Anterior cruciate ligament, Orthopedics FAQ

Post-ACL Reconstruction Challenges: Pain, Instability, and Rehabilitation

Issues After Anterior Cruciate Ligament Reconstruction Surgery I am currently 44 years old. In December 1990, I underwent ligament reconstruction surgery for my left knee's anterior cruciate ligament (ACL). After surgery and rehabilitation, I regained my original function, a...

Dr. Chu Baijun Reply:
What does "approximately" mean? I believe that the current rehabilitation treatment can focus on rebuilding the strength of your thigh muscles, which will help improve muscle atrophy and enhance protection for the ligaments, preventing re-injury. Thank you for your mess...

Persistent Foot Pain: Causes and Solutions for Long-Term Relief

My feet start to hurt after wearing shoes for a long time or standing for an extended period? I experience pain in the sole of my right foot after wearing shoes for a long time or standing for extended periods. There is a protrusion on the side of my ankle that is painful when to...

Dr. Huang Longde Reply:
Hello: Based on your description, the physician should have performed an X-ray to confirm whether there is an old ankle fracture. Your outer ankle often swells and hurts repeatedly due to prolonged standing or wearing shoes, which is caused by injury to the lateral ligaments or u...

Understanding ACL Injuries: MRI Accuracy and Medical Liability Concerns

Issues related to the assessment of cruciate ligaments? I was in a car accident in 2001, injuring my right knee, and later discovered that I had a torn ligament. The physician at that time diagnosed it as an anterior cruciate ligament (ACL) tear and preserved the MRI imaging file...

Dr. Shi Guozheng Reply:
The diagnosis of a cruciate ligament tear can be made through physical examination. If it is a complete tear, an experienced physician can determine whether it is the anterior or posterior cruciate ligament without relying on imaging studies. Immediately after the injury, due to ...

ACL Autograft Surgery: Recovery Tips and Common Concerns

Anterior cruciate ligament autograft reconstruction surgery Hello Doctor: I have a good friend who underwent an autologous graft reconstruction surgery for the anterior cruciate ligament (ACL) a month ago. Although they have been doing rehabilitation, their knee still cannot bend...

Dr. Shi Qiming Reply:
Hello: Postoperative pain is not normal, and whether there is adhesion or if a reoperation is needed will depend on the actual situation. It is recommended that you return to your original surgeon's clinic for further follow-up and treatment. Active muscle training after sur...

Understanding Knee Impact Injuries: Symptoms, Diagnosis, and Next Steps

Knee impact injury? Last year, I fell while going down the stairs, and the front part of my right knee (toward the upper area) hit the protruding edge of the stairs. It was extremely painful at the time, but after a while, I have experienced the following sensations: 1. I often f...

Dr. Chu Baijun Reply:
Hello Ray: The hard bone at the front of the knee is called the patella. After a knee impact, in addition to potential bone injury, the prepatellar bursa, posterior cartilage, and surrounding patellar tendons and ligaments may also be injured, leading to discomfort. At this time,...

Post-Arthroscopy Knee Concerns: Sounds, Recovery, and Exercise Guidelines

Post-operative issues following arthroscopic surgery? Hello, doctor. I previously underwent arthroscopic surgery, and now my knee makes noise when I walk, but there is no pain. I asked the surgeon who performed the operation, and he said that after anterior cruciate ligament (ACL...

Dr. Hong Ximing Reply:
Hello Hunter: The presence of sounds in the knee does not affect your ability to exercise. The primary goal of anterior cruciate ligament (ACL) reconstruction is to restore joint stability, and if there is no pain, treatment is not necessary. Taking glucosamine may not aid in lig...

Rehabilitation After ACL Reconstruction: Addressing Common Concerns

Arthroscopic surgery rehabilitation Doctor, thank you for your response. I have some additional questions that I need your clarification on. After anterior cruciate ligament (ACL) reconstruction, there is a sound in my knee, which may be caused by the patella sliding over the syn...

Dr. Shi Guozheng Reply:
Six months post-surgery, you should be able to climb stairs, and by nine months, you can return to your pre-injury level of physical activity.

Post-Arthroscopic Surgery Concerns: Knee Noises and Recovery Tips

Questions After Arthroscopic Reconstruction Surgery Hello, doctor. Last year, I underwent arthroscopic surgery, during which the physician examined my meniscus and said there were no issues. They only performed a reconstruction of the anterior cruciate ligament (ACL). After the s...

Dr. Shi Guozheng Reply:
After anterior cruciate ligament reconstruction, if there are sounds coming from the knee, it may be due to the patella sliding over the synovium. As long as there is no pain associated with it, there is no cause for concern. Six months post-surgery, you can engage in some light ...

Understanding Open Fractures and Ligament Tears: Treatment and Recovery

Fractures and ligament tears? Dear Doctor: I have an open fracture in my lower leg with ligament rupture. The bone has been stabilized with steel pins, but the position of the pins affects the suturing of the ligaments. Is it really necessary to wait two years to remove the pins ...

Dr. Chen Xingyuan Reply:
Dear Mr. Hsieh, Different injury conditions and locations may require different management approaches. Your description is not very clear, making it difficult to assess whether the treatment method is appropriate. I have encountered cases of proximal tibial fractures combined wi...

Understanding Post-ACL Reconstruction: Knee Stability and Sounds Explained

Cruciate ligament Hello, doctor. I underwent arthroscopic surgery last November, during which the physician checked my meniscus and said there were no issues or injuries. They only performed a reconstruction of the anterior cruciate ligament (ACL). However, in the past few months...

Dr. Chu Baijun Reply:
Hello: Both anterior and posterior cruciate ligament reconstructions may result in mild instability. Most of the time, stability can be improved through aggressive rehabilitation. It is not easy to diagnose the sounds occurring in the knee during movement without a detailed histo...

Understanding ACL Tear Recovery: Common Concerns and Rehabilitation Tips

Tear of the anterior cruciate ligament with associated fracture? Hello Doctor: At the end of January this year, I suffered a torn anterior cruciate ligament and a fracture in my right knee due to a car accident. I had a steel plate inserted, and the doctor advised me to keep it i...

Dr. Li Wenlin Reply:
Hello: In response to your question, rehabilitation therapy is necessary after an anterior cruciate ligament (ACL) tear with associated fracture surgery. The fact that you can walk without crutches indicates that your function has mostly recovered. However, since you still cannot...

Understanding ACL Tear Recovery: Common Concerns and Rehabilitation Tips

Anterior cruciate ligament tear with associated fracture? Hello Doctor: At the end of January this year, I suffered a torn anterior cruciate ligament and a fracture in my right knee due to a car accident. I had a metal plate inserted, and the doctor advised me to keep it immobili...

Understanding Knee Pain: When to Seek Medical Attention for ACL Injuries

Knee joint Hello doctor, I have an old injury where my anterior cruciate ligament (ACL) is torn. I twisted my knee again, and initially, I felt pain on the medial ligament. After resting for two weeks, the swelling has gone down, but I still cannot fully extend my knee. The later...

Dr. Li Wenlin Reply:
Hello: In response to your question, please seek medical attention as soon as possible (start with an orthopedic specialist, and if rehabilitation is needed, then consult a rehabilitation specialist). Wishing you a speedy recovery!

Managing Knee Pain and ACL Injury After Fracture: A Patient's Guide

Anterior cruciate ligament (ACL) tear, knee swelling and pain? Hello Dr. Shi, Last October, I fell off my motorcycle and fractured the neck of my left femur. When I was taken to the hospital, my thigh injury was more severe, and my knee appeared to be fine, so it wasn't giv...

Dr. Shi Guozheng Reply:
If the stability of the anterior cruciate ligament (ACL) tear in the knee joint is sufficient, there may not be an urgent need for surgical intervention. Typically, rehabilitation therapy can be initiated to strengthen muscle power and enhance the stability of other tendons aroun...

Post-Arthroscopy Recovery: Understanding Pain and Rehabilitation for ACL Injuries

Post-arthroscopic surgery My father is 52 years old. He had a fall ten months ago and underwent acupuncture, traditional Chinese medicine, hyaluronic acid injections, and an MRI, but no ligament tear was detected. Later, he had arthroscopic surgery, which revealed a torn anterior...

Dr. Hong Ximing Reply:
Hello Kyle: You have a torn cruciate ligament along with cartilage damage, and you underwent arthroscopy. The physician should provide a detailed explanation, as they are the most knowledgeable about your case. Generally, the need for reconstruction depends on the severity of the...

Rehabilitation After ACL Reconstruction: Key Questions Answered

Rehabilitation after Anterior Cruciate Ligament (ACL) Reconstruction Surgery Dear Director Zhang, I suffered a rupture of my anterior cruciate ligament (ACL) due to a car accident and underwent reconstruction using a graft from the inner side of my calf. I had the surgery on Jan...

Dr. Zhang Shengben Reply:
1. A functional brace should be used postoperatively. 2. Rehabilitation can begin three weeks after surgery, but the types of rehabilitation should be followed according to the physician's instructions. 3. Exercises that involve bending the knee should be restricted; if pain...

ACL Tear with Meniscus Injury: Is Running Safe for Your Knee?

Anterior cruciate ligament (ACL) tear with associated meniscal tear? Hello doctor, after my examination, the results showed that I have a torn anterior cruciate ligament (ACL) in my right knee, along with a meniscal tear. I have no issues walking, so I haven't sought further...

Dr. Li Wenlin Reply:
Hello: In response to your question, a torn anterior cruciate ligament combined with a meniscal tear can lead to knee instability and a feeling of weakness in the leg. If further injury occurs, it may result in additional cartilage damage, so caution is indeed necessary. It is re...

Understanding Knee Cartilage Replacement: Options and Longevity Insights

Regarding knee cartilage replacement? Hello Doctor, ten years ago, I suffered a car accident that resulted in a comminuted fracture of my left knee joint, along with a torn meniscus and a ruptured anterior cruciate ligament (ACL). This has led to subchondral bone depression on th...

Dr. Shi Guozheng Reply:
Currently, artificial tissue-cultured cartilage replacement is mostly in the animal experimental stage, with very few applications in humans. However, some medical centers are performing autologous cartilage transplantation. If you are referring to a unicompartmental knee arthrop...

ACL Reconstruction: Seeking Advice After New Knee Injury

Dr. Lai, you previously performed an anterior cruciate ligament (ACL) reconstruction surgery on me? Dear Dr. Lai, Hello. You performed a left anterior cruciate ligament reconstruction and meniscectomy on me at Renai Hospital in May 1998. My ID number is **********. Yesterday (12...

Dr. Lai Qiren Reply:
Hello Mr. Tsai: Q1: I recommend that you apply ice and use a bandage to protect your right knee for the next two to three days to prevent further injury. Since you are responding on Thursday morning, I suggest you come to my clinic for treatment in the afternoon. Q2: You need t...

ACL Reconstruction Options for Patients with Patellar Tendon Injury

I want to undergo anterior cruciate ligament (ACL) reconstruction surgery, but I have a history of patellar tendon rupture? Hello, doctor. A few years ago, I ruptured my anterior cruciate ligament while playing basketball. I've been experiencing persistent knee pain and woul...

Dr. Hong Ximing Reply:
Wan: Hello, currently for anterior cruciate ligament reconstruction, there are many available graft options. In addition to the patellar tendon and synthetic grafts, the semimembranosus tendon from the thigh can also be utilized.

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