Understanding Ligament Injuries: Choosing Between Allograft and Autograft
Ligament injury Hello Doctor, I had a car accident last June where my knee suffered an open fracture (bone crack). Initially, I had no issues with rehabilitation after the accident, but recently I've been feeling instability in my knee joint, so I scheduled an MRI. After the...
Dr. You Dianqi Reply:
Hello, the options for ligament reconstruction include autografts, allografts, and synthetic ligaments. Generally, most people prefer autografts. However, if you have a need for rapid recovery and a return to the playing field, allografts may be more ideal. Allografts themselves ...[Read More] Understanding Ligament Injuries: Choosing Between Allograft and Autograft
Post-ACL Reconstruction and Meniscus Repair: Common Concerns and Recovery Tips
Questions After Anterior Cruciate Ligament Reconstruction and Meniscus Repair Surgery Hello Doctor, I would like to ask you about my condition. I underwent anterior cruciate ligament reconstruction (using autologous tendon from my leg) and meniscus repair surgery about 5 days ago...
Dr. Chen Yongxue Reply:
Please continue to monitor and return for your scheduled follow-up appointment. Thank you.[Read More] Post-ACL Reconstruction and Meniscus Repair: Common Concerns and Recovery Tips
Understanding PCL Avulsion Fractures: Healing Status After Six Months
PCL avulsion fracture (six months duration) Hello Doctor: I had a car accident last November and was diagnosed with a PCL avulsion fracture. At that time, I did not undergo surgery and was only immobilized for two months. It has now been six months, and my orthopedic doctor arran...
Dr. Chen Yongxue Reply:
Hello, according to the MRI report you provided, the posterior cruciate ligament has not yet healed (which is actually to be expected). As for the treatment you should pursue, it depends on your daily activities: if you are an active person who enjoys sports, especially those tha...[Read More] Understanding PCL Avulsion Fractures: Healing Status After Six Months
Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?
Diagnosis: Tear of the anterior and posterior cruciate ligaments with associated fracture? I had a car accident on January 3rd this year, resulting in a tibial plateau fracture and tears of both the anterior and posterior cruciate ligaments. I underwent surgery where plates and s...
Dr. Chen Yongxue Reply:
Hello, riding a motorcycle is generally fine, but in case of an emergency situation, your affected limb may not be able to react in time. It is advisable not to attempt it before you are able to exercise properly. Thank you.[Read More] Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?
Preventing Traumatic Arthritis: Is Annual PRP Treatment Recommended?
Preventing Traumatic Joint Degeneration Hello, doctor! I am only 35 years old, but I have undergone anterior cruciate ligament reconstruction and meniscus repair on my left knee. I want to prevent further issues arising from these injuries. In this situation, do you recommend con...
Dr. Chen Yongxue Reply:
Hello, PRP has benefits, thank you.[Read More] Preventing Traumatic Arthritis: Is Annual PRP Treatment Recommended?
Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?
How to manage the risks associated with ligament and meniscus tears? Hello, doctor! Due to a car accident, I have suffered severe damage to my left knee's anterior cruciate ligament and partial meniscus tear. I previously consulted a physician who mentioned that this conditi...
Dr. Shi Guozheng Reply:
PRP theoretically can help repair mildly damaged cartilage, but if a ligament is completely torn, it cannot regenerate. For ligament injuries, strengthening exercises can compensate for joint stability. If the joint has severely degenerated over many years, a total joint replacem...[Read More] Managing Risks of ACL and Meniscus Injuries: Is PRP Therapy Effective?
Does ACL Tear Lead to Joint Degeneration? Insights and Prevention Strategies
Does a torn anterior cruciate ligament lead to joint degeneration issues? Hello! I would like to understand whether a torn anterior cruciate ligament (ACL) and a meniscus tear are associated with joint degeneration issues. Have physicians reviewed any relevant studies that confir...
Dr. Shi Guozheng Reply:
Joint instability can accelerate degeneration. When the meniscus is torn, it can no longer cushion the stress on the joint, leading to premature aging of the joint.[Read More] Does ACL Tear Lead to Joint Degeneration? Insights and Prevention Strategies
Understanding Osteochondritis Dissecans: Treatment Options for Knee Pain
Treatment methods for OCD (Obsessive-Compulsive Disorder) Hello Dr. You, I fell in November 2023 and landed directly on my left knee. Despite ongoing treatment in rehabilitation and traditional Chinese medicine, my pain has not improved. I still experience pain on both sides of t...
Dr. You Dianqi Reply:
Please bring your report to the orthopedic outpatient clinic to consult with the physician. Thank you.[Read More] Understanding Osteochondritis Dissecans: Treatment Options for Knee Pain
Understanding Patellar Pain After Knee Injury: Causes and Recovery Tips
Patellar pain Hello, doctor. I would like to ask about my condition. After a car accident where I fell and landed on my left side, I experienced pain in my left leg and was unable to fully bend it (it seems like there is pressure behind the knee and around the patella, but I'...
Dr. Shen Boquan Reply:
Hello, due to a car accident, you are experiencing pain in your left knee. There could be many possible reasons for this, including injuries to the anterior cruciate ligament, posterior cruciate ligament, meniscus, or medial and lateral collateral ligaments, or it could simply be...[Read More] Understanding Patellar Pain After Knee Injury: Causes and Recovery Tips
Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Arthroscopic surgery I have a sports injury and underwent surgery for meniscus repair, anterior cruciate ligament reconstruction, and medial collateral ligament tightening. Currently, it has been three weeks since the surgery. I have noticed that when bending my knee, there is a ...
Dr. Wang Shouji Reply:
Hello, it is not uncommon to experience joint stiffness and reduced mobility after surgery due to decreased activity. It is recommended to engage in more heat therapy and rehabilitation exercises. Most patients find relief within two to three months. Changhua Hospital cares about...[Read More] Understanding Post-Operative Sounds After Arthroscopic Knee Surgery
Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?
Will knee anesthesia and flexion cause damage to the meniscus? Hello, Doctor. I have two questions and a somewhat lengthy situation I would like you to review. Thank you for taking the time to read this. Question 1: After undergoing anterior cruciate ligament (ACL) reconstructio...
Dr. Chen Yongxue Reply:
Hello, 1. In three months, I will undergo anesthesia for a knee procedure. Will it damage the meniscus? No, during the arthroscopic surgery after anesthesia, the pressure is applied gradually, which will not harm the meniscal cartilage. 2. Can X-rays detect a small fragment ne...[Read More] Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?
How to Determine if You Have a Fracture: Expert Insights
Fracture issues Hello Dr. Shen, earlier you responded to my inquiry, but there was an issue with the photo that I couldn't open. It has now been fixed. I would like to ask for your help in determining whether there is indeed a fracture. Thank you!
Dr. Shen Boquan Reply:
Hello, the lateral X-ray of the knee shows a faint trace that may indicate a possible avulsion fracture of the posterior cruciate ligament with minimal displacement. An MRI should provide a clearer view, as sometimes there is no initial displacement that later develops. The physi...[Read More] How to Determine if You Have a Fracture: Expert Insights
Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Posterior cruciate ligament (PCL) tear? Recently, I had a motorcycle accident and my knee and calf are swollen and painful. I went to an orthopedic doctor and had an MRI done. Doctor, could you tell me if this is serious? Here are the findings: Examination: Non-contrast MRI of ...
Dr. Shi Guozheng Reply:
A posterior cruciate ligament (PCL) tear occurs when the ligament is torn along with the bone at the back of the tibia, resulting in a type of avulsion fracture. This can be treated surgically using bone screws to reattach the ligament. It is advisable to consult with a physician...[Read More] Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Understanding Meniscus Repair, ACL Fold Repair, and Hyaluronic Acid Injections
Meniscus repair and anterior cruciate ligament (ACL) fold repair, confusion regarding the number of hyaluronic acid injections for hip displacement? Hello, Doctor. Due to a sports injury, my right knee MRI has shown that I need to undergo meniscus repair and anterior cruciate lig...
Dr. You Dianqi Reply:
Each type of hyaluronic acid treatment is different; please discuss with your attending physician. Thank you.[Read More] Understanding Meniscus Repair, ACL Fold Repair, and Hyaluronic Acid Injections
Persistent Knee Pain After Years: Seeking Advanced Treatment Options
Pain behind the left knee joint for N years, unable to walk for long periods (about 30 minutes before pain occurs)? 1. I have consulted with the orthopedic departments at Shuang Ho Hospital, Veterans General Hospital, and Tri-Service General Hospital. They have all recommended me...
Dr. You Dianqi Reply:
Pain behind the knee can have various causes, including trauma, sports injuries, knee degeneration, poor posture, prolonged sitting or standing, and damage to the lumbar spine or posterior cruciate ligament. It is advisable to undergo a thorough examination and then treat accordi...[Read More] Persistent Knee Pain After Years: Seeking Advanced Treatment Options
Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Can you help interpret an MRI report? Right knee MRI consisted of multiplanar T1 and T2 weighted images with multiple sequences showing: > PCL injury, status post PCL reconstruction. > Ligamentous edema of the PCL is noted. > Fluid collection within the knee joint. > ...
Dr. Shi Guozheng Reply:
The MRI results indicate a rupture of the posterior cruciate ligament in the right knee, with edema present in the posterior cruciate ligament following reconstruction surgery.[Read More] Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Understanding Recovery from Posterior Cruciate Ligament Tear and Fracture
Tear of the posterior cruciate ligament with associated fracture? I would like to ask the doctor, I had a car accident on August 14 and was diagnosed with a torn cruciate ligament and a fracture. The posterior cruciate ligament of the tibia is displaced by about 5mm. It has been ...
Dr. Chen Yongxue Reply:
Hello, due to the fracture, it is necessary to keep the affected area immobilized, which often leads to swelling, numbness, and other discomfort in the lower limbs. This will naturally improve once you begin to engage in weight-bearing activities later on. In the short term, elev...[Read More] Understanding Recovery from Posterior Cruciate Ligament Tear and Fracture
Understanding ACL Injuries: Tests, Treatments, and Recovery Insights
Cruciate ligament Hello Doctor: I would like to ask some questions regarding the cruciate ligaments. 1. If a doctor frequently performs the drawer test on me, is there a possibility that it could lead to an injury of the anterior cruciate ligament (ACL) that was previously unin...
Dr. Chen Yongxue Reply:
I would like to ask some questions regarding the cruciate ligament. 1. If a doctor frequently performs the drawer test on me, is there a possibility that it could cause an injury to the anterior cruciate ligament (ACL) that was not previously injured? No. 2. During my research...[Read More] Understanding ACL Injuries: Tests, Treatments, and Recovery Insights
Understanding MRI and Ultrasound Reports for Knee Injuries
MRI Report and Musculoskeletal Ultrasound Report Hello, Doctor! Below are my MRI and musculoskeletal ultrasound reports. I would like to ask if there are any other issues that require treatment besides the medial collateral ligament (MCL) tear. Note: I am currently undergoing PRP...
Dr. Zhan Xian Reply:
Hello, the report primarily indicates a partial tear of the medial collateral ligament of the left knee and a distal femoral avulsion fracture. Due to the lack of imaging and physical examination, the stability cannot be assessed, and follow-up evaluation in an outpatient setting...[Read More] Understanding MRI and Ultrasound Reports for Knee Injuries
Understanding Knee Injury Treatments: Surgery vs. Alternative Options
Treatment methods for knee injuries? Four months ago, after exercising, I suddenly found it difficult to squat down the next day. My right knee was somewhat swollen but not painful. A few days later, I visited an orthopedic doctor who drained the excess fluid. After the drainage,...
Dr. Shi Guozheng Reply:
The MRI report did not indicate a meniscus tear, so conservative treatment can be considered. If there is no improvement, we can reassess the situation later.[Read More] Understanding Knee Injury Treatments: Surgery vs. Alternative Options