Trashed Knee. Surgery now or wait?

4 replies to this topic
  • micahmorgan

Posted 18 November 2009 - 12:17 PM

#1


Dr Mark,

I need your advice. Do I get surgery or wait until I really screw up my knee?

Back in March, I had a small washout with a big injury. I've done plenty of physical therapy and haven't experienced a knee buckle or give out yet. I still ride a lot and race off road, desert at least once a month.

Here is my MRI from March:
http://morganaviatio...organ%20MRI.avi

By now, I assume my knee is healed as much as it is going to do by itself. I'm getting some knee popping and clicking and occasionally, some knee pain when I squat. The popping doesn't hurt at all, but the squat pain feels like it's between my femur and tibia. I just recently got another MRI and it's here:
http://morganaviatio...%20in%20Nov.wmv

The radiologist report had some bleak news with a "a few ACL fibers intact" and a "near complete tear of the ACL," "Buckling PCL," and a MCL that didn't attach to the femur. These results don't really make sense to me since I can still run, cut, pivot, jump, and ride mostly without pain.

I respect your opinion more than the doc I'm seeing. I think he sees mostly old people. My questions for you are ...

- I think I'm going to need surgury sometime, but do I wait until I have a complete ACL tear?

- Do you concur with the radioligist report of a near complete ACL tear? Buckling PCL? and a MCL that never reattached to my femur?

- How long is the down time if I come see you for the surgury ... whether it's now or later? I will have time for extensive physical therapy.

- Any other comments you have?

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  • l_campionero

Posted 18 November 2009 - 12:43 PM

#2

Get the opinion of a good sports doctor. I wish I had when I was 21 and 23 when I damaged my knees. I haven't had an ACL in either knee for nearly 30 years, and my cartilage is nearly gone. I will possibly end up with a replacement for one or both before I leave here.
My knees are shot, and not fixable.
Good luck.

  • DrMark

Posted 18 November 2009 - 01:20 PM

#3

It the PCL is buckling, the ACL is no nonger functional. You need to have the ACL recontructed if you want to continue in sports.

At our clinic that means five days down here, no crutches, or braces, and return to sports n three months.

  • micahmorgan

Posted 18 November 2009 - 02:55 PM

#4

What about the MCL? Is it done too?

Is there any risk with waiting to get the ACL reconstructed?

  • DrMark

Posted 18 November 2009 - 05:27 PM

#5

The MCL has healed a a month after the knee injury.

YOu should have the ACL fixed before further damage occurs.



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