Anterior cruciate ligament, Orthopedics FAQ

ACL Tear: Is Surgery Necessary After Years of Pain?

Anterior cruciate ligament (ACL) tear? Hello Doctor, I had a car accident in 2014, and my knee was very painful at that time. However, the doctor said there was nothing wrong after X-rays and MRI, and that it would heal on its own. But as of now, in 2017, I still experience a sha...

Dr. Shi Guozheng Reply:
If there are no symptoms from an anterior cruciate ligament (ACL) tear, surgery may not be necessary. The ability to run and engage in physical activity indicates that the knee joint function is still adequate and muscle strength is sufficient, suggesting that the stability of th...

Understanding Pain After Meniscus Rehabilitation: Is It Normal?

Pain after meniscus rehabilitation? Hello, I underwent a medial meniscus repair surgery on July 4th, and it has now been one month. I started rehabilitation yesterday, focusing on electrical stimulation and knee flexion exercises. Currently, I can bend my knee to 75 degrees, but ...

Dr. Chen Yongxue Reply:
Hello, actually your condition should be personally examined by the attending physician. Thank you.

ACL Tear: Should You Consider Surgery for Active Lifestyles?

Complete tear of the anterior cruciate ligament (ACL) in the right knee? Hello, Doctor. On May 24, I completely tore my right anterior cruciate ligament while playing badminton. The meniscus only has a small hole and a gap that the doctor evaluated. My rehabilitation progress see...

Dr. Hong Ximing Reply:
A complete tear of the cruciate ligament will inevitably lead to instability in the knee joint. If ligament reconstruction surgery is not accepted, it is essential to avoid high-intensity activities involving the knee joint to prevent the early onset of arthritis. In summary, whe...

Knee Pain and Stiffness After Car Accident: Recovery Insights

Knee unable to bend and weakness after stitches from a car accident? Hello Doctor, I was in a car accident on July 2nd where my right knee struck the back of a truck, resulting in stitches on my knee. At that time, I was still able to walk properly. After the stitches, I was afra...

Dr. Shi Guozheng Reply:
If the swelling in the knee joint has subsided, you can apply heat and then gradually practice bending it. Improvement should be expected in about a few weeks.

Post-Knee Surgery: Understanding Pain and Potential Long-Term Effects

It seems that there are some residual effects after knee surgery? Hello Doctor: I consulted last year due to knee issues and was diagnosed with left knee plica syndrome and partial tear of the anterior cruciate ligament. Surgery was performed to address the bone wear and to repai...

Dr. Shi Guozheng Reply:
You didn't specify what type of surgery it was, and it's not necessarily a postoperative complication. Rehabilitation after knee surgery can sometimes take as long as six months to a year.

Optimal Timing for Posterior Cruciate Ligament Reconstruction Surgery

Time for Posterior Cruciate Ligament Reconstruction Surgery I sustained a possible anterior cruciate ligament (ACL) tear on May 14th due to a dance move that caused me to hit the floor (while wearing knee pads). I am currently waiting for an MRI. I heard from a certain instructor...

Dr. Chen Yongxue Reply:
Hello, generally speaking, it is best to perform surgery for a torn posterior cruciate ligament (PCL) approximately two months after the injury. Thank you.

Understanding Meniscus Treatment Options for Knee Pain Relief

Meniscus treatment In early January, I forcefully rotated to the right while my left foot remained stationary, resulting in a sudden, intense pain. My left knee hurts when fully extended, and squatting is also painful; if I attempt to squat deeply, it becomes very sore, and the p...

Dr. Chen Yongxue Reply:
Hello, regarding your letter, you should have already consulted with an orthopedic specialist, and there should be an accurate diagnosis based on your current symptoms. The symptoms you described are very similar to those of a torn anterior cruciate ligament (ACL) or a meniscal t...

Impact of ACL Injury on Growth Plates and Future Surgery Considerations

Ligaments and growth plates? Hello Doctor: Currently, I have a torn anterior cruciate ligament (ACL) in my right knee, with a displacement of more than 1 centimeter. I can feel my knee sliding while walking, but there is no pain, only pain when I squat all the way down, making it...

Dr. Shi Guozheng Reply:
Surgery for ligament reconstruction involves drilling through the bone and growth plates, which may affect strength gains; however, it is still possible to engage in physical activity afterward.

Understanding Post-ACL Surgery Knee Flexion: Progress and Concerns

The flexion angle in anterior cruciate ligament reconstruction? I would like to ask the doctor, about three and a half months ago, I underwent surgery on my left knee for an anterior cruciate ligament reconstruction combined with a meniscus repair. Currently, my knee flexion is o...

Dr. Chen Yongxue Reply:
Hello, the opinion of the attending surgeon is that rehabilitation should be actively pursued.

ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?

Questions about Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy? Hello Doctor, I injured my knee 8 years ago and underwent anterior cruciate ligament (ACL) reconstruction surgery. After a sports-related sprain last year, I have been experiencing discomfort in ...

Dr. Shi Guozheng Reply:
Ligament reconstruction surgery should be performed first, as high tibial osteotomy (HTO) cannot improve the condition of ligament instability.

Understanding the Risks of Infection from Allograft Ligaments in ACL Surgery

Risk of allograft ligament infection I underwent surgery to reconstruct my anterior cruciate ligament (ACL) using an allograft from a donor in early July last year. I would like to know if there is a risk of contracting diseases such as HIV or hepatitis from using a donated ligam...

Dr. Shi Guozheng Reply:
Before providing allogeneic materials, they are thoroughly screened to ensure a very low risk of infection.

Understanding Medial Collateral Ligament Injuries: Recovery Tips and Home Care

Medial collateral ligament (MCL) of the knee? Hello, Doctor. When I was 14 years old (now I'm 16), I suffered a torn anterior cruciate ligament and a meniscus tear while playing basketball (I had an MRI done), but I did not undergo surgery. Since then, sometimes when I play ...

Dr. Shi Guozheng Reply:
In addition to rest, applying heat is advisable, and it is currently not suitable to engage in vigorous exercise. Typically, it is best to rest a ligament injury for about six weeks.

Knee Discomfort and Hip Popping After Injury: Seeking Answers

Feeling of foreign body sensation when straightening the knee and hip pain? Hello Doctor: I was involved in a car accident around November last year, resulting in a bruise on my left knee and a severe hematoma on my right knee. An MRI of my right knee revealed a partial tear of t...

Dr. Shi Guozheng Reply:
1. It may not necessarily be related; if there is a sound but no pain, it may not require treatment. 2. There may be inflammation present in the knee joint; you can ask your attending physician for further evaluation.

Understanding Knee Injuries: Fractures, Ligament Damage, and Recovery

Car accident resulting in a small fragmentary fracture of the right knee and injury to the medial ligament of the right knee? Hello Doctor, I was in a car accident last July, resulting in a fracture of my left femur and an impact to my right knee. I had a steel rod inserted in m...

Dr. Shi Guozheng Reply:
A tear of the anterior cruciate ligament (ACL) can lead to anterior instability. The anterior drawer test is commonly used in clinical examinations, but the sensation may vary slightly from person to person. Most minor injuries to the medial collateral ligament (MCL) do not requi...

Understanding the Relationship Between ACL Injury and Meniscus Damage

The relationship between the anterior cruciate ligament (ACL) and the meniscus? Hello, Dr. Shi: After reading the relevant responses, I have one more question to ask. Ten years ago, I suffered a torn anterior cruciate ligament (ACL) due to a car accident, but the hospital did not...

Dr. Shi Guozheng Reply:
The anterior cruciate ligament (ACL) has been torn, accompanied by a meniscal tear. Due to the prolonged duration, repair surgery may be ineffective. The ligaments in the joint have been damaged for a long time, and the instability of the joint may lead to early onset of osteoart...

Understanding ACL Injuries: Partial Tears and MRI Recommendations

Cruciate ligament Hello, Doctor. On December 31, I fell while exercising. I had an MRI on January 6, and on January 10, the results showed a torn anterior cruciate ligament (ACL). The doctor at the hospital mentioned that the ACL is a double bundle, and I have a single bundle tea...

Dr. Shi Guozheng Reply:
Partial tears are correct; after a fall, rest and treatment should be prioritized. If symptoms do not improve, then consult a physician to evaluate whether further examination is necessary.

Understanding ACL Tears and Meniscus Issues: Key Insights for Patients

Issues with the cruciate ligaments and meniscus? Hello Dr. Shi: Last month, at Tzu Chi Hospital in Taichung, I was diagnosed with a torn anterior cruciate ligament (ACL) after physical examination, X-rays, and MRI. I am preparing for an arthroscopic surgery for autologous ligamen...

Dr. Shi Guozheng Reply:
If an MRI scan cannot determine whether there is a meniscal tear, it can certainly be assessed during surgery. Alternatively, arthroscopy can also visualize the condition, and both procedures can be performed simultaneously. Both types of surgery are covered by health insurance.

Post-ACL Surgery Rehab: Overcoming Limping While Walking and Running

Rehabilitation Issues After Anterior Cruciate Ligament (ACL) Reconstruction Surgery I had my anterior cruciate ligament surgery 9 months ago, but I still have a limp when walking and running, especially when running. What rehabilitation exercises can I do to resolve this issue?

Dr. Hong Ximing Reply:
Nine months after anterior cruciate ligament reconstruction surgery, one should be able to engage in general physical activities; however, running with a limp should be avoided or protected as much as possible.

Post-ACL Surgery: Is Persistent Knee Swelling After One Month Normal?

It has been nearly a month since the anterior cruciate ligament surgery, and there is still swelling around the knee? About a month ago, I underwent an autologous anterior cruciate ligament reconstruction and meniscus repair on my left knee. Currently, I can almost wear a brace a...

Dr. Shi Guozheng Reply:
It is normal to experience slight swelling about a month after surgery. However, if there is significant redness, swelling, heat, pain, and fever, that may indicate an infection. If these symptoms persist, it is important to consult a physician.

Understanding ACL Reconstruction: Addressing Post-Surgery Instability

Laxity persists after anterior cruciate ligament reconstruction? Hello Doctor: I sustained an injury on February 17, 2015, resulting in a torn anterior cruciate ligament (ACL). I underwent reconstruction surgery using a bone-tendon-bone (BTB) technique on August 10, 2015. After a...

Dr. Shi Guozheng Reply:
It is generally not recommended to undergo another surgery to strengthen muscle power if there is still looseness after the initial surgery; instead, focusing on muscle strengthening exercises is more feasible, as this can help reduce instability.

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