Knee

Early Surgery Advised for ACL Injuries

in

Injuries severe enough to tear the anterior cruciate ligament in the knee often require surgery to repair or reconstruct the ligament. The timing of surgery remains under consideration. Should surgery be done right away? Does it matter how long someone waits before having the torn ligament reconstructed? What about this: does early surgery prevent meniscal tears and joint cartilage injuries?




I tore my left ACL completely in a weird accident while out folfing with my kids. Since I'm not really all that active (and I am admittedly overweight), the surgeon recommended physical therapy instead of surgery. I'm wondering if this is really the best thing for me. Maybe I should just have it repaired and be done with it. What do you think?

in

Folfing (a combination of golfing and frisbee) is a popular outdoor sport for young and old alike. Even though you aren't an athlete, having the physical ability to play a game or two of any kind with your children is important to your quality of life.




Here's Something New on Medial Meniscus Tears

in

Every orthopedic condition has a cause, effect, and then usually, symptoms that help point to the underlying problem. Meniscal tears in the knee are no different. Trauma or the degenerative effects of aging (cause) can lead to flattening and pushing of the meniscus out of the joint space (effect). Movement of the meniscus out of the knee joint is called extrusion.




Microfracture Before Autologous Chondrocyte Implantation: Are We Burning Our Bridges?

in

The authors of this study offer some information that might suggest bone marrow stimulation before autologous chondrocyte implantation (ACI) may ultimately lead to failure of the ACI procedure.




There are three little holes in my knee cartilage that are small but go clear to the bone. If I don't have these treated will they get worse?

in

Defects in the joint surface cartilage can stabilize if they aren't in a location of load bearing. But most of these holes develop as a result of chronic stress and overloading. Small defects might not get worse if the person isn't overly active. Chondral defects in older, more sedentary adults have a better chance of staying the same.




I waited a long time to have surgery on my knee for a deep hole in the cartilage. Maybe I waited too long because when they put tiny holes in the damaged area to get the blood going, it didn't take. When my pain wasn't any better, the surgeon went back in and saw that there wasn't enough healing. Am I at the end of the line for treatment? Bite the bullet and just suffer?

in

Bone marrow stimulation techniques are used to treat a knee with a hole or defect in the articular cartilage. Articular cartilage is the rubbery, fibrous cartilage that covers the ends of bones to protect the joint. When the defect goes all the way down to the first layer of bone, it's called a full-thickness defect.




Okay, so I finally got a diagnosis for my knee pain: avulsion of the posterior horn of the medical meniscus. I saw the MRIs and the surgeon showed me how the meniscus is oozing out from inside the joint. I understand I can go the surgical route or take a more conservative approach with activity modification and physical therapy. Which do you recommend?

in

Treatment often depends on the patient's age, intensity of symptoms (mild versus severe), and activity level. The goal is to protect the knee joint and prevent degenerative changes that end up as painful knee arthritis. For the older, less active adult, it may be possible to get by with some activity modifications, antiinflammatory drugs (or just pain relievers), and weight loss for those who are overweight.




I have a posterior horn detachment of the medial meniscus. I feel proud of myself that I can get that all straight on paper, but what does it really mean (besides the fact that I have knee pain)?

in

The menisci (plural for meniscus) are C-shaped strong cartilage that sit between the femur (thigh bone) and the tibia (lower leg bone). The menisci are sometimes referred to as the cartilage of the knee, but they are separate from the articular cartilage that covers the surface of the joint.




I'm pretty bummed that my knee surgery to repair a torn meniscus didn't work. I still have knee pain and can't be as active as I would like. What do I do now?

in

The first step is to make sure you have a follow-up visit with your surgeon. It's possible your knee pain is caused by something other than a failed meniscal repair. Meniscus (plural: menisci) in the knee depend on an intact and healthy anterior cruciate ligament (ACL). Without the ACL, forces on the meniscus increase up to 200 per cent. Assessing the status and condition of the ACL will be an important part of the exam.




I have a torn meniscus in my left knee. I've been to see my orthopedic surgeon who recommended surgery to remove part of the cartilage. But from what I've been reading on-line, it sounds like the current treatment is to preserve (not remove) the meniscus. Is my surgeon steering me in the wrong direction?

in

The meniscus is a moon or crescent-shaped fibrocartilaginous structure present on both sides of the knee (medial and lateral). Both menisci provide structural integrity and support to the knee when it undergoes tension and torsion. Athletes involved in pivoting, cutting, or sudden changes in direction are most likely to sustain an ACL/medial meniscus tear. This commonly includes soccer and basketball players and skiers.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.

Back to top

MySpace Tracker