. Bryan.
What happens if a multiligament tear is left untreated?
Knee injuries involving many ligaments require immediate medical attention since they could affect the knee’s blood supply. If left untreated, severe cases of nerve injury may necessitate amputation.
I am an athlete. How can I prevent multiligament knee injuries?
You can prevent multi-ligament injuries by following these measures:
- Engage in strengthening activities to enhance your knee stability.
- Perform stretching to keep your legs flexible.
- Increase your workout intensity gradually because too much stress may harm the ligaments of your knees.
What are the possible risks of multi-ligament reconstruction?
The risks of multi-ligament reconstruction include bleeding, infection, deep vein thrombosis (DVT), knee stiffness, nerve damage, and rejection of grafts or repairs. Compartment syndrome, an uncommon risk factor of multi-ligament surgery, may also happen when a severe swelling of the leg compromises the circulation to the muscles of the calf.
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