I had an accident in Oct'16. I was riding a bike, got slipped and whole weight of the bike went onto my knee as I used my leg to take support. I felt extreme pain and swelling. There was no fracture in Xray. After a week I had MRI which showed ACL tear, grade-II tear in medial meniscus, some contusion in the tibia and femur and lot of effusion and oedema in the knee area. There was also sustained swelling in calf region (to some extent it is still there till now). I did physio + exercise, ROM has now become stable at 10 degree extension and 140 degree flexion. Now, I have been advised to undergo arthroscopic surgery by some sports injury specialists for finding out the cause of knee locking and perform ACL repair. Some other senior ortho doctors have advised to wait until I gain full extension else the surgery may cause stiffness of the knee. Those calling in for surgery say that we should not delay as its already been 5 months. What should I do? I am very much confused.
Answers (3)
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Hi I think you should consult a sports physiotherapist.
Also do strengthening on a Isokinetic machine which will help you. Generally in case of complete ACL tear you have to go for surgery.
Usually after an ligament injury you wait for 2 months. Once the aim has gone down a physical examination will reveal the ligament injury. After the diagnosis of acl injury is confirmed by both physical exam and a MRI then only should one go for surgery. MRI done immediately after injury will overdiagnose things. As such if the acl ligament is broken it will not heal and will need surgery. Coming to the range of movement. A 10 degree extension is normal. But is it extensor lag can be confirmed by physical examination.
Next Steps
Visit a sports injury specialist
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No need to worry. You can take your time to decide for surgery as it is not an emergency
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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.
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