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Knee Injury Problem
My mother is 50 years old and has osteoarthritis in both knees and a complex knee injury in her RIGHT knee. Her reports indicate her right knee has : ACL Tear A Meniscus Root Tear Significant Malalignment (likely a varus/bow-legged deformity) that has caused early Osteoarthritis in one compartment. here is the impression of her mri : Complete tear of the Anterior cruciate ligament (ACL) with retracted fibers. Buckling of posterior cruciate ligament (PCL) with mild sprain near its femoral attachment site. Complex tear in the posterior horn of medial meniscus near its posterior root. Periligamentus PD SPIR high signal intensity in medial collateral ligament - Grade I sprain. Mild fluid in tibio-femoral joint space and moderate fluid in supra-patellar bursa. Bone edema/contusion in the intercondylar region and lateral condyle of tibia.” So my question is can a ACLR, Medial Meniscus Root Repair, HTO be done together in one surgery, is it safe and suitable for her case and whats the cost
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This treatment is being suggested   on bases of the information provided.  However I would like to examine & investigate your mother in detail . -Control  Hypertension, Diabetes or  metabolic disorder, if there is any.  -Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. -(You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Keep a pillow under the knees. --. Avoid painful acts & activities. -- .Do mild exercises for the back and lower limbs. --.(Take help of physiotherapist or you can visit my you tube channel 'Dr NC Gupta'.)   & see  'me and my yoga'; & 'yoga simplified'. Kindly subscribe to the channel to get notifications for further new information of your interest.  --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.   Dr N C Gupta MS (ortho) DMC 3624  
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Better not to go for acl reconstruction and high tibial osteotomy for now, considering her age and the grade IV osteoarthritis, it's better to go for total knee replacement/unicondylar knee replacement. But she is just 50, so if she can get adequate pain relief by some form of injection/exercise/hinged knee support, then we can delay the surgery for sometime, to avoid revision surgeries
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Based on her xray film going for knee replacement surgery will be a better option
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Share xray of knee
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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.