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What Does This MRI Report Regarding Painful Left Knee After Injury Indicate?

Posted on Sat, 2 Aug 2014

Question: Hi Doctor,

I had a fall on friday evening from my 2 wheeler. Have pain in my left knee and not able to stretch or fold my leg completely. Doctor has asked me to take MRI. After seeing the MRI report he has asked me to undergo surgery (One day surgery). Please let me know if i need to undergo this surgery. I am attaching the MRI report and Doctor Advice from your reference.

Regards
XXXXXX

Answered by Dr. Vaibhav Gandhi (1 hour later)

Brief Answer:
recommend you to go for arthroscopic ACL reconstru

Detailed Answer:
Hello,

Thanks for writing to us,

I have studied your case and report with diligence.
ACL complete tear requires surgery in young age.

I will recommend you to go for arthroscopic ACL reconstruction , graft for ACL can be used from same leg, use of endobutton will give good results, you will also require meniscus repair for grade 3 tear.
At young age if you don’t operate for ACL then progression of knee arthritis will be rapid as your knee is not mechanically stable.
You can wait for 3 weeks for surgery till edema subside and pre operative physiotherapy can be given.

You need to do proper physiotherapy protocol before and after surgery to strengthen your quadriceps and hamstring muscles.

Knee support like knee cap or hinged knee brace will be helpful till time.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Vaibhav Gandhi (27 minutes later)

Hi Doctor,

Can i plan for the surgery this week say wednesday or friday. After the surgery what will be the recovery period. By when can i get back to work or drive my car.

Regards
XXXXXX

Answered by Dr. Vaibhav Gandhi (3 hours later)

Brief Answer:
it's better to operate 3 weeks after injury

Detailed Answer:
Hello
I have studied your case.
Recovery is early after arthroscopic repair.
you can walk with support next day of surgery.
You can work with in 10 days.
driving car may take 3 -4 weeks.
I hope I have answered your questions. If you have further questions please feel free to ask. I will be happy to answer your question. Take care.

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

Above answer was peer-reviewed by : Dr. Vaishalee Punj