Cruciate ligament, Orthopedics FAQ

Effective Treatment Options for Posterior Cruciate Ligament Laxity

What are the treatment options for posterior cruciate ligament laxity? Hello, Doctor Shi: I previously injured my knee, which has been swollen for about six months. Recently, I was diagnosed with posterior cruciate ligament laxity, but the doctor only prescribed medication for me...

Dr. Shi Guozheng Reply:
If surgical reconstruction is not performed, it is necessary to limit physical activity.

Knee Injury: Understanding Related Calf and Foot Discomfort

Knee injury accompanied by discomfort in the calf and foot? Hello, Doctor. A week ago, I visited a rehabilitation specialist due to an old knee injury that has persisted for four to five years. This injury occurred after I fell while playing basketball, landing on my knee. Since ...

Dr. Shi Guozheng Reply:
An MRI must be performed based on a physician's assessment of necessity.

Do You Need the Same Surgeon for Plate Removal After Injury?

Does the removal of steel plates and screws need to be performed by the same physician? Hello Doctor: I was involved in a car accident in Hualien on April 9th of this year and was hospitalized. I underwent surgery on April 10th, and my diagnoses were: 1. Medial proximal tibial fr...

Dr. Shi Guozheng Reply:
The removal of the steel plate does not necessarily have to be performed by the same physician; as long as a physician at the hospital you are visiting is willing to perform the surgery, it is acceptable. Injury to the common peroneal nerve causing foot drop may not recover, and ...

Rehabilitation After Right Tibial Plateau Fracture with ACL Tear

Right tibial plateau fracture with anterior cruciate ligament tear? Right tibial plateau fracture with anterior cruciate ligament tear (a piece of bone from the anterior cruciate ligament at the tibia was elevated, and two screws were used to fix the bone) post-operative 6 weeks....

Dr. Chen Yongxue Reply:
Hello, based on your description, it seems to be a tear of the anterior cruciate ligament (ACL) with an associated fracture. After stabilization of the fracture, it will take approximately six to eight weeks to achieve initial healing. During this time, rehabilitation exercises s...

Recovery After Tibial Fracture: ACL Rehabilitation and Hardware Removal

Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up, it was discovered that I have a torn p...

Dr. Wang Shouji Reply:
Hello: The presence of intramedullary nails in the tibia can indeed affect anterior cruciate ligament (ACL) reconstruction. I recommend removing the metal pins after the fracture has healed before addressing the ACL issue. For ACL reconstruction, you may consult an orthopedic sur...

Recovery After Tibia Fracture: ACL Rehabilitation and Hardware Removal

Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, Doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up visit, it was discovered that I have a ...

Managing Knee Injuries: Patellar Healing and ACL Reconstruction Options

Patellar tendon and posterior cruciate ligament (PCL) of the knee? I would like to ask about my knee condition after a previous car accident that resulted in three broken bones, which have healed. However, my patella has not fully healed yet, and there is still a small crack. The...

Dr. Chen Yongxue Reply:
It is recommended to focus on ligament reconstruction, typically performed at least three weeks after the injury for better outcomes. Prior to surgery, the main goal should be to reduce swelling. Additionally, strengthening exercises for the quadriceps are crucial to prevent musc...

Overcoming Stiffness After Leg Surgery: Tips for Recovery

Removal of plaster cast due to stiffness in the bones? Hello Doctor: I had a car accident on December 18th last year, resulting in an open fracture of the tibia in my right leg. Due to concerns about infection from the wound, I was treated with a triangular external fixator. Afte...

Dr. Chen Yongxue Reply:
Hello, it is quite common to experience joint stiffness after a fracture. It is important to engage in rehabilitation to restore the knee joint's original range of motion as soon as possible. If rehabilitation is not effective, and depending on the situation, an anesthetic m...

Managing Swelling After ACL Injury: Recovery Tips and Insights

Fracture of the patella after a car accident, with swelling of the knee? Hello doctor, I believe my right knee has a torn anterior cruciate ligament due to a car accident. I am actively undergoing rehabilitation, but my knee has recently shown significant swelling, and it feels s...

Dr. Wang Shouji Reply:
Hello: After a cruciate ligament injury, swelling usually subsides within a month. The need for a cruciate ligament reconstruction surgery depends on the degree of instability; severe cases may require it. Initially, it is important to restore normal range of motion to facilitate...

Understanding Knee Injuries: ACL Tears and Recovery After a Car Accident

Knee fracture and anterior cruciate ligament tear due to a car accident, Dr. Si? Hello Dr. Shih, I was in a car accident last December, and I still cannot walk independently and need a walker. I have some concerns regarding the entire medical process conducted by the surgeon who ...

Dr. Shi Guozheng Reply:
A cruciate ligament tear with an associated fracture that is non-displaced does not require surgical fixation. If there is displacement, surgery can be performed to stabilize the fracture. The issue with the ligament is not solely about treating instability, but rather addressing...

Understanding ACL Reconstruction: Do We Leave Loose Ligaments?

About Anterior Cruciate Ligament Reconstruction Hello, Dr. Hong! I have severe laxity in my anterior cruciate ligament (ACL), which has caused instability in my knee joint. I am preparing to undergo ACL reconstruction surgery. The doctor mentioned that the lax ligaments do not ne...

Dr. Hong Ximing Reply:
Anterior cruciate ligament (ACL) injury leads to knee instability, and during ligament reconstruction surgery, it is not necessary to remove the original cruciate ligament. The most important factor is the stable healing of the new ligament.

Understanding PCL Reconstruction: Signs of Re-injury and Recovery

Posterior cruciate ligament (PCL) Hello Doctor, I underwent a posterior cruciate ligament reconstruction surgery a month ago. Now, after more than a month, I have noticed that I can walk normally without pain, and I can bend my knee to a 90-degree angle without any discomfort. Do...

Dr. Shi Guozheng Reply:
If the ligament has torn again, it is usually due to significant external force. Additionally, the knee joint may become weak or exhibit instability in the anterior-posterior direction. If you are still unsure, it is advisable to consult a physician.

Managing Swelling and Pain After ACL Injury from Car Accident

Fractured patella after a car accident, with knee swelling? Hello doctor, my right knee has a torn posterior cruciate ligament due to a car accident. I've been undergoing rehabilitation recently and have noticed increasing swelling in my knee, along with pain when pressure i...

Dr. Hong Ximing Reply:
In the case of a posterior cruciate ligament (PCL) tear, if it leads to joint instability, it can easily result in the accumulation of synovial fluid and swelling within the joint. It is recommended to rest first and then consult with the attending physician for further evaluatio...

Knee Injury: Understanding Strains and Sprains After a Fall

Knee sprain or strain with inability to fully extend? Hello doctor, about six days ago I slipped and fell, injuring the inner side of my left knee. I'm not sure if it's a strain or a sprain. I can bend it, but I can't fully extend it and I have difficulty walking w...

Dr. Shi Guozheng Reply:
Knee sprains should still be evaluated by a physician, as a simple sprain can sometimes injure the internal structures of the knee, such as the cruciate ligaments or the medial and lateral collateral ligaments. There is also a possibility of damaging the meniscus.

Managing ACL Injuries and Complications: Recovery and Rehabilitation Insights

Orthopedics - Cruciate Ligament 1. Several years ago, I suffered a torn anterior cruciate ligament (ACL) in my left knee during elementary school, which has occurred for the eighth time. My left side is strong, while my right side is weak and often lacks strength. How can I stren...

Dr. Li Wenhong Reply:
Hello: 1. If there are currently no acute symptoms such as swelling or pain in both knees, you can perform exercises such as straight leg raises, leg kicks, or partial to full squats. Please discuss the details with your physician after your consultation. 2. If symptoms are prese...

Understanding Knee Ligament Injuries: Impact and Recovery After Trauma

Anterior cruciate ligament (ACL) injury? Hello, I would like to ask about a previous car accident. The other party suffered from two knee lacerations, which were sutured and subsequently treated with traditional Chinese medicine rehabilitation. After 2-3 months, the doctor diagno...

Dr. Chen Yongxue Reply:
Hello, there are four main ligaments in the knee. Ligament injuries can vary in symptoms depending on the location and severity. The cruciate ligaments are divided into the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL), which are primarily responsible...

Is ACL Surgery Necessary After Years of Running Without Pain?

Posterior cruciate ligament (PCL) Hello Doctor, I would like to ask about my situation. Five years ago, I suffered a torn anterior cruciate ligament (ACL) in a car accident. At that time, the doctor performed an MRI and measured a posterior translation of approximately 1.5 cm, ...

Dr. Hong Ximing Reply:
A torn posterior cruciate ligament combined with a daily running distance of 10-20 kilometers places significant stress on the knee joint. The issue is not whether to undergo surgery or not, but rather why one would insist on having the injured knee endure such a high volume of e...

Post-Surgery Knee Swelling and Discomfort After ACL Reconstruction

Left knee meniscectomy and anterior cruciate ligament reconstruction? Hello, I underwent meniscectomy and anterior cruciate ligament reconstruction surgery in December of last year. It has been four months, but there is still swelling on the inner side of my left knee, and I feel...

Dr. Shi Guozheng Reply:
Ligament reconstruction typically takes about six to nine months for recovery, so it is essential to continue rehabilitation. You can go back to the hospital where the surgery was performed for a follow-up examination.

Understanding Recovery After ACL Surgery: Common Concerns and Questions

Anterior cruciate ligament (ACL) tear Hello Doctor: I had a car accident in February, and an MRI revealed that I had a torn right anterior cruciate ligament (ACL). At that time, I was preparing for a certification exam, and the doctor mentioned that the surgery could not be sched...

Dr. Chen Yongxue Reply:
Hello, 1. Swelling may still be present one week post-surgery. 2. The description of "black and red" is not very clear. It is advisable to have an orthopedic physician perform a physical examination, as there are general concerns about infection or necrosis. 3. If t...

Understanding Posterior Cruciate Ligament Tears: Treatment Options and Recovery

Posterior cruciate ligament (PCL) tear? Hello, Doctor: I would like to ask about an incident that occurred about two months ago when I had a motorcycle accident. At that time, the doctor mentioned that my posterior cruciate ligament (PCL) might be torn. Later, an MRI confirmed th...

Dr. Chen Yongxue Reply:
Hello, if your knee cannot bend fully, it may be due to an obstruction, possibly fragments from a tear in the bone, damage to the meniscus, or a significant hematoma. It is important to address the underlying cause promptly. If the posterior cruciate ligament (PCL) is torn, it wi...

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