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Author Topic: ACL and Meniscus Injury  (Read 2081 times)

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Offline lyttebyd

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ACL and Meniscus Injury
« on: March 29, 2015, 12:47:47 AM »
Hi all,

I'm new to this forum and I'm not sure where to post this issue. After first and second opinion I'm confused.

Here is my story in a nutshell.

I tore my acl and meniscus on January 28, 2015. However, the mri report stated a partial acl tear and no meniscus tear. I saw my first orthopedic surgeon, who confirmed the diagnosis of a complete acl and meniscus tear about a week later. Naturally, I got a second opinion that orthopedic surgeon stated the same thing. So the only dilemma I had initially was with surgeon to go with. In the mean time, I developed a blood clot which postponed surgery. I waited about six weeks and had a follow up ultrasound, which showed no more bold clot, thank God.

It gets good here...

I went back and met with surgeon one and surgeon two, I still hadn't decided who I wanted to do the surgery. Well, when I went back to surgeon 1, he said my acl scarred onto my pcl and I now have enough stability and therefore I don't need surgery. However, I went to surgeon 2 and he said I'm still unstable and scheduled me for surgery April 17. Now I'm thoroughly confused.

The acl serves a purpose so if I elect not to have surgery now I'll probably will end up needing it later. Can anyone chime in. Has anyone experienced something similar.

Offline fraz

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Re: ACL and Meniscus Injury
« Reply #1 on: June 12, 2015, 05:02:23 PM »
I've got some ACL laxity as the joint in slightly hyper-mobile - Exactly what amount of laxity there is I'm not sure as no one yet has put a number on to the laxity if that makes sense - there should be a measurement of give maybe in mm which indicates the seriousness of the laxity or give or amount the ligament has been stretched. There is a normal range beyond which it becomes an abnormal range of movement and the meniscus will tear as the tibia and femur anre not tightly enough together and rub the meniscus away or to tear- a bit overly simplistic way of looking at it but its not that far off the mark from a patient point of view.

You mention the acl has scarred onto your pcl insinuating a complete or near complete tear but then some level of healing but with the acl morphing or attaching to the pcl and healing to form one ligament thus providing enough taughtness to mean you don't need surgery?

If meniscus is torn it will need surgery or will get worse -either a repair with experienced meniscus surgeon not just any surgeon so a super ultra specialist surgeon because thats what they are.
Alot of tears cannot be repaired which means some has to be removed leaving tibia and femur unprotected for future ware and tear so a collagen implant is a niche untested for any length of time product but looks promising.

You need to ascertain the integrity of the cruciates with a doctor who wants to get to the bottom of your problem and sadly not all do.

You may benefit from learning some mri reading skills to view your own images and over time you can learn so much but its a bit of a hike and hassle but hey the website here is a great start with the knee video.

Just chiming in a little -very complicated but from a patient point of view but worthwhile to be an informed patient-
Radi  Ant is an mri viewer that you can download for free to try it out and you can buy it after if you wish-so if you have your images you can start to become your own radiologist to flag up points to be discussed with the real deal doctors who want to help you :)

Offline fraz

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Re: ACL and Meniscus Injury
« Reply #2 on: July 25, 2015, 03:50:10 PM »
Went to see a surgeon to get to the crux a bit more -

The PCL has 3mm laxity from an injury -He used a device that went over the leg with a chord attached to the machine which has holes in to attach the chord to measure ligaments - What is the name of this machine?

On MRI there is a circle which shows where injury took place and has healed but minus 2-3mm where the PCL has lost some integrity-

Is there a surgical procedure to shure up or fix the ACL and or PCL using your existing ligaments without any allograft or autograft - So like a re-construction of your own tissue to repair it?

Is this possible? -