Managing ACL Tears Without Surgery: A Decade of Recovery Insights
The anterior cruciate ligament (ACL) in my knee has been torn for over ten years without surgery? Hello Dr. Lee: Ten years ago, I ruptured my anterior cruciate ligament (ACL) while playing basketball. At that time, I underwent an MRI at Taipei Veterans General Hospital, which con...
Dr. Li Wenlin Reply:
Hello: In response to your question, your attending physician will understand your concerns best. It is advisable for you to return to your previous medical institution to consult with your original doctor, who can assess your condition appropriately. Wishing you a speedy recover...[Read More] Managing ACL Tears Without Surgery: A Decade of Recovery Insights
Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Tibial shaft fracture with an intact anterior cruciate ligament injury, unable to fully extend the knee? Hello Doctor: I had a motorcycle accident on October 20 of last year, resulting in continuous swelling below my right knee, and I did not undergo surgery until November 17. My...
Dr. Li Wenlin Reply:
Hello: In response to your questions, you can consult your attending physician in person. If you still have concerns, you may also seek advice from another orthopedic surgeon nearby. The old saying goes, "It takes a hundred days to heal injuries to muscles and bones," a...[Read More] Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Understanding Posterior Cruciate Ligament Tear Recovery Timeline
Tear of the posterior cruciate ligament with associated fracture? Hello, doctor. In mid-December, I sustained a torn posterior cruciate ligament (PCL) and an associated fracture due to a motorcycle accident. I underwent surgery on December 21 to fixate the fracture with screws. M...
Dr. Li Wenlin Reply:
Hello: In response to your questions, your attending physician will have the best understanding of your specific situation. The timeline for weight-bearing after surgery, the duration for using a brace, and the adjustable angles of the brace should be guided by your attending phy...[Read More] Understanding Posterior Cruciate Ligament Tear Recovery Timeline
Can Medial Collateral Ligament Heal Naturally? Insights on Knee Injuries
Medial collateral ligament (MCL) Hello Dr. Hong, About four weeks ago, I injured my knee while playing basketball, landing on one leg, which caused an inward collapse of the knee. An MRI determined that I have a tear in both the medial collateral ligament (MCL) and the anterior ...
Dr. Hong Ximing Reply:
The healing of the medial collateral ligament (MCL) depends on the extent of the injury and the degree of the tear. If there is a complete tear, surgical repair is recommended for stability. Please continue to follow up with treatment. Wishing you a speedy recovery.[Read More] Can Medial Collateral Ligament Heal Naturally? Insights on Knee Injuries
Understanding Posterior Cruciate Ligament Injuries: Treatment Options and Recovery
Posterior cruciate ligament injury? Last year, I sustained an injury (work-related) to my right leg. An X-ray was taken at the time, and the doctor indicated that there were no fractures. When I was able to walk again, I felt some mild discomfort. At the beginning of this year, I...
Dr. Shi Guozheng Reply:
Injuries to the posterior cruciate ligament (PCL) require different treatments based on their severity, but conservative treatment or rehabilitation is usually the first approach. Surgery is only necessary if these methods are ineffective. Currently, casting may not guarantee rec...[Read More] Understanding Posterior Cruciate Ligament Injuries: Treatment Options and Recovery
Rehabilitation After Medial Collateral Ligament Repair: What You Need to Know
Is rehabilitation necessary after medial collateral ligament (MCL) repair surgery? Hello, Director. I suffered an accident last year that resulted in a rupture of the medial collateral ligament (MCL) and the anterior cruciate ligament (ACL). I have since undergone surgery for the...
Dr. Shi Guozheng Reply:
The purpose of rehabilitation is to increase the strength of the leg or knee joint, as well as to enhance its range of motion. Typically, rehabilitation can begin six weeks post-surgery. If the anterior cruciate ligament is only partially torn and stability is sufficient, surgery...[Read More] Rehabilitation After Medial Collateral Ligament Repair: What You Need to Know
Understanding Knee Extension Issues After Injury: Causes and Treatments
The knee may not fully extend? Hello, doctor. I previously had swelling in my knee due to a car accident, but the swelling has now subsided and I can walk without pain. No matter how I touch my knee, it doesn't hurt, but I cannot fully extend it (the injury is on my left leg...
Dr. Zhou Lizhi Reply:
Dear readers: Injuries to the knee from car accidents can include not only fractures but also other types of damage. For instance, the anterior and posterior cruciate ligaments, as well as the medial and lateral menisci, can be affected. Additionally, fibrosis of the soft tissues...[Read More] Understanding Knee Extension Issues After Injury: Causes and Treatments
Understanding Partial Tears of the Posterior Cruciate Ligament: Recovery and Rehabilitation
Partial tear of the posterior cruciate ligament? Hello, Doctor: In mid-January of this year, I had a motorcycle accident. Besides some external injuries, my knee cannot bend. I had an X-ray, which showed no bone issues, but the MRI results indicated a partial tear of the posterio...
Dr. Hong Ximing Reply:
Partial tears of the posterior cruciate ligament do not require surgery, but appropriate stabilization and rehabilitation are necessary to prevent future ligament laxity and muscle atrophy. The torn portion of the ligament will not heal back.[Read More] Understanding Partial Tears of the Posterior Cruciate Ligament: Recovery and Rehabilitation
Concerns About Retained Screws After ACL Repair Surgery: Pain and Complications
Issues with fixation screws in posterior cruciate ligament repair surgery? Hello, about 4 to 5 years ago, I underwent surgery for posterior cruciate ligament repair and fixation. A year later, after the screws were removed, the doctor mentioned that there were still three screws ...
Dr. Wang Shouji Reply:
In general, this type of steel pin does not necessarily need to be removed. If removal is required, there may be some minor risks involved, but as long as precautions are taken, the risks should be minimal. It is important to consider whether removal is absolutely necessary. Wish...[Read More] Concerns About Retained Screws After ACL Repair Surgery: Pain and Complications
Understanding ACL Injuries: Recovery, Rehabilitation, and Long-Term Effects
Ligament injury Due to a knee injury, I had 50cc of hematoma drained and underwent arthroscopic surgery without the placement of screws. The doctor indicated that it was a torn anterior cruciate ligament (ACL) with a fracture. I need to keep my leg straight with a brace for 6 wee...
Dr. Li Wenlin Reply:
Hello: Your attending physician is the most familiar with your condition, and you can directly consult them regarding these questions. If it's not convenient, you should ask them to refer you to a rehabilitation specialist, as the collaboration between orthopedics and rehabi...[Read More] Understanding ACL Injuries: Recovery, Rehabilitation, and Long-Term Effects
Comparing Intramedullary Nails and Fitbone for Tibial Fractures
Regarding intramedullary nailing for tibial fractures? Dear Director Hong, If there is a discrepancy in the length of the tibia in the lower limb, is the Ilizarov external fixation system for limb lengthening the only option? I have heard that in Germany, some doctors use the Fi...
Dr. Hong Ximing Reply:
Thank you for your question, which is very professional. Limb lengthening is generally performed using external fixation, and each method has its own advantages and disadvantages, as well as certain limitations, especially in adults or children. As for the intramedullary nail imp...[Read More] Comparing Intramedullary Nails and Fitbone for Tibial Fractures
Rehabilitation Methods for ACL Injury: Return to Sports Timeline
"Loosening of the cruciate ligament" Hello Dr. Lee, what rehabilitation methods are available for a "loose" anterior cruciate ligament (ACL)? How many months does it typically take to return to playing with a racket and enjoying the game on the court?
Dr. Li Wenlin Reply:
Hello: The cruciate ligaments consist of the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). The treatment for cruciate ligament injuries depends on whether there is a complete tear, significant laxity, or mild laxity, which will determine whether surg...[Read More] Rehabilitation Methods for ACL Injury: Return to Sports Timeline
Can My Knee Issues Heal Without Treatment? Understanding ACL Injuries
Can my knee problem go untreated? Dr. Lai: Hello! Thank you for your response. It seems that my knee problem is continuously worsening. Recently, after standing in the same position for about ten minutes, I experience pain when I start walking. I also tend to sit cross-legged, bu...
Dr. Lai Qiren Reply:
Hello Muumi, it is advisable to use a knee brace and arrange for an MRI scan to confirm the diagnosis. As for whether surgery is absolutely necessary, further evaluation is required. Do not hesitate to seek medical attention. Thank you.[Read More] Can My Knee Issues Heal Without Treatment? Understanding ACL Injuries
Understanding Knee Noises: Is It a Sign of Osteoarthritis?
The knee makes a cracking or popping sound? Hello, Dr. Yeh: About a year and a half ago, I underwent reconstruction surgery for my right knee's posterior cruciate ligament and lateral collateral ligament. The doctor said the recovery results were fairly good. My left knee al...
Dr. Ye Qingnian Reply:
Hello, sir: Thank you for your inquiry. I would like to address your question and provide the following suggestions: 1. Generally speaking, after anterior cruciate ligament (ACL) reconstruction, there may still be some laxity, which can lead to joint instability and potentially...[Read More] Understanding Knee Noises: Is It a Sign of Osteoarthritis?
Understanding Knee Weakness After Kneeling: Causes and Solutions
Kneeling down and then standing up can cause the knees to feel weak or unstable due to several reasons. One common cause is a temporary drop in blood pressure, known as orthostatic hypotension, which can occur when changing positions quickly. Additionally, muscle fatigue or weakn...
Dr. Lai Qiren Reply:
Hello: Based on your description, it seems that there is a knee joint injury, potentially resulting in a torn cruciate ligament or a meniscus tear. You should consult an orthopedic surgeon to confirm whether there is knee instability and quadriceps atrophy (measure the circumfere...[Read More] Understanding Knee Weakness After Kneeling: Causes and Solutions
Managing Persistent Knee Issues After ACL Reconstruction: What to Do?
About the cruciate ligaments? Doctor, I have a question. I had a torn anterior cruciate ligament in my left knee and underwent arthroscopic surgery about two years ago, where they used a graft to repair it. However, sometimes at certain angles, I still feel a catching sensation i...
Dr. Shi Guozheng Reply:
It is important to clarify whether it is the reconstruction of the anterior cruciate ligament (ACL) or the posterior cruciate ligament (PCL). The sensation of catching may not necessarily be related to the ligament itself; it could also be an issue with the meniscus. Therefore, i...[Read More] Managing Persistent Knee Issues After ACL Reconstruction: What to Do?
Understanding Tibial Plateau Injuries: Recovery and Rehabilitation Insights
Tibia table Hello Doctor: I underwent arthroscopic knee surgery on July 5th and was found to have severe patellar chondromalacia, detachment of the membrane on the anterior cruciate ligament, damage to the medial meniscus, and a cartilage tear approximately 1.5-2 cm on the tibial...
Dr. Shi Guozheng Reply:
The "tibial table" you referred to may actually be the tibial plateau, which is the area at the proximal end of the tibia where it meets the distal end of the femur to form the knee joint, covered by meniscus cartilage around its periphery. The bone surface on the joint...[Read More] Understanding Tibial Plateau Injuries: Recovery and Rehabilitation Insights
Will ACL Reconstruction Surgery Weaken My Ligament?
Electroconvulsive therapy (ECT) anterior cruciate ligament? Hello, Vice Dean Hong: I underwent arthroscopic surgery for anterior cruciate ligament (ACL) reconstruction at the beginning of the month. The doctor mentioned that my ligament was a bit lax. After this surgery, will the...
Dr. Hong Ximing Reply:
Hello, Kaiting. Arthroscopic surgery for the anterior cruciate ligament (ACL) before joint contraction does not weaken the ligament, but the true effects are still unclear. Please continue to observe for a period of time.[Read More] Will ACL Reconstruction Surgery Weaken My Ligament?
Understanding Widened Joint Pain After ACL Surgery: Causes and Treatments
Wide joint pain..? I underwent anterior cruciate ligament (ACL) surgery on my right knee in February of last year. During the rehabilitation process, I wore a brace incorrectly, which seems to have caused some injury to the left knee, particularly in the lateral compartment. An M...
Dr. Li Wenlin Reply:
Hello: In response to your question. Your situation is quite unique, but both knees have ligament issues, and one hip joint also has problems, which is a very rare combination. Please try not to worry too much. Additionally, since you have already undergone surgery and an MRI exa...[Read More] Understanding Widened Joint Pain After ACL Surgery: Causes and Treatments
Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Bone misalignment? Hello Director Li: I have a few questions regarding my previous left calf fracture. After using crutches for eight months, I experienced severe atrophy of the quadriceps muscle. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is difficult to provide a direct answer without being able to examine your limbs and review your X-rays. I personally recommend that you consult your attending physician, as they are most familiar with your condition and should be able to a...[Read More] Understanding Bone Misalignment: Causes, Effects, and Recovery Options