Do I Need Crutches Before Knee Surgery for Ligament and Cartilage Injury? - Orthopedics

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Anterior cruciate ligament (ACL) of the knee?


Hello, Doctor: Thank you very much for taking the time to answer my questions last time.
I would like to ask if, with my ligament and cartilage injuries, I will need to undergo arthroscopy to determine the actual condition.
Before the surgery, should I use crutches when going out? I might have to walk quite a bit.
Thank you, Doctor.
🙇🏻‍♀️

han, 20~29 year old female. Ask Date: 2021/12/31

Dr. Shi Guozheng reply Orthopedics


If there is a ligament tear, it may lead to joint instability, so using a cane while walking can be helpful.
Typically, a standard cane is sufficient for this purpose, while the underarm support is referred to as a crutch.

Reply Date: 2021/12/31

More Info


When dealing with a ligament and cartilage injury in the knee, especially when surgery is on the horizon, it’s crucial to consider the best ways to manage mobility and pain before the procedure. Based on your situation, where you have sustained injuries to the ligaments and possibly cartilage, using crutches or a cane can be very beneficial for several reasons.

Firstly, crutches can provide stability and support while walking, especially if your knee is unstable due to ligament damage. The instability can lead to a higher risk of further injury if you attempt to walk without assistance. Crutches help to offload weight from the injured knee, allowing it to rest and potentially reducing pain and swelling. This is particularly important if you are experiencing significant discomfort or if your knee feels unstable when you try to walk.

Secondly, using crutches can help you maintain mobility while minimizing the risk of exacerbating your injury. If you are planning to walk a considerable distance, crutches can make this much easier and safer. They allow you to navigate your environment without putting undue stress on your knee, which is essential as you await your surgery.

Regarding the type of crutches, while axillary crutches (the ones that fit under your arms) are commonly used, a standard cane may also suffice if your injury is not too severe and you feel stable enough to use one. However, if you find that your knee gives way or if you experience pain while walking, it’s advisable to stick with crutches for better support.

As for the duration of using crutches, this can vary based on your comfort level and the advice of your healthcare provider. Typically, you would use them until you feel confident in your ability to bear weight on the injured leg without pain or instability. It’s essential to listen to your body and consult with your doctor or physical therapist about when it might be safe to transition away from crutches.

In addition to using crutches, you might also want to consider wearing a knee brace for additional support. A brace can help stabilize the knee joint and may alleviate some discomfort while you are moving around. However, the decision to use a brace should be made in consultation with your healthcare provider, who can recommend the best type for your specific injury.

Lastly, it’s important to manage your pain effectively leading up to the surgery. If you are experiencing significant pain, over-the-counter pain relievers may help, but you should discuss this with your doctor, especially if you have other medical conditions that could be affected by medication.

In summary, using crutches before your knee surgery is advisable to ensure your safety and comfort. They will help you navigate your daily activities while minimizing the risk of further injury. Always consult with your healthcare provider for personalized advice tailored to your specific situation, and don’t hesitate to reach out if you have any further questions or concerns.

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