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Dr. Andrew Rynne

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Best Repair Methodology For Grade 3 Horizontal Tear Of Posterior Horn?

The MRI of left Knee performed using T1 & T2 weighted sequences in multiple plane shows “ Grade 3 horizontal tear of posterior horn & posterior body of medial meniscus with an associated multilobulated parameniscal cyst extending into posterior intercondylar region. A small baker’s cyst is also present. Tear tracks superiorily into the posterior intercondylar region posterior to femoral attachment of ACL. It measure 0.9cm in aneroposterior, 2.1cm in transverse & 3.4 cm in superoinferior extents. Rest part of joints are normal” Kindly advice what is the best repair methodology. Physiotherapy or arthroscopy. regards, Ravindra Pal
Mon, 9 Jan 2017
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Physical Therapist or Physiotherapist 's  Response
Hi,

I understand your concern. Given the history I will suggest you to undergo arthroscopy as in this condition the damaged of meniscus has to be removed other wise it will act as loose body with in the joint and it can also trigger secondary O.A. of knee where your condition may worsen. Doing activities of daily living may also become difficult. Following surgery you can opt for physiotherapy treatment for muscle strengthening and early return to active life.

Hope you find the answer useful. Let me know if I can assist you further.

Regards,
Dr. Harsh Swarup
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Best Repair Methodology For Grade 3 Horizontal Tear Of Posterior Horn?

Hi, I understand your concern. Given the history I will suggest you to undergo arthroscopy as in this condition the damaged of meniscus has to be removed other wise it will act as loose body with in the joint and it can also trigger secondary O.A. of knee where your condition may worsen. Doing activities of daily living may also become difficult. Following surgery you can opt for physiotherapy treatment for muscle strengthening and early return to active life. Hope you find the answer useful. Let me know if I can assist you further. Regards, Dr. Harsh Swarup