Cruciate ligament, Orthopedics FAQ

Understanding Open Fractures and Ligament Tears: Treatment and Recovery

Fractures and ligament tears? Dear Doctor: I have an open fracture in my lower leg with ligament rupture. The bone has been stabilized with steel pins, but the position of the pins affects the suturing of the ligaments. Is it really necessary to wait two years to remove the pins ...

Dr. Chen Xingyuan Reply:
Dear Mr. Hsieh, Different injury conditions and locations may require different management approaches. Your description is not very clear, making it difficult to assess whether the treatment method is appropriate. I have encountered cases of proximal tibial fractures combined wi...

Understanding Post-ACL Reconstruction: Knee Stability and Sounds Explained

Cruciate ligament Hello, doctor. I underwent arthroscopic surgery last November, during which the physician checked my meniscus and said there were no issues or injuries. They only performed a reconstruction of the anterior cruciate ligament (ACL). However, in the past few months...

Dr. Chu Baijun Reply:
Hello: Both anterior and posterior cruciate ligament reconstructions may result in mild instability. Most of the time, stability can be improved through aggressive rehabilitation. It is not easy to diagnose the sounds occurring in the knee during movement without a detailed histo...

Understanding Knee Injuries: When to Seek Medical Attention

Knee sports injuries Hello Dr. Wang: I have been engaged in mountaineering activities for over four years. In the past, I didn't understand the importance of protecting my knees and would go downhill very quickly. Now, whenever I run more than 2000 meters, my knees start to ...

Dr. Wang Shouji Reply:
Xiao Fang: The knee joint has a very complex structure and important functions. Generally speaking, if there are abnormal sounds from the joint accompanied by pain, one should pay attention to the possibility of meniscus or cruciate ligament injuries. Additionally, since you have...

Understanding ACL Tear Recovery: Common Concerns and Rehabilitation Tips

Tear of the anterior cruciate ligament with associated fracture? Hello Doctor: At the end of January this year, I suffered a torn anterior cruciate ligament and a fracture in my right knee due to a car accident. I had a steel plate inserted, and the doctor advised me to keep it i...

Dr. Li Wenlin Reply:
Hello: In response to your question, rehabilitation therapy is necessary after an anterior cruciate ligament (ACL) tear with associated fracture surgery. The fact that you can walk without crutches indicates that your function has mostly recovered. However, since you still cannot...

Understanding ACL Tear Recovery: Common Concerns and Rehabilitation Tips

Anterior cruciate ligament tear with associated fracture? Hello Doctor: At the end of January this year, I suffered a torn anterior cruciate ligament and a fracture in my right knee due to a car accident. I had a metal plate inserted, and the doctor advised me to keep it immobili...

Understanding Knee Pain: When to Seek Medical Attention for ACL Injuries

Knee joint Hello doctor, I have an old injury where my anterior cruciate ligament (ACL) is torn. I twisted my knee again, and initially, I felt pain on the medial ligament. After resting for two weeks, the swelling has gone down, but I still cannot fully extend my knee. The later...

Dr. Li Wenlin Reply:
Hello: In response to your question, please seek medical attention as soon as possible (start with an orthopedic specialist, and if rehabilitation is needed, then consult a rehabilitation specialist). Wishing you a speedy recovery!

Managing Knee Pain and ACL Injury After Fracture: A Patient's Guide

Anterior cruciate ligament (ACL) tear, knee swelling and pain? Hello Dr. Shi, Last October, I fell off my motorcycle and fractured the neck of my left femur. When I was taken to the hospital, my thigh injury was more severe, and my knee appeared to be fine, so it wasn't giv...

Dr. Shi Guozheng Reply:
If the stability of the anterior cruciate ligament (ACL) tear in the knee joint is sufficient, there may not be an urgent need for surgical intervention. Typically, rehabilitation therapy can be initiated to strengthen muscle power and enhance the stability of other tendons aroun...

Post-Arthroscopy Recovery: Understanding Pain and Rehabilitation for ACL Injuries

Post-arthroscopic surgery My father is 52 years old. He had a fall ten months ago and underwent acupuncture, traditional Chinese medicine, hyaluronic acid injections, and an MRI, but no ligament tear was detected. Later, he had arthroscopic surgery, which revealed a torn anterior...

Dr. Hong Ximing Reply:
Hello Kyle: You have a torn cruciate ligament along with cartilage damage, and you underwent arthroscopy. The physician should provide a detailed explanation, as they are the most knowledgeable about your case. Generally, the need for reconstruction depends on the severity of the...

Rehabilitation After ACL Reconstruction: Key Questions Answered

Rehabilitation after Anterior Cruciate Ligament (ACL) Reconstruction Surgery Dear Director Zhang, I suffered a rupture of my anterior cruciate ligament (ACL) due to a car accident and underwent reconstruction using a graft from the inner side of my calf. I had the surgery on Jan...

Dr. Zhang Shengben Reply:
1. A functional brace should be used postoperatively. 2. Rehabilitation can begin three weeks after surgery, but the types of rehabilitation should be followed according to the physician's instructions. 3. Exercises that involve bending the knee should be restricted; if pain...

ACL Tear with Meniscus Injury: Is Running Safe for Your Knee?

Anterior cruciate ligament (ACL) tear with associated meniscal tear? Hello doctor, after my examination, the results showed that I have a torn anterior cruciate ligament (ACL) in my right knee, along with a meniscal tear. I have no issues walking, so I haven't sought further...

Dr. Li Wenlin Reply:
Hello: In response to your question, a torn anterior cruciate ligament combined with a meniscal tear can lead to knee instability and a feeling of weakness in the leg. If further injury occurs, it may result in additional cartilage damage, so caution is indeed necessary. It is re...

Understanding Knee Cartilage Replacement: Options and Longevity Insights

Regarding knee cartilage replacement? Hello Doctor, ten years ago, I suffered a car accident that resulted in a comminuted fracture of my left knee joint, along with a torn meniscus and a ruptured anterior cruciate ligament (ACL). This has led to subchondral bone depression on th...

Dr. Shi Guozheng Reply:
Currently, artificial tissue-cultured cartilage replacement is mostly in the animal experimental stage, with very few applications in humans. However, some medical centers are performing autologous cartilage transplantation. If you are referring to a unicompartmental knee arthrop...

ACL Reconstruction: Seeking Advice After New Knee Injury

Dr. Lai, you previously performed an anterior cruciate ligament (ACL) reconstruction surgery on me? Dear Dr. Lai, Hello. You performed a left anterior cruciate ligament reconstruction and meniscectomy on me at Renai Hospital in May 1998. My ID number is **********. Yesterday (12...

Dr. Lai Qiren Reply:
Hello Mr. Tsai: Q1: I recommend that you apply ice and use a bandage to protect your right knee for the next two to three days to prevent further injury. Since you are responding on Thursday morning, I suggest you come to my clinic for treatment in the afternoon. Q2: You need t...

ACL Reconstruction Options for Patients with Patellar Tendon Injury

I want to undergo anterior cruciate ligament (ACL) reconstruction surgery, but I have a history of patellar tendon rupture? Hello, doctor. A few years ago, I ruptured my anterior cruciate ligament while playing basketball. I've been experiencing persistent knee pain and woul...

Dr. Hong Ximing Reply:
Wan: Hello, currently for anterior cruciate ligament reconstruction, there are many available graft options. In addition to the patellar tendon and synthetic grafts, the semimembranosus tendon from the thigh can also be utilized.

Understanding Recovery After ACL Reconstruction: Nerve Sensation Changes

One and a half months post-anterior cruciate ligament reconstruction? Hello Doctor: I underwent anterior cruciate ligament (ACL) reconstruction surgery on my left knee at Veterans General Hospital a month and a half ago. After the surgery, I noticed a scar about five centimeters ...

Dr. Shi Guozheng Reply:
Numbness in the skin around the knee after surgery is a normal phenomenon and may resolve after some time. The size of the surgical incision depends on the condition at the time of the procedure, especially since harvesting the patellar tendon requires a longer incision. While th...

Rehabilitation After Arthroscopic Surgery: Strengthening Your ACL Recovery

Rehabilitation after arthroscopic surgery? Doctor, I have a question. Two weeks ago, I underwent arthroscopic surgery for anterior cruciate ligament (ACL) reconstruction, and I have not had my stitches removed yet. My attending physician advised me to do rehabilitation exercises,...

Dr. Shi Guozheng Reply:
This question should be directed to the surgeon, as the surgical methods may vary. Typically, after anterior cruciate ligament (ACL) reconstruction, patients can begin walking around three months post-surgery, engage in more strenuous activities around six months, and usually ret...

Understanding Knee Injuries: When to Seek Medical Attention

Regarding knee injuries from falls? I injured my knee two weeks ago and had severe bruising, but now, two weeks later, there is no bruising, yet it still hurts. It hurts even with light touch. Is this normal? Should I go to the hospital for further examination? Thank you.

Dr. Zhou Lizhi Reply:
After a knee joint injury, in addition to using X-rays to rule out bone injuries, the anterior and posterior cruciate ligaments, as well as the medial and lateral collateral ligaments, may also be injured. Damage to these soft tissues often leads to joint effusion and hematoma, w...

Understanding ACL Reconstruction: Procedure, Complications, and Recovery

Arthroscopic Surgery Issues: Anterior Cruciate Ligament (ACL) Could you please explain the process of the arthroscopic surgery for the left umbilical joint ligament reconstruction? What are the potential complications? Will there be any need for screws or similar devices to secur...

Dr. Chu Baijun Reply:
Hello: After a reconstruction of the anterior cruciate ligament (ACL) tear, an arthroscopic surgery is performed to implant a harvested graft into the knee joint. The graft is typically secured at both ends to the femur and tibia using special screws. Common complications include...

Understanding ACL Injuries: Costs, Recovery, and Alternatives

Cruciate ligament I have knee pain now! If I need surgery, will it be very expensive (my family doesn't have much money)? How long will it take before I can get out of bed and walk (since it's during the school period)? If I don't have surgery, will it worsen (if I...

Dr. Ye Qingnian Reply:
In the case of a torn cruciate ligament, surgery is only necessary if there is knee instability. In the meantime, it is beneficial to perform exercises while lying on the bed with the legs straight, followed by leg raises to strengthen the muscles, which helps improve the stabili...

Understanding Partial ACL Tears: Symptoms, Surgery, and Recovery Time

Cruciate ligament I have a partial tear of my cruciate ligament, and it's been quite a while! At first, I didn't feel any pain while walking, but now I experience some pain when I walk. Do I need surgery? How long will it take to be able to move around after the surgery...

Dr. Li Wenlin Reply:
Hello: In response to your question, a partial tear of the anterior cruciate ligament (ACL) does not necessarily require surgical treatment if it does not cause knee instability. Physicians generally prefer not to create an incision unless it is absolutely necessary. Therefore, I...

Understanding Arthroscopic Surgery: Knee Injuries and Recovery Insights

Arthroscopic surgery Hello, doctor. I have many questions to ask. A year ago, I injured my left knee while playing basketball, and after researching various sources, I have the following questions that need answers: 1. What are the methods for repairing the meniscus in the knee?...

Dr. Shi Guozheng Reply:
Meniscus repair involves suturing the meniscus to promote healing. In cases where the anterior cruciate ligament (ACL) is not completely torn, conservative treatment is typically the primary approach. If the ACL is completely torn, the decision for surgical intervention depends o...

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