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Knee Trauma Reconstruction

Knee Service

Colorado Springs Orthopaedic Group

Your knees absorb significant stress with every step, making them particularly vulnerable to injury, overuse, and wear over time. Knee pain can interfere with walking, exercise, work, sports, and many of the activities you enjoy.

CSOG provides comprehensive evaluation and treatment for knee conditions affecting patients of all ages and activity levels. Our specialists treat sports injuries, ligament and meniscus problems, arthritis, fractures, and other conditions using both nonsurgical and surgical approaches.

Depending on your diagnosis, treatment may include physical therapy, medications, injections, bracing, minimally invasive procedures, or surgery. We take your symptoms, activity level, and goals into account when developing your treatment plan, with a focus on reducing pain and helping you regain strength, stability, and function.

What is Knee Trauma Reconstruction?

Knee trauma reconstruction is a surgical procedure to repair a soft-tissue injury of the knee such as a torn ligament using a tissue graft or replacing the damaged bony surfaces of the knee joint with an artificial knee joint called a prosthesis. Artificial knee joints are usually made of metal, ceramic or plastic, and consist of the femoral and the tibial components.

What is the Knee Joint Comprised Of?

The knee is the most complex joint in the body and is formed by the articulation of the thighbone (femur) and shinbone (tibia). A kneecap is present over the front of the joint to provide extra protection. These bones are held together by four strong rope-like structures called ligaments. Two collateral ligaments called the medial collateral ligament (MCL) and lateral collateral ligament (LCL) are present on either side of the knee, which control the sideways movement of the knee. The other two ligaments are the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) present in the center of the knee joint and cross each other to form an “X”. The cruciate ligaments control the back and forth movement of the knee.

What are the Indications for Knee Trauma Reconstruction?

Your surgeon may recommend knee trauma reconstruction if you have:

  • A direct impact to the knee, such as in an automobile accident
  • A direct fall to the ground on a bent knee
  • Direct blow to the side of your knee, such as during a football tackle
  • Twisting injury or overextending the knee during sports
  • Traumatic injury with severe rupture of knee ligaments
  • Knee fracture/dislocation
  • Knee deformity with loss of cartilage and pain
  • Instability of the knee
  • Failed non-surgical treatment remedies such as medications, injections, and physical therapy

What is the Procedure for Knee Trauma Reconstruction?

The knee trauma reconstruction procedure is performed either arthroscopically or as an open surgery under regional or general anesthesia. The type of reconstruction depends upon the severity of the trauma and the damage sustained by the knee joint and ligaments.

Knee Ligament Injuries

Knee ligament injuries are common in athletes involved in contact sports such as soccer, football, and basketball. Knee ligament injuries are graded based on the severity of the injury.

  • Grade I: ligament is mildly damaged and slightly stretched, but the knee joint is stable
  • Grade II: partial tear of the ligament
  • Grade III: complete tear of the ligament and the ligament is divided into two halves, making the knee joint unstable

Arthroscopic Knee Ligament Reconstruction Procedure

The surgical repair of the completely torn ligament involves reconstruction of the torn ligament using a tissue graft taken from another part of the body or from a donor. The damaged ligament is replaced by the graft and fixed to the femur and tibia using metallic screws. Gradually, over a period of a few months, the graft heals.

Arthroscopic reconstruction of the knee ligament is a minimally invasive surgery performed through a few tiny incisions. An arthroscope is inserted into the knee joint through one of the small incisions to provide clear images of the surgical area (inside the knee) to your surgeon on a television monitor. Guided by these images your surgeon performs the surgery using small surgical instruments inserted through the other small incisions around the knee.

Total Knee Replacement Procedure

The goal of the total knee replacement surgery is to replace damaged portions of the knee joint with a prosthesis to relieve pain and restore normal alignment and function of your knee.

The surgery is performed under regional or general anesthesia. Your surgeon will make an incision in the skin over the affected knee to expose the knee joint. Then, the damaged portions of the femur bone are cut at appropriate angles using specialized tools. The femoral component is attached to the end of the femur with or without bone cement.

Your surgeon then cuts or shaves the damaged area of the tibia (shinbone) and the cartilage. This removes the deformed part of the bone and any bony growths, as well as creates a smooth surface on which the implants can be attached. Next, the tibial component is secured to the end of the bone with bone cement or screws.

Your surgeon will place a plastic piece called an articular surface between the implants to provide a smooth gliding surface for movement. This plastic insert will support the body’s weight and allow the femur to move over the tibia like the original meniscus cartilage.

The femur and the tibia with the new components are then put together to form the new knee joint.

To make sure the patella (kneecap) glides smoothly over the new artificial knee, its rear surface is also prepared to receive a plastic component.

With all the new components in place, the knee joint is tested through its range of motion. The entire joint is then irrigated and cleaned with a sterile solution. The incision is carefully closed; drains are inserted, and a sterile dressing is placed over the incision.

What Does Postoperative Care for Knee Trauma Reconstruction Involve?

In general, postoperative care for knee trauma reconstruction will involve the following:

  • You will be transferred to the recovery area where your nurse will closely observe you for any allergic or anesthetic reactions and monitor your vital signs as you recover.
  • You may notice pain, swelling, and discomfort in the knee area. Pain and anti-inflammatory medications are provided as needed.
  • You are advised to keep your leg elevated while resting to prevent swelling and pain.
  • You will be given assistive devices such as crutches with instructions on restricted weight-bearing for a specified period of time. You are encouraged to walk with assistance as frequently as possible to prevent blood clots.
  • Keep the surgical site clean and dry. Instructions on surgical site care and bathing will be provided.
  • Refrain from smoking as it can negatively affect the healing process.
  • Eating a healthy diet rich in vitamin D is strongly advised to promote healing and a faster recovery.
  • Refrain from strenuous activities for the first few months and lifting heavy weights for at least 6 months. Gradual increase in activities over a period of time is recommended.
  • An individualized physical therapy protocol will be designed to help strengthen knee muscles and optimize knee function.
  • Most patients are able to resume their normal activities in a month or two after surgery; however, return to sports may take at least 6 months or longer.
  • Refrain from driving until you are fully fit and receive your doctor’s consent.
  • A periodic follow-up appointment will be scheduled to monitor your progress.

What are the Risks and Complications of Knee Trauma Reconstruction?

Knee trauma reconstruction is a relatively safe procedure; however, as with any surgery, some risks and complications may occur, such as the following:

  • Blood clots
  • Infection
  • Bleeding
  • Anesthetic/allergic reactions
  • Injury to nerves and blood vessels
  • Implant wear and loosening
  • Failure to relieve knee pain or stiffness
  • The need for revision surgery

For more information about our services or to schedule an appointment, call us at or click here to request an appointment online. We'll respond to you as soon as possible.

How Can You Reach CSOG Knee Center
  • Send a Referral
  • Send Medical Records
  • Additional Inquires
Colorado Springs Locations
Orthopaedic Care Across Colorado Springs

Visit CSOG at convenient locations for specialty care, Express Care, imaging, therapy, and recovery support.

4110 Briargate Parkway
Suite 300
Colorado Springs, CO 80920

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

1655 Quail Lake Loop
Colorado Springs, CO 80906

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

6140 Tutt Blvd
Suite 110
Colorado Springs, CO 80923

Mon - Fri : 7:00 am to 6:00 pm

Ready to Take the Next Step Toward Better Movement?

Whether you are dealing with a new injury, chronic pain, arthritis, or recovery after surgery, CSOG can help you find the right orthopaedic care path.

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WARNING: The first few results returned by this query are the same as returned by 2 other queries!
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WARNING: The first few results returned by this query are the same as returned by 2 other queries!
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