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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Ligament Injury Tear Need Arthroscopic Repair Of ACL?

Hello doctor, I had a ligament injury 6 month back. But it did not heal properly and I feel unstable while running, heavyness in leg while standing, minor pain while doing squat. In MRI ligament is partially tear with no grading. The doctor has asked me to undergo athroscopic repair of ACL. Can you please let me know if the surgery is compulsory or it can be treated by Physiotherapy.
Wed, 1 Oct 2014
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Orthopaedic Surgeon,  's  Response
Hello,

Thanks for writing to us,

I have studied your case with diligence.

Acl reconstruction has good results and you can go for it.

I will recommend you to go for arthroscopic ACL reconstruction again, graft for ACL can be used from other 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,

Physiotherapy will not lead to complete healing of ligament.

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 A Ligament Injury Tear Need Arthroscopic Repair Of ACL?

Hello, Thanks for writing to us, I have studied your case with diligence. Acl reconstruction has good results and you can go for it. I will recommend you to go for arthroscopic ACL reconstruction again, graft for ACL can be used from other 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, Physiotherapy will not lead to complete healing of ligament. 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.