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Knee injury, meniscus tear
Good afternoon, I am attaching this report. Please suggest me appropriate treatment except TKR.
H/o fall 2 times in March 23, age 60 yrs female, since then pain and swelling in knee and thigh. restricted walk only her daily work . Took all the medicines , fomentation but nothing works as expected. Please guide me with your expert advice.
IMPRESSION: MR Imaging reveals joint effusion with:
*O.A changes tibio-femoral compartment with grade IV chondromalacia patellae.
*Degenerative horizontal tear posterior horn and body of medial meniscus.
•Early myxoid degeneration in lateral meniscus. Myxoid degeneration in ACL and PCL.
*Degenerative bone marrow edema in tibiofemoral bony margins.
TIA.
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Consult me search browse on goggle practo website Dr Rajinder sharma senior Orthopaedic neurospine joint Replace surgeon ,42 years expertise chandigarh health Department Govt Multispeciality Hospital retired Chandigarh(U.T)
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At 60 years, if there are grade 4 OA changes and if you have additional meniscus and ligament tears, the best treatment is TKR.
There are numerous patients getting operated for TKR and they have excellent results.
However if you don't want TKR now, only the ligament injuries can be taken care of by key hole surgery. But at 60 years the outcome may not be as good because of weak bones and relative inactive lifestyle.
If not now, then in another 5 years she will require TKR
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Kindly upload standing knee Ap/Lat xray .
Tkr or Arthroscopic management - both have their own pros and cons at this age .
Please feel free to schedule an online consultation or offline - 73494 03114 for appointment at Ahmedabad.
Dr Sagar A. Savsani
Consultant Trauma , Joint Replacement and Arthroscopy Surgeon
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
4 yrs exp
Ahmedabad
Consult arthroscopy surgeon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.