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Rt knee ACL & MCL rupture
My Rt knee suffered injury from a road accident and not able to hold weight. Presently on 28 days sick leave with knee immobilizer without any medication. Underwent MRI Scan and the report revealed (report attached for ready reference) multifocal marrow contusion oedema with significant synovial effusion, Gd II/III tear ACL and Gd II/III tear of MCL with associated fluid along medial menisco-capsular attachment and associated myocellulitis. Dr advised as follows :- ACL/MCL Rupture - Adv Operation. Request provide a second opinion and further course of action that will be required to cure my knee to normalcy. Please provide duration of treatment/mode of surgery/likely time to recover fully etc. Thanking you in anticipation.
Answers (8)
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Your doctor is right .. U need an operative intervention . U need ACL reconsrtuction using hamstring 4 stranded graft and also partial menisectomy for the torn meniscus...
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A combined tear of ACL and MCL is significant injury. MCL is likely to heal by rest, for which a knee brace for a few weeks is sufficient. After that, arthroscopy surgery is likely to be needed for acl tear. Ligament surgery for knee is done by minimally invasive techniques using arthroscopy, and is a fairly common surgery being done nowadays, with good results.
You may get in touch with me or some other Orthopedic in your vicinity for further details
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Avoid sitting Cross legged.
Avoid Squatting-
Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day.
Sports Taping- stretch the tape from both ends and apply on the affected area
Contrast Fomentation (Hot and Cold).
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Surgery is best option
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due to ACL and MCL rupture in grade II/III along with effusion first immobille knee with weight cuff and need to consult ortho surgeon. may be ACL or MCL reconstruction required.
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Mr Rajeev , I want to know how do you feel if you try to put weight on the right leg with the KNEE IMMOBILIZER on?
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Having a combined ACL and MCL tear suggest a severe injury. Treatment is definitely Surgery. It is done now a days through Arthroscopy (key hole). Full recovery (back to normal) varies from 6 to 9 month ...
Next Steps
consult an Orthopaedic surgeon
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Dr. Jyoti Narang (PT)
Physiotherapist
17 yrs exp
Thane
As It is between grade 2 to 3 damage , you can try physiotherapy for minimum 15 days to relieve your symptoms.
And the same time, TWo ligaments injuries are there , so need to follow lot of precautions.
Next Steps
Visit some experienced physiotherapist to properly guide you if surgery is the only way or physiotherapy can help and explaoin you the role of physio in your case.
Health Tips
keep immobilsing your knee to avoid further detrioration of the condition
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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.