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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does This MRI Result Indicate Need Of Surgery?

i got complete ACL 15 days back When jumping my right knee is mislanded. my age is 34 .Usually i don t play sports ( just will do threadmill, cycling ) Here is MRI findings: Large joint effusion is present with a tiny popliteal cyst medial and latel menisci intact complete tear of the proximal ACL. PCL is intact medial and lateral collateral ligaments appear intact extension mechanisam is unremarkbale articular cartilage appears to be within normal limits bone marrow edema along the lateral femoral condyle and posterior aspects of the medial and lateral tibial plateaus. minor linear signal intensity along the posterior aspect of the lateral tibial plateau may represent a minor impaction injury. bone marrow edema is also noted along the head of the fibula Impression: complete tear of the proximal ACL with associated bone brusies consistent with medial and ;lateral rotatory instability. mild osteochondral impaction injury along the posterior aspect of the lateral tibial plateau Do i need surgery ? or can i continue only physical therapy
Tue, 28 Jun 2016
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Orthopaedic Surgeon 's  Response
Hello, 

Thanks for writing to us, 

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

I will recommend you to go for arthroscopic ACL reconstruction graft for ACL can be used from leg, use of endobutton will give good results.
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 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,

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
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Does This MRI Result Indicate Need Of Surgery?

Hello,  Thanks for writing to us,  I have studied your case with diligence. ACL tear requires surgery in young age. I will recommend you to go for arthroscopic ACL reconstruction graft for ACL can be used from leg, use of endobutton will give good results. 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 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, 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