Impact of Accidental Injury on Recovery from ACL and Meniscus Surgery - Orthopedics

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Anterior cruciate ligament (ACL) tear and meniscus tear?


You have already undergone surgery, and the doctor advised you to keep it immobilized for two weeks.
However, on the tenth day, a family member accidentally bumped into you, causing the affected area to bend at a 90-degree angle.
It was very painful at the moment, but it seems like there was no significant impact.
What could happen now?

Xiao Liu, 20~29 year old female. Ask Date: 2023/07/16

Dr. You Dianqi reply Orthopedics


It is recommended to schedule an earlier follow-up appointment for evaluation.
Thank you.

Reply Date: 2023/07/16

More Info


The impact of accidental injury on recovery from ACL (anterior cruciate ligament) and meniscus surgery can be significant, and it is essential to understand the potential consequences of such incidents during the recovery phase. After undergoing surgery for ACL and meniscus repair, the initial recovery period is crucial for ensuring proper healing and regaining function in the knee. Typically, patients are advised to keep the knee immobilized for a specific duration, often around two weeks, to allow the surgical site to heal adequately.

In your case, experiencing an accidental injury just ten days post-surgery, where the knee was bent to 90 degrees, could potentially disrupt the healing process. While you mentioned that it was painful at the moment but seemed to have no lasting impact, it is important to consider a few factors:
1. Healing Process: The first few weeks after ACL and meniscus surgery are critical. The graft used for ACL reconstruction and the sutures for meniscus repair need time to integrate and heal. Any sudden movement or trauma can jeopardize this healing process, potentially leading to complications such as re-tearing of the ligament or meniscus.

2. Pain and Swelling: Pain after such an incident is a natural response, and it may indicate that the knee has been stressed. It is essential to monitor for any increased swelling or pain in the days following the incident. If swelling persists or worsens, it could be a sign of complications.

3. Range of Motion: The ability to bend the knee is a critical aspect of recovery. However, bending the knee too soon or too forcefully can lead to stiffness or complications. It is essential to follow the rehabilitation protocol provided by your surgeon or physical therapist, which typically includes gradual increases in range of motion and strength exercises.

4. Follow-Up Care: Given the accidental injury, it is advisable to consult your orthopedic surgeon or physical therapist as soon as possible. They may recommend imaging studies, such as an MRI, to assess the integrity of the ACL and meniscus post-injury. This will help determine if there has been any damage that needs to be addressed.

5. Rehabilitation: Rehabilitation plays a vital role in recovery from ACL and meniscus surgery. A structured physical therapy program will help restore strength, flexibility, and function to the knee. If there are concerns about the recent injury, your rehabilitation plan may need to be adjusted accordingly.

6. Long-Term Considerations: It is essential to consider the long-term implications of any setbacks during recovery. If the knee does not heal properly, it could lead to chronic instability, pain, or even the need for additional surgical interventions in the future.

In conclusion, while it is possible that the accidental injury may not have caused significant damage, it is crucial to err on the side of caution. Regular follow-ups with your healthcare provider, adherence to rehabilitation protocols, and immediate reporting of any concerning symptoms will be vital in ensuring a successful recovery from your ACL and meniscus surgery. Remember, the goal is to return to full function and prevent any long-term complications, so proactive management of your recovery is essential.

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