Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Posterior Corner Reconstruction
Posterior corner reconstruction is a surgical technique designed to restore the stability and function of the back (posterior) aspect of the knee following injury. This procedure targets the structures at the rear of the knee joint that have been damaged, helping to rebuild them and improve overall knee stability.
The posterior structures of the knee are rarely injured because it usually requires a high-impact trauma or a hyperextension mechanism to cause damage. As a result, posterior corner reconstructions are most commonly performed in athletes or individuals involved in high-demand sports. Clinical examination and imaging are used to assess the ligaments and muscles at the back of the knee to identify any instability or structural damage.
Posterior Corner Reconstruction Indications
Posterior corner reconstruction of the knee is recommended after a thorough assessment using physical examination, MRI, or arthroscopy to confirm the extent of damage. If the injury is severe, surgery may be required immediately. In less severe cases, surgery is considered only if conservative management fails. Conservative treatment for grade one and two tears typically involves complete rest to allow the injured structures to heal.
Posterior Corner Reconstruction Procedure
Surgery for posterior corner reconstruction depends on several factors: whether the injury is acute (recent) or chronic (long-standing), and whether it is an isolated posterolateral corner (PLC) injury or occurs in combination with other ligament injuries such as ACL or PCL tears. The surgical approach, timing, and rehabilitation plan are tailored accordingly to restore stability and function to the knee.
Surgical repair of the posterior corner of the knee is typically aimed at anatomical reconstruction, meaning the damaged structures are rebuilt as close as possible to their natural positions and attachments. Anatomical reconstruction is preferred over non-anatomical techniques because it more accurately restores the knee’s biomechanics, which increases the likelihood of a successful rehabilitation, better stability, and a return to pre-injury function.
Surgery for posterior corner reconstruction is generally highly successful, provided the patient follows a structured physiotherapy programme after the operation. Postoperative physiotherapy is crucial to restore knee stability, regain range of motion, strengthen surrounding muscles, and ensure proper functional recovery. Without adherence to rehabilitation, the risk of stiffness, weakness, or recurrent instability increases, which can compromise the long-term outcome of the surgery.
The Benefits Post Surgery
There are many benefits following a posterior corner reconstruction. Benefits of posterior corner reconstruction include:
- Restoration of stability in the knee, particularly in the posterior and posterolateral structures.
- Prevention of further injury to the knee due to instability.
- Improved range of movement and function in the knee joint.
- Reduced pain and discomfort associated with posterolateral knee injuries.
- Enhanced ability to return to sports or physically demanding activities.
- Minimisation of long-term degenerative changes in the knee due to abnormal joint mechanics.
- Increased confidence in knee function during daily activities.
Physiotherapy Rehabilitation Post Surgery
Following a period of non-weight bearing as instructed by your surgeon, physiotherapy rehabilitation is essential in regaining optimum function. Your post-surgery protocol may include:
- Controlled weight-bearing exercises as advised by your surgeon.
- Range of motion exercises to gradually restore knee mobility.
- Strengthening exercises for the quadriceps, hamstrings, and surrounding stabilising muscles.
- Proprioception and balance training to improve joint control.
- Gait re-education to ensure proper walking mechanics.
- Pain and swelling management techniques, including ice, compression, and elevation.
- Gradual progression to sport- or activity-specific functional exercises.
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Sat: 8am - 4pm
Sun: On Appointment Basis
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