Suggest Treatment For Knee Injury

Posted on Wed, 19 Nov 2014

Question: I had am MRI of my right knee which shows complex tear of the posterior horn of the medial meniscus extending to the meniscal root with a 5 mm medial subluxation of the meniscal body, suggesting a radial tear. Abnormal intrasubstance signal involving the anterior horn of the lateral meniscus suggesting myxoid degeneration with a small linear tear extending to the superior to the surface of the free edge.Cartlige lossat the weight bearing aspect of femoral condyle with a 7mm loose body, 50% cartlidge loss involving the patella apex and medial facet. there is a lesion in the distal femoral likely an enchondroma.Severe osteoarthritis with large full thickness cartlidge defect and exuberant osteophyte formation
I would like to know if this means minor or major surgery. Repiar of the tears or knee replacement

Answered by Dr. Mukesh Chugh (32 minutes later)

Brief Answer:
Major surgery and preferably a knee replacement

Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. Based on MRI finding I would recommend a knee replacement. Though a major surgery, it is safe and routinely performed at super speciality hospital.
Hope this information suffices.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (21 hours later)

What would make your recommendation to a full knee replacement vs a partial knee and are the tears repaired at the time of surgery ? I am 55 years old, is that to young for a total knee replacement. I would rather have a full functioning knee now than at 80 !

Answered by Dr. Mukesh Chugh (19 minutes later)

Brief Answer:
Total knee replacement is recommended

Detailed Answer:
Hello
It's good to see you.
I have gone throug your MRI report which suggest big cartilage defect at patella and femur bone these finding along with enchondroma are indication for total knee replacement rather than partial.In total knee all the soft tissue like menesci are removed and are not repaired.
I can understand your dilemma but the decision should be based on knee joint condition ,pain and age is not the criteria.You will have good range of motion with latest high flexion knee implants.
Hope this answers your query.
Regards

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar