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Doctor insights on: Medial Patellofemoral Ligament Repair

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Acl and meniscus tear reconstruction cost?

Acl and meniscus tear reconstruction cost?

Tough to answer...: In the usa orthopaedic surgeons fees for that procedure are typically around $2000. The expensive part of the surgery is the hospital cost, anesthesia, etc. And it can be substantial ie >$20k if you dont have insurance. ...Read more

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Ligament (Definition)

A fibrous band of tissue that connects one bone to another. They hold joints in place. Dr. Fox's trivia test: what one bone is the only one ...Read more


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Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Yikes: The wear on your lateral side and lateral meniscus tear is a not great. The lateral meniscus is responsible for balancing and distribution of force more so than the medial. Be very cautious returning to plant and pivot sports. ...Read more

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Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema

Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella,  subcutaneous edema

When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more

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What is lateral collateral ligament laxity?

What is lateral collateral ligament laxity?

Loose ligament: Laxity is an orthopaedic term for looseness. Normally, ligaments don't really stretch much. If a ligament gets partially torn, it can be functionally lengthened which can make a joint unstable. Some people have more lax ligaments than others. If there are no symptoms of instability, no worries! ...Read more

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MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

MRI of knee shows "Oblique tear posterior horn medial meniscus, lateral patellar plica and minimal synovial knee effusion" will I need surgery? or ?

Possibly: It depends on the degree of tear, how much it is effecting your daily activities and whether it responds to conservative treatment. If the plica does not get better with anti inflammatory meds you will most likely need arthroscopic surgery to remove it, although your orthopedic surgeon will be the best MD to determine that. ...Read more

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MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and Grade II Chondromalacia patella with trace knee effusion . Surgery?

MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and 
Grade II Chondromalacia patella with trace knee effusion . Surgery?

Obviously you have -: -symptoms, so if the trouble is locking, giving way, the findings indicate a mechanical problem in the knee. You need to follow the advice of your orthopedic surgeon who is familiar with your case, especially if you have treated with him/her for a while. The surgery is only driven by your symptoms. The thing to remember is there is no orth prob so severe that it can't be made worse by surgery. ...Read more

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Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?

Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?

See good knee...: This is purely an MRI reading of your knee.'partial' acl and PCL tears in your age group means very little to me unless you had a very significant , recent knee injury w/ a hemarthrosis .( which u don't have).'chondromalacia'( of what..Mfc, lfc, patella?) means you have a component of arthritis in your knee. See a qualified, respected knee surgeon to discuss your options . Best of luck! ...Read more

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Medial meniscus injury is where?

Medial meniscus injury is where?

Let me explain: In the knee on the inside part of it.Thank. ...Read more

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Anterior cruciate ligament knee injury, what to do?

Anterior cruciate ligament knee injury, what to do?

See a specialist.: See a fellowship trained sports medicine orthopedic knee surgeon, who has experience with ACL's. ...Read more

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How successful is ACL (anterior cruciate ligament) reconstruction surgery?

How successful is ACL (anterior cruciate ligament) reconstruction surgery?

Very successful: Anterior cruciate ligament reconstruction surgery has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting and delayed rehabilitation, to the current early rehabilitation program which in made the result better. ...Read more

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Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more

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Is it possible that knee ACL (anterior cruciate ligament) repair itself?

Is it possible that knee ACL (anterior cruciate ligament) repair itself?

Anything is possible: But the torn acl doesn't repair itself strongly, that it can function normally. It usually is stretched out tissue, which is no good to the its normal job. There might be some scar tissue hitching the 2 ends of the acl together, but in no way, is that acl functional. I hope I have answered your question. Good luck and happy holidays. ...Read more

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Can arthroscopic knee surgery correct fracture of femoral condyle?

Can arthroscopic knee surgery correct fracture of femoral condyle?

Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more

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What is medial patellar plica?

What is  medial patellar plica?

Inflammed tissue.: The plica is a band of tissue that runs along the front/inner side of your knee. It can become inflammed and mimic meniscal tear symptoms. ...Read more

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What is anterior cruciate ligament) reconstruction surgery?

What is anterior cruciate ligament) reconstruction surgery?

ACL: The acl is the main stabilizing ligament in the knee. When it tears or ruptures, it can not be repaired, but needs to be reconstructed with a graft. There are numerous graft options which can be used to make a "new" acl. ...Read more

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What should I expect with a ligament repair surgery?

Ask Surgeon.: Sorry, but only your surgeon who knows details of your injury, personality characteristics, planned operation etc. Will be able to provide you with meaningful advice/information. Best wishes. ...Read more

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"can a torn outside ligament repair it self? I am told the" -- because it falls within my area of xpertise. I just need a few m "can a torn outside ligament repair it self? I am told the" -- because it falls within my area of expertise. I just need a few

"can a torn outside ligament repair it self? I am told the" -- because it falls within my area of xpertise. I just need a few m "can a torn outside ligament repair it self? I am told the" -- because it falls within my area of expertise. I just need a few

I : I dont understand your entire question...But simply put, yes a torn outside ligament (known as a lateral collateral ligament or lcl) does have the potential capacity to repair itself, especially if it is an isolated injury. If associated with other ligament injuries, more instability is present leading to more unpredictable results. Regardless, adequate time and bracing as well as rehabilitation are needed for optimal healing. ...Read more

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What makes someone eligible for shoulder ligament repair surgery, or instability of the shoulder?

What makes someone eligible for shoulder ligament repair surgery, or instability of the shoulder?

Exam & Hx & imaging: History of dislocations, hands on xam by an orthopedic shoulder specialist may give u the answer though further imaging may b needed. ...Read more

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How soon after ATFL ligament repair can I use elliptical machine to work out?

How soon after ATFL ligament repair can I use elliptical machine to work out?

Varies: It varies somewhat based upon surgical technique used and surgeons preference, but usually in the 8-12 week range. ...Read more

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Had ligament repair but now have over flexible ligaments. Is there anything I can do? Ankle gives way at least 4 times per week

Had ligament repair but now have over flexible ligaments.  Is there anything I can do?  Ankle gives way at least 4 times per week

Therapy /alignment: typically ligament repair is performed to increase stability and tighten structures. Physical therapy can assist to increase muscle strength and proprioception at the ankle which could be very helpful. I would also recommend a bio mechanical exam to evaluate alignment and function of extremity. Bracing can be beneficial during increased activity to prevent injury. See doc if persists. ...Read more

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Can it be possible for your to cruciate knee ligament repair itself?

Can it be possible for your to cruciate knee ligament repair itself?

Generally not.: Almost always, the cruciate ligaments in the knee do not heal themselves. There are rare exceptions to this. You should see a sports medicine orthopedic knee specialist, who could me more specific after examining you. ...Read more

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On average, how long does one have to stay out of work after a ligament repair in the ankle?

On average, how long does one have to stay out of work after a ligament repair in the ankle?

Depends: It depends on what ligament, what location and how it was repaired. It would be best to talk to you doctor about it. ...Read more

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Ankle ligament repair needed what happens during the surgery?

Ankle ligament repair needed what happens during the surgery?

Different options: Most ankle ligament surgery involves either tightening up existing ligaments if they are in satisfactory condition (modified brostrum) or using a portion of a tendon to replace the deficient ligaments (anatomic free tendon reconstruction). "non anatomic reconstructions" have fallen out of favor. ...Read more

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Having problems with knee pain from a collateral ligament repair. What to do?

Having problems with knee pain from a collateral ligament repair. What to do?

Tell Surgeon: When having post-operative difficulties - it is important to advise the orthopod who did the surgery so that the issue can be fully assessed. You can also ask your orthopedic surgeon about using acupuncture to speed healing and assist with pain control. ...Read more

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Is it possible that knee ACL (anterior cruciate ligament) repair itself?

Anything is possible: But the torn acl doesn't repair itself strongly, that it can function normally. It usually is stretched out tissue, which is no good to the its normal job. There might be some scar tissue hitching the 2 ends of the acl together, but in no way, is that acl functional. I hope I have answered your question. Good luck and happy holidays. ...Read more

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Is there any reason why a sciatic nerve block wouldn't be appropriate (vs GA) for lateral ligament repair with internal brace?

Is there any reason why a sciatic nerve block wouldn't be appropriate (vs GA) for lateral ligament repair with internal brace?

Ask the anaesthetist: Spinal might be appropriate but sciatic nerve block only can be technically difficult/unavailable depending on the facility and skill of the staff plus ga can be quicker recovery You should get a chance to meet an anaesthetist before the operation and could discuss this option as part of your rights re making an informed decision. Usually they will talk on the day of op. ...Read more

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My toes feel like theyre cold, but they aren't cold to the touch, and I can't seem to warm them up. Im in short leg cast after ligament repair surgery?

My toes feel like theyre cold, but they aren't cold to the touch, and I can't seem to warm them up. Im in short leg cast after ligament repair surgery?

Contact surgeon: Call the office to describe the situation. They will need to tell you how to deal it it and might want to see you to evaluate the healing. No one else is nearly as good to provide answers. This is part of post-op care. Feel better soon! ...Read more

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Anterior ankle ligament repair, 12 days post op. Pain ++ in last 3 days, over entire foot and shin. Turns blue when down, No fever or chills - normal?

Anterior ankle ligament repair, 12 days post op. Pain ++ in last 3 days, over entire foot and shin. Turns blue when down, No fever or chills - normal?

No: No, I would not say that is normal at all. I would definitely let your surgeon know and be checked immediately to make sure you have not had some type of complication. ...Read more

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What is the medial patellofemoral ligament and where is it located? How do you fix it?

What is the medial patellofemoral ligament and where is it located? How do you fix it?

Near the kneecap: The medial patellofemoral ligament is on the inside (medial) part of the patella (kneecap). It helps stabilize the patella as the knee bends. If damaged, subluxation ( abnormal movement) of the patella can cause pain. It can be repaired by grafting tissue to replace the damaged ligament. ...Read more

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Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more

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How quickly does an atfl ligament tear need to get repaired?

How quickly does an atfl ligament tear need to get repaired?

Give it time: For an acute ligament tear, healing time can be 4-6 weeks depending on various factors. I would use a brace, compression, consider physical therapy and look for slow improvement the whole time. I would give it 6 months before you decide on surgery. Look for pain, swelling and ankle instability as key signs ligament not healed. Mri can be diagnostic to see for sure. ...Read more

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I need some tips on how to repair a strained ligament?

Strain: Rest and immobilization initially with the addition of an anti inflammatory should clear it up. Good luck ...Read more

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What treatments are there medial collateral ligament?

What treatments are there medial collateral ligament?

Depends: It depends on the severity of the injury. Mild to moderate injury is almost always physical therapy. Severe injury or complete disruption is usually addressed with operative repair. The decision is complex. Based on the age and health of the patient as well as the other parts of the knee that were injured at the time. ...Read more

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What should I do after having an operation to repair my anterior cruciate ligament?

What should I do after having an operation to repair my anterior cruciate ligament?

Rehab: Rehabilitation with a physical therapist for an acl protocol specified by your surgeon is very important in your recovery. ...Read more