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What Happens During Lateral Collateral Ligament Surgery?

  • September 15, 2025
  • 191 Views

Athletes put a lot of stress on their knees while running, jumping, or changing direction. One of the key stabilizers on the outer side of the knee is the lateral collateral ligament (LCL). When this ligament tears, it can cause pain, swelling, and a feeling that the knee might give way.

For athletes, this type of injury can keep them off the field or court for weeks or even months. In some cases, when rest and physical therapy do not help, lateral collateral ligament surgery may be the right treatment. Keep reading this blog to completely understand what happens during LCL surgery.

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    Why the LCL Matters for Athletes?

    The LCL connects the thighbone (femur) to the smaller bone of the lower leg (fibula). It helps keep the knee stable, especially during side-to-side movements. Sports such as football, soccer, basketball, and wrestling often put pressure on the outer knee, making the LCL more prone to injury.

    A damaged LCL not only affects performance but also increases the risk of further knee problems if left untreated.

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    When Does LCL Surgery Become Necessary?

    Not every LCL tear needs surgery. Many mild injuries heal with rest, bracing, and physical therapy. But if the ligament is completely torn or combined with other knee injuries, surgery is often recommended.

    Athletes who want to return to high levels of play may also benefit from surgical repair or reconstruction to restore full knee stability.

    What Happens During Lateral Collateral Ligament Surgery?

    Lateral collateral ligament surgery is usually performed under anesthesia. The type of procedure depends on how severe the injury is:

    1. Repair
      If the ligament is torn near where it attaches to the bone, surgeons may stitch it back into place. This option is most common for fresh injuries.
    2. Reconstruction
      If the ligament is badly damaged or cannot be repaired, surgeons may replace it with a graft. The graft can come from another tendon in the patient’s body or from a donor.

      The surgeon makes a small incision on the outside of the knee to reach the ligament. Special surgical tools are used to repair or reconstruct the ligament. Once the ligament is secured, the incision is closed, and the knee is wrapped to protect it during early healing.

    How LCL Surgery Supports Athletic Performance?

    A stable knee is essential for any athlete. By repairing or reconstructing the ligament, surgery helps restore strength and motion to the joint. This reduces the risk of repeated injuries and allows athletes to focus on their performance instead of worrying about their knee giving way.

    Athletes who undergo lateral collateral ligament surgery often find that with time, dedication to physical therapy, and gradual return to activity, they can get back to their favorite games and continue competing at a high level.

    What Our Patients Are Saying

    From appointment scheduling, receptionist, nurse, xray to Dr. Barrett Brown, all friendly and professional. Thank God that Dr. Brown wants to try physical therapy instead of jumping to surgery. I am well pleased!!
    Shelia Briggs

    Shelia Briggs

    Dr Brown was very professional and explained everything. He helped me with decisions of my care. Highly recommend him.
    Cathy Arroyo

    Cathy Arroyo

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    Dr. Barrett Brown is a very fine physician. He is also a friend. While he is a surgeon he said this about my horribly painful shoulder. First we will try an injection performed by our specialist using ultra sound. (It was painless.) If that does not relieve your pain we will do a cat scan to evaluate the rotator cuff.
    Lynn Russell

    Lynn Russell

    Highly recommend Dr Brown!!! He took time to answer all questions without rushing. I called his office in severe pain and received the in- office MRI and Dr appt the next day then Dr Brown explained my condition and I was booked for surgery with their on-site hospital days later. The surgery went great and I was treated great by all staff. They have valet service as well. Thanks Dr Brown and all staff!!!
    Kimberley Gomez

    Kimberley Gomez

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    I had a rotator cuff repair with Dr. Brown. Everyone at this hospital from the registration staff, pre-op nurse, surgery staff, recovery room nurse, the anesthesiologist, and of course, the surgeon, Dr. Brown were all professional and caring.
    Mary Isern

    Mary Isern

    I have, unfortunately, been a frequent visitor to the Fondren Orthopedic clinic as I cannot seem to stay on my feet 😅. My most recent experience with Dr. Brown has been nothing short of excellent. From the initial exam to surgery and then the follow up and discussion of how I am healing have been extremely thorough and communication has been a 10. I would definitely recommend.
    Jenna Hunter

    Jenna Hunter

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    In Short

    Lateral collateral ligament injuries need careful treatment to restore knee strength and stability. For athletes who need surgical care, it is important to work with a skilled specialist.

    Our sports medicine specialist at Barrett S. Brown, M.D., offers advanced treatment options, including lateral collateral ligament surgery, to help athletes recover safely and return to the activities they love. Reach out to our clinic at (346) 247-2531 to schedule an appointment!

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