Understanding Arthroscopic Surgery for Knee Injuries: What to Expect
Arthroscopic surgery Doctor, my knee was injured in a car accident, and I had an MRI done. The results showed that I have a torn anterior cruciate ligament (ACL), a torn medial collateral ligament (MCL), and a meniscal tear. The doctor I initially consulted advised me not to take...
Dr. You Dianqi Reply:
Hello: The following responses are based solely on your textual description. Without imaging and physical examination background, the accuracy and reliability of my replies are limited. I still recommend that you have a detailed discussion with your attending physician. Thank you...[Read More] Understanding Arthroscopic Surgery for Knee Injuries: What to Expect
Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Knee injury from a motorcycle accident? I fell off my motorcycle and landed on my right knee. There is no obvious swelling in the knee, but when I stand and lift my right leg (with the calf vertical to the ground and not exerting force), I experience pain on the outer side of the...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have an injury to the lateral meniscus and the anterior cruciate ligament. You should undergo an MRI to confirm the diagnosis. Wishing you a speedy recovery.[Read More] Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Left posterior knee avulsion fracture of the tibial plateau with posterior cruciate ligament tear? Doctor, my daughter suffered a fracture of the posterior tibial plateau and a rupture of the posterior cruciate ligament due to a car accident. Initially, the fracture was stabilize...
Dr. Li Yongheng Reply:
Hello, your daughter is unable to kneel and has difficulty squatting, which is likely related to the rehabilitation following her surgery a year ago, and is not related to the anterior cruciate ligament (ACL) not being reattached or reconstructed. As long as the knee joint is sta...[Read More] Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Post-ACL Surgery Concerns: Knee Pain and Possible Complications
Postoperative issues Hello, doctor. I underwent anterior cruciate ligament reconstruction surgery less than a week ago and have been resting at home. While doing leg raises, I suddenly heard a popping sound from my knee (I was wearing a brace and had it set at 0 degrees). Afterwa...
Dr. You Dianqi Reply:
Hello: You mentioned that shortly after surgery, while performing quadriceps training, you heard a popping sound and then started to experience pain. Could this possibly indicate a ligament issue? I believe that in medical events, any possibility exists, but given that you were w...[Read More] Post-ACL Surgery Concerns: Knee Pain and Possible Complications
Rehabilitation After ACL Reconstruction: Addressing Knee Flexibility Issues
Rehabilitation after Posterior Cruciate Ligament Reconstruction Hello Doctor, it has been nearly six months since my surgery, but I still cannot bend my knee to the extent of bringing my thigh to my calf (approximately 170 degrees). Could there be any issues with this? Is it dang...
Dr. Chen Yongxue Reply:
Hello, 1. After anterior cruciate ligament (ACL) reconstruction, general usage is usually fine; however, there may be limitations when bending to extreme angles. It is advisable to discuss this with your attending physician. 2. The strength needed for climbing stairs can be ac...[Read More] Rehabilitation After ACL Reconstruction: Addressing Knee Flexibility Issues
ACL Avulsion Fracture: Traditional vs. Minimally Invasive Surgery Options
Anterior cruciate ligament (ACL) avulsion fracture Hello, two weeks ago I had a car accident, and X-rays and MRI confirmed an ACL sprain with a fracture. I would like to inquire about the recommendations for traditional surgery versus minimally invasive surgery. Additionally, how...
Dr. Li Yongheng Reply:
Hello, in the case of a non-displaced anterior cruciate ligament (ACL) avulsion fracture, it can be treated with a cast without the need for surgery. If the fracture is displaced, minimally invasive arthroscopic surgery is recommended. Generally, a brace is required for 4-6 weeks...[Read More] ACL Avulsion Fracture: Traditional vs. Minimally Invasive Surgery Options
Understanding Posterior Cruciate Ligament Reconstruction After Injury
Posterior cruciate ligament reconstruction Hello, doctor. I was in a car accident in mid-May, which caused swelling in my knee. After the swelling subsided over the past two weeks, I went to the hospital for an examination and had an MRI. The doctor said I have a complete tear of...
Dr. Chen Yongxue Reply:
Hello, the knee joint has four ligaments. If three of them are torn, it will be very unstable, particularly with a rupture of the posterior cruciate ligament (PCL), which is usually caused by a bicycle accident where the front of the knee is struck backward. This type of PCL tear...[Read More] Understanding Posterior Cruciate Ligament Reconstruction After Injury
Post-ACL Surgery: Managing Swelling and Discomfort After Arthroscopy
Post-operative swelling after arthroscopic surgery? Hello Doctor, I underwent arthroscopic surgery for anterior cruciate ligament reconstruction and meniscus repair one week ago. Although there is some swelling post-surgery, I believe it is not too severe. However, due to the nat...
Dr. Cai Shanglin Reply:
If swelling persists after surgery, ice packs should be applied. If the swelling has started to subside, heat packs can be used. Generally, the elevation should be above heart level. If the swelling still does not improve, it is recommended to return for a follow-up examination.[Read More] Post-ACL Surgery: Managing Swelling and Discomfort After Arthroscopy
Post-ACL Surgery: Understanding Knee Swelling and Pain Issues
Post-operative knee effusion following anterior cruciate ligament (ACL) surgery? Hello, doctor. I underwent anterior cruciate ligament reconstruction and partial meniscus repair on October 1st last year, and it has been 9 months since the surgery. MRI scans taken at the 3-month a...
Dr. Cai Shanglin Reply:
The presence of effusion is generally a result of inflammation in the joint tissues. The redness is likely due to the severity of the inflammation. It is difficult to determine whether it is degenerative arthritis or periostitis. If both MRI scans show no issues with the ligament...[Read More] Post-ACL Surgery: Understanding Knee Swelling and Pain Issues
Understanding Recovery After ACL Reconstruction: Common Concerns and Tips
Posterior cruciate ligament reconstruction Hello Doctor, it has been over three months since my left knee underwent anterior cruciate ligament reconstruction, and my flexion angle is approximately 130 degrees. 1. The injured knee still feels a bit swollen. 2. After practicing ben...
Dr. Cai Shanglin Reply:
These symptoms are common post-operative conditions and may persist for more than six months. Please continue with your rehabilitation.[Read More] Understanding Recovery After ACL Reconstruction: Common Concerns and Tips
Post-ACL Reconstruction: Recovery Timeline and Walking Tips
Posterior cruciate ligament reconstruction Hello Doctor, I underwent arthroscopic anterior cruciate ligament reconstruction on my left knee in early February this year. After the surgery, the doctor mentioned that I could bend my knee to 30 degrees after 6 weeks and should reach ...
Dr. Chen Yongxue Reply:
Hello, after anterior cruciate ligament (ACL) reconstruction, the main concern is the twisting movements of the knee joint in the short term. Using a walker during the initial postoperative period is for safety reasons; it does not mean that walking is impossible without one. Add...[Read More] Post-ACL Reconstruction: Recovery Timeline and Walking Tips
Persistent Knee Pain After Injury: Seeking Answers and Solutions
Severe pain persists in the knee two and a half months after the injury? Hello Doctor: Thank you for your tireless efforts in answering the questions of netizens. I truly appreciate it. In mid-February, while running, I tripped over an unknown object and fell, landing on both kne...
Dr. Chen Yongxue Reply:
Hello, both meniscus and cruciate ligament injuries cannot be diagnosed with X-rays; an MRI is necessary. Regarding the interpretation of MRI results, there can be some margin of error. PRP injections cannot alleviate pain from a right knee fracture; if there is no displacement, ...[Read More] Persistent Knee Pain After Injury: Seeking Answers and Solutions
Choosing the Best ACL Reconstruction Option for Athletes
Second rupture of the cruciate ligament? Hello Doctor, I recently underwent an examination and was diagnosed with a torn anterior cruciate ligament (ACL) combined with a meniscus tear. During my first injury, I used the hamstring tendon from the affected leg for reconstruction. T...
Dr. Shi Guozheng Reply:
It is best to discuss with your physician whether arthroscopic surgery for the meniscus issue is appropriate, as the differences in outcomes may not be significant.[Read More] Choosing the Best ACL Reconstruction Option for Athletes
Understanding Post-Operative Recovery for PCL Reconstruction and Meniscus Repair
Postoperative Outcomes and Differences After Anterior Cruciate Ligament Reconstruction Hello, doctor. I was in a car accident six months ago, and it was only recently discovered through examinations that I have a complete tear of the posterior cruciate ligament (PCL), a partial t...
Dr. Shi Guozheng Reply:
1. The limitation of knee joint flexion may take a bit longer. 2. The duration for wearing a brace should be discussed with the surgeon to understand the specifics of the procedure; it is typically three to six months. 3. Meniscus repair generally requires about six weeks of ...[Read More] Understanding Post-Operative Recovery for PCL Reconstruction and Meniscus Repair
Understanding Knee Pain: Possible Injuries and When to Seek MRI
Knee problems Hello, Doctor: I am currently unable to squat all the way down; I can squat, but I experience a soreness sensation. Additionally, when I stand straight, there is a clicking and slight pain on the right side of my anterior cruciate ligament (ACL). Sometimes I feel pa...
Dr. Shi Guozheng Reply:
If the meniscus is injured and torn, clinically there may be a locking sign symptom. Physical examination may reveal sudden pain due to locking, and sometimes there may be effusion in the joint. The range of motion will be reduced. If the symptoms do not improve, it is advisable ...[Read More] Understanding Knee Pain: Possible Injuries and When to Seek MRI
Understanding BEAR Surgery for ACL Tears: Options and Recovery Insights
Anterior cruciate ligament (ACL) tear BEAR (Bridge-Enhanced ACL Repair) ligament reconstruction surgery? Last week, after undergoing an MRI at the hospital, the doctor informed me that I have a complete tear of the anterior cruciate ligament (ACL). It likely occurred about two we...
Dr. Chen Yongxue Reply:
Currently, the mainstay for anterior cruciate ligament reconstruction is still autograft transplantation. There are concerns regarding the lifespan of synthetic ligaments. Additionally, the results of the BEAR technique have not yet been widely accepted by the orthopedic communit...[Read More] Understanding BEAR Surgery for ACL Tears: Options and Recovery Insights
Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Artificial ligament rupture/meniscus tear Hello, Doctor. I was injured in a car accident in 1991, resulting in the replacement of the anterior cruciate ligament (ACL) and lateral ligaments in my left knee with artificial ligaments. An MRI in April 2017 revealed that the ACL in my...
Dr. Shi Guozheng Reply:
Not removing the ligament will not affect the wear of the cartilage. Depending on your age, if you are not engaging in vigorous activities, surgery may not be necessary. Rehabilitation to strengthen the muscles can help reduce knee joint instability.[Read More] Understanding ACL Tears and Meniscus Damage: Treatment Options Explained
Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps
Knee cartilage tear, post-surgery? Hello Doctor, I am currently 23 years old. It has been a year since I underwent cartilage debridement surgery. The surgeon mentioned that my left knee cartilage was severely damaged, but did not provide any follow-up treatment plan. Now, a year ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you should return to the original surgical hospital and consult with your primary surgeon to clarify whether your meniscus tear was treated with partial meniscectomy or meniscus repair surgery. The feeling of looseness in your knee may be related to...[Read More] Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps
Recovering from ACL Injury: Insights and Rehabilitation Tips
Right knee anterior cruciate ligament injury (Japan) In early August this year, I fell while living in Japan. Two hours after the fall, my right knee swelled, and I was unable to bend it, experiencing severe pain. I sought medical attention that same day, and due to internal blee...
Dr. Shi Guozheng Reply:
Typically, recovery takes about three months, and after that, one can return to work. If the anterior cruciate ligament (ACL) is torn, rehabilitation will restore some function, but it may not be 100%. Achieving 80-90% recovery is considered good, as it helps increase muscle stre...[Read More] Recovering from ACL Injury: Insights and Rehabilitation Tips
Understanding ACL Reconstruction Surgery: Key Insights and Considerations
Anterior cruciate ligament reconstruction surgery Hello, Doctor. I hope you don't mind if I ask you some questions. I have been diagnosed with a torn anterior cruciate ligament (ACL), and I have undergone both MRI and arthroscopy. My doctor has recommended that I undergo rec...
Dr. Li Yongheng Reply:
Because you are young and active, it is still recommended that you undergo arthroscopic autograft ligament reconstruction surgery. Dr. Chen Chao-Ping, the head of orthopedics at Taichung Veterans General Hospital, is an authority in this field and I recommend that you consult him...[Read More] Understanding ACL Reconstruction Surgery: Key Insights and Considerations