Doctor insights on:
Mcl And Meniscus Repair
When can I walk? Having ACL reconstruction, MCL and lateral meniscus repair. When can I go to work? Special needs teacher constantly standing. Thanks
The medial collateral ligament (MCL) is a wide band of tissue (a ligament) that runs along the inner side of each knee, connecting the thighbone (femur) to the shinbone (tibia), to help stabilize the knee joint. The MCL's main purpose is to prevent knees from bending too far ...Read more
What is the recovery time for ACL reconstruction using hamstring, plus MCL repair plus lateral meniscus repair plus impact fracture of tibial plateau?
Difficult to say: You describe a fairly significant knee operation and set of injuries. It's hard to say without examining you and reviewing your studies. Your orthopedic surgeon is in the best position to answer this question. It's safe to say that your recovery will last for several months with a lot of physical therapy. ...Read more
Nwb 4 how long approx or not at all? After ACL recon, MCL repair, medial and lateral meniscus repair. Just approx I know everyone is different. Thanks
2 weeks: Usually it is non weightbearing for at least 2 weeks, you may need crutches fora litlle longer as you beging putting weight on the leg. ...Read more
So tired of knee pain. Mcl & meniscus repaired in august but pain still intense. 1-2mm tear showed in most recent mri. Would surgery help?
How difficult is it to do MCL repair when when repairing meniscus? Mcl pain is still extreme 10 weeks in. Chances dr will do both at once?
Not typically: The mcl is a structure with high healing potential on its own. It has multiple parts, all of which seldom need surgical fixation. Many patients have pain in the hamstrings (they sit right next to the mcl) long after the mcl heals and can easily be confused. ...Read more
Mcl sprain after dislocation of patella. Recent lateral release, meniscus repair. How do they know no tear without mri? Limp, popping noise, pain
Not often: Imagine the meniscus as having the shape of a crescent moon. The inner 2/3 has a poor potential for as it has no blood supply (necessary for healing). The outer 1/3 does have a blood supply and has the potential for healing. Surgery is often required to bring the torn meniscus together to allow for healing. ...Read more
3-4 months: If you had a true repair and plan to return to sports then to be safe it's best to wait 3-4 months for full recovery. ...Read more
No definite answer: Meniscus tears that are repairable should be repaired as expeditiously as possible. No one can know for certain when or if another injury will occur. Further injury may convert a repairable tear to a tear that cannot be repaired but only partially removed. While waiting for a likely repair, it is prudent to greatly limit any activities that put the knee and meniscus at risk for further injury. ...Read more
4 months: Are you sure you had a repair and not a menisectomy (which is a trimming)? A repair is a much more involved procedure. Typically the plica is removed in order to get better visualization so the plica healing is minimal. The meniscal repair needs to be protected so the cartilage can heal. Before any cutting or pivoting activities it is at least 4 months. ...Read more
Crutches for 6 weeks: Most meniscal repair surgeries, whether done open or arthroscopically, require up to 6 weeks of limited weight bearing with crutches. Most surgeons allow at least the weight of the foot to touch the ground during that time. Physical therapy is geared at working on quadriceps function/strength and limited knee motion from 0-90 degrees. Bracing in extension for ambulation may be indicated as well. ...Read more
Synvisc (hylan g-f 20) injections are not indicated in situation of a meniscal repair and lateral release.
Synvisc (hylan g-f 20) is used for arthritic knees only. ...Read more
9 weeks post meniscus repair. Was doing great and began to use it more. Pain has returned and now swelling. Do I hurt it?
Variable: About 3 to 6 weeks with rest most of the time. ...Read more
Most meniscal surgeries are a meniscectomy rather than a repair. Meniscectomy recovery is about 1-2 months depending upon other factors
meniscal healing after a repair is not a guarantee. It takes 6-12 months for full healing. ...Read more
Variable: There are a number of methods used for acl reconstructions, each with varying amounts of associated pain. Using your own patella tendon or hamstring as a graft will also increase the pain level. I have been performing all-inside acl reconstructions where patients often have pain not unlike a regular knee scope. In those cases I have to admonish my patients not to do too much after surgery! ...Read more
Meniscus repair: It depends on the severity, size, and location of the tear. The safest taking is to stay on crutches and discuss plan with your doctor. ...Read more
After few days: Patients are given crutches, and instructed to walk with the crutches. Most often, patients will be allowed to place weight on the operated leg so long as the knee is held fully straight (either with a knee immobilizer or a hinged knee brace locked in extension). ...Read more
It depends: Depending on the type of repair, your surgeon may protect your weightbearing and your activities to maximize healing. If part of the torn meniscus was removed, you would be allowed to walk as soon as you feel able. However, if the torn meniscus was repaired with sutures, then you might need to use crutches (partial weightbearing) for 4-6 weeks and gradually resume walking. Check with the doc. ...Read more
I had medial meniscus repair last week and I still can't walk. Is this a normal thing to deal with?
See your ORS: Assuming you had arthroscopic "all- inside" meniscus repair. You should be walking with crutches (or walker) 1 wk. Post-op. Some surgeons 'protect' the meniscus w/ 'toe - touch' weight bearing on the affected extremity for 3-6 wks. Post-op after meniscal repair. I let my patients weight bear as tolerated immediately (surgeon preference).In any event you should be up walking! Contact your ors. Gl! ...Read more
What are the contraindications for meniscus repair rather than removal? Will osteoarthritis progress as a result of either alternative?
Therapy: Physical therapy to reduce pain and enable function the meniscus ths the cushion your knee bears weight and bends. If abnormal it may resolve deppending on the severity biut also will degenerate over timew causing some change in gait and may effst the chances of degenerative arthritis earlier than normal. ...Read more
I'm 20yrs old guy, after meniscus repair surgery & rehab. After 1 year can I be back to my high intensity exercises or should I stop them permanently?
Ask your ortho:
I would think you should gradually work your way up. I am not sure how you obtained the tear but don't damage your outcome.
Ask your ortho doctor how best to recover and if you have any limitations. All the best. ...Read more
Variable: That depends on a number of factors: 1) allograft or autograft - when using your own tendon (either patellar tendon or hamstring tendon), the donor site (where we get the tendon) typically hurts more than the acl reconstruction. 2) type of acl reconstruction - some surgeons are performing "all-inside" acl reconstructions that have significantly less surgical pain, 3) individual pain tolerance. ...Read more
Meniscus repair 2/18/16, no pain until last week? Would bowling w/ my young Grandaughters have caused this pain? Also had to switch treadmill to bike.
Bowling is NOT the BEST SPORT for someone your age and with your history!
My Opinion only!
Dr Z ...Read more
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