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.[Read More] ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?
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.[Read More] Understanding the Risks of Infection from Allograft Ligaments in ACL Surgery
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.[Read More] Understanding Medial Collateral Ligament Injuries: Recovery Tips and Home Care
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.[Read More] Knee Discomfort and Hip Popping After Injury: Seeking Answers
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...[Read More] Understanding Knee Injuries: Fractures, Ligament Damage, and Recovery
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...[Read More] Understanding the Relationship Between ACL Injury and Meniscus Damage
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.[Read More] Understanding ACL Injuries: Partial Tears and MRI Recommendations
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.[Read More] Understanding ACL Tears and Meniscus Issues: Key Insights for Patients
Understanding Knee Cartilage Injuries: Causes, Symptoms, and Care
Knee cartilage injury? Hello, Doctor: I fell in January of this year, and although I landed on the floor, my left knee was injured more severely (with a larger wound). I managed to recover on my own. By around August, I started to feel discomfort in my knee. Initially, my family ...
Dr. Li Yongheng Reply:
If there is cartilage wear, weight control should be implemented, along with reducing weight-bearing standing, avoiding climbing hills and stairs, and strengthening quadriceps muscle training. However, it is important to rule out injuries to the cruciate ligaments and meniscus. T...[Read More] Understanding Knee Cartilage Injuries: Causes, Symptoms, and Care
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.[Read More] Post-ACL Surgery Rehab: Overcoming Limping While Walking and Running
Understanding Knee Stiffness and Limited Extension: Causes and Solutions
The knee feels stiff and cannot fully extend? Hello, doctor. Recently, I've been feeling something unusual with my knee. There's a stiffness in my knee, and I can't fully extend it. When I try to straighten my knee, I frequently hear a popping sound. I also can...
Dr. Shi Guozheng Reply:
Knee joint stiffness and inability to fully extend may be related to tightness in the tendons or fascia behind the joint, often caused by muscle fatigue or improper exercise. It is advisable to apply heat therapy or engage in rehabilitation exercises to see if there is any improv...[Read More] Understanding Knee Stiffness and Limited Extension: Causes and Solutions
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.[Read More] Post-ACL Surgery: Is Persistent Knee Swelling After One Month Normal?
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.[Read More] Understanding ACL Reconstruction: Addressing Post-Surgery Instability
Post-ACL Surgery Concerns: Understanding Common Issues and Rehab Tips
Postoperative Issues After Anterior Cruciate Ligament Surgery Hello, Doctor, I completed an anterior cruciate ligament (ACL) reconstruction surgery (autograft) at the end of August this year. It has been a little over two months, and I have been following the rehabilitation instr...
Dr. Shi Guozheng Reply:
These phenomena are normal after surgery. You can perform joint flexion movements and additionally engage in strength training for the muscles around the knee joint.[Read More] Post-ACL Surgery Concerns: Understanding Common Issues and Rehab Tips
Understanding ACL Tears: Recovery, Surgery Options, and Expectations
Ligament rupture Hello Doctor, I had a motorcycle accident over 8 years ago, injuring my right knee. The emergency physician at that time said there were no fractures and discharged me. After a period of rest, I didn't feel much discomfort until about 1 or 2 years ago when...
Dr. Shi Guozheng Reply:
The function of artificial ligaments is similar to that of autologous ligaments. As for how long they can last, it depends on the type used, so it's best to consult a physician. If a hybrid ligament, which combines autologous tissue, is used, it can last a long time. Of cour...[Read More] Understanding ACL Tears: Recovery, Surgery Options, and Expectations
Understanding Knee Pain: ACL Injuries and Related Issues in Volleyball
Sports injuries, knee issues, ligaments? I play volleyball, and after jumping down, I felt pain inside my left knee, similar to a strain. I visited a traditional Chinese medicine doctor, who diagnosed it as a cruciate ligament strain. There is no pain or swelling when standing, b...
Dr. Hong Ximing Reply:
Knee joint sports injuries, such as anterior cruciate ligament (ACL) tears or meniscus tears, are quite common. If you are experiencing symptoms, please consult an orthopedic specialist for a thorough examination to prevent any impact on your future athletic function.[Read More] Understanding Knee Pain: ACL Injuries and Related Issues in Volleyball
Post-Surgery Issues After Ceramic Hip Replacement: Infection and Recovery Concerns
Postoperative issues following left total ceramic hip arthroplasty infection? I was involved in a car accident in early January 2015, which resulted in a left femoral neck fracture and a left anterior cruciate ligament tear. I underwent a ceramic total hip arthroplasty at the end...
Dr. Shi Guozheng Reply:
It is possible that the presence of bone cement has caused this issue. After multiple surgeries, the surrounding soft tissue may also become hardened. If the infection cannot be controlled, ultimately, the artificial joint will need to be removed.[Read More] Post-Surgery Issues After Ceramic Hip Replacement: Infection and Recovery Concerns
Knee Pain After Car Accident: Understanding Symptoms and Recovery
Pain in the right knee pit after a car accident? Hello, Doctor Shi: I had a car accident previously where my right knee hit the floor, resulting in a bruise on the inner side of the knee. The bruise has since faded, but now when I bend or straighten my knee, I occasionally hear a...
Dr. Shi Guozheng Reply:
In the case of a cruciate ligament injury, instability of the knee joint is typically observed. If it is tendinitis, improvement can usually be achieved with medication and rest, and physical therapy may also be beneficial.[Read More] Knee Pain After Car Accident: Understanding Symptoms and Recovery
Post-ACL Reconstruction: Common Concerns and Recovery Tips
Questions regarding postoperative care for the anterior and posterior cruciate ligaments? I underwent anterior cruciate ligament (ACL) reconstruction surgery on my right leg in early November last year. Both my anterior and posterior cruciate ligaments were torn, and it has been ...
Dr. Chen Yongxue Reply:
Hello, both the anterior and posterior cruciate ligaments are torn, and the prognosis is quite challenging. Generally, strengthening the thigh muscles is essential, so exercises like half squats and leg raises should be emphasized. If there are rehabilitation equipment or a gym a...[Read More] Post-ACL Reconstruction: Common Concerns and Recovery Tips
Can PRP Therapy Help with Partial ACL Tears?
Can PRP be used for partial tears of the anterior cruciate ligament? Hello, doctor. I was hit while playing basketball and underwent an MRI. The doctor diagnosed a partial tear of the anterior cruciate ligament (ACL). Would you recommend PRP injection, and will my condition impro...
Dr. Cai Shanglin Reply:
Hello: Currently, numerous studies indicate that PRP (Platelet-Rich Plasma) is effective, but it needs to be combined with supportive devices and rehabilitation therapy.[Read More] Can PRP Therapy Help with Partial ACL Tears?