Knee arthroscopic surgery





Definition

Knee arthroscopic surgery is a procedure performed through small incisions in the skin to repair injuries to tissues such as ligaments, cartilage, or bone within the knee joint area. The surgery is conducted with the aid of an arthroscope, which is a very small instrument guided by a lighted scope attached to a television monitor. Other instruments are inserted through three incisions around the knee. Arthroscopic surgeries range from minor procedures such as flushing or smoothing out bone surfaces or tissue fragments (lavage and debridement ) associated with osteoarthritis, to the realignment of a dislocated knee and ligament grafting surgeries. The range of surgeries represents very different procedures, risks, and aftercare requirements.

While the clear advantages of arthrocopic surgery lie in surgery with less anesthetic, less cutting, and less recovery time, this surgery nonetheless requires a very thorough examination of the causes of knee injury or pain prior to a decision for surgery.


Purpose

There are many procedures that currently fall under the general surgical category of knee arthroscopy. They fall into roughly two groups—acute injuries that destabilize the knee, and pain management for floating or displaced cartilage and rough bone. Acute injuries are usually the result of traumatic injury to the knee tissues such as ligaments and cartilage through accidents, sports movements, and some overuse causes. Acute injuries involve damage to the mechanical features, including ligaments and patella of the knee. These injuries can result in knee instability, severe knee dislocations, and complete lack of knee mobility. Ligament, tendon, and patella placements are key elements of the surgery. The type of treatment for



acute injuries depends in large part on a strict grading system that rates the injury. For instance, grades I and II call for rest, support by crutches or leg brace, pain management, and rehabilitation. Grades III and IV indicate the need for surgery. Acute injuries to the four stabilizing ligaments of the knee joint—the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), and the lateral collateral ligament (LCL)—as well as to the "tracking," or seating of the patella, can be highly debilitating.

Treatment of these acute injuries include such common surgeries as:

  • Repairs of a torn ligament or reconstruction of the ligament.
  • Release of a malaligned kneecap. This involves tendon surgery to release and fit the patella better into its groove.
  • Grafts to ligaments to support smoother tracking of the knee with the femur.

Pain management surgeries, on the other hand, are used to relieve severe discomfort of the knee due to osteoarthritis conditions. These treatments aim at relieving pain and instability caused by more chronic, "wear and tear" kinds of conditions and involve minor and more optional surgical procedures to treat cartilage and bone surfaces. These include arthroscopic techniques to remove detached or obtruding pieces of cartilage in the joint space such as the meniscus (a fibrous cushion for the patella), to smooth aged, rough surface bone, or to remove parts of the lining of the joint that are inflamed.

Treatment distinctions between arthroscopic surgery for acute injuries and those for pain management are important and should be kept in mind. They have implications for the necessity for surgery, risks of surgery, complications, aftercare, and expectations for improvement. Arthroscopic surgery for acute injuries is less controversial because clear dysfunction and/or severe instability are measurable indications for surgery and easily identifiable. Surgery indications for pain management are largely for chronic damage and for the milder grades or stages of acute injuries (severity Grade I and II). These are controversial due to the existence of pain management and rehabilitation alternatives. Arthroscopic surgery for pain management is currently under debate.


Demographics

More than five and a half million people visit orthopedic surgeons each year because of knee problems. Over 600,000 arthroscopic surgeries are performed annually; 85% of them are for knee surgery. One very common knee injury is a torn anterior cruciate ligament (ACL) that often occurs in athletic activity. The most common source of ACL injury is skiing. Approximately 250,000 people in the United States sustain a torn or ruptured ACL each year. Research indicates that ACL injuries are on the rise in the United States due to the increase in sport activity.

The incidence of ACL injuries in women is two to eight times greater than in men. While the exact causes are not clear, differences in anatomy, strength, or conditioning are thought to play major roles. Women also seem to be more prone to patella-femoral syndrome (PFS), which is the inability of the patella to track smoothly with the femur. PFS is due primarily to development of tendons that influence the ways in which the knee tracks in movement. It can also be due to misalignments to other parts of the lower body like foot pronation. Other ligament surgeries can be caused by injury or overuse.

Knee dislocations are a focus of recent research because of their increasing frequency. Incidences range from 0.001% to 0.013% of all patients evaluated for orthopedic injuries. Many of these injuries heal without treatment and go undetected. Many people with multiple traumas in accidents have knee dislocations that go undiagnosed. Knee dislocations are of special concern, especially in traumatic injury, because their early diagnosis is required if surgery is to be effective. Knee dislocations in the morbidly obese individuals often occur spontaneously and may be associated with artery injury. This surgery involves complications related to the obesity. Finally, knee dislocations have been reported to occur in up to 6% of trampoline-associated accidents.


Description

Arthroscopic surgery for acute injuries

The knee bone sits between the femur and the tibia, attached by four ligaments that keep the knee stable as the leg moves. These ligaments can be damaged or torn through injuries and accidents. Once damaged, they do not offer stability to the knee and can cause buckling, or allow the knee to "give way." Ligaments can also "catch" and freeze the knee or make the knee track in a different direction than its leg movement, causing the knee to dislocate. Traumatic injuries such as automobile accidents may cause more than one ligament injury, necessitating multiple repairs to ligaments.

Four arthroscopic procedures relate to damage to each of the four ligaments that stabilize the knee joint movement. The four procedures are:

  • Anterior cruciate ligament (ACL). A front-crossing ligament attaching the femur to the tibia through the knee; this ligament keeps the knee from hyperextension or being displaced back from the femur. The ACL is a rather large ligament that can withstand 500 lb (227 kg) of pressure. If it is torn or becomes detached, it remains that way and surgery is indicated. In the most severe cases, a graft to the ligament is necessary to reattach it to the bone. The surgery can use tissue from the patient, called an autograft, or from a cadaver, called an allograft. The patella tendon, which connects the patella to the tibia, is the most commonly used autograft. ACL reconstructive surgery involves drilling a tunnel into the tibia and the femur. The graft is then pushed through the tunnels and secured by stapling or sutures.
  • Posterior cruciate ligament (PCL). A back-crossing ligament that attaches the front of the femur to back of the tibia behind the knee that keeps the knee from hyperextension or being displaced backward. PCL injuries are not as frequent as ACL injuries. These injuries are largely due to falls directly on the knee or hitting the knee on the dashboard of a car in an accident. Both displace the tibia too far back and tear the ligament. Surgery to the PCL is rare, because the tear can usually be treated with rest and with rehabilitation. If surgery is required, it is usually to reattach the PCL to the tibia bone.
  • Medial collateral ligament (MCL). This is an inside lateral ligament connecting the femur and tibia and stabilizing the knee against lateral dislocation to the left or to the right. The injury is usually due to external pressure against the inside of the knee. In the case of a grade I or II collateral ligament tear, doctors are likely to brace the knee for four to six weeks. A grade III tear may require surgery to repair ligament tear and is followed by three months of bracing. Physical therapy may be necessary before resuming full activity.
  • Lateral collateral ligament (LCL). An outside lateral ligament connecting the femur and tibia and stabilizing the knee against lateral dislocation. In the case of a grade I or II collateral ligament tear, doctors are likely to brace the knee for four to six weeks. A Grade III tear may require surgery to reattach the ligament to bone. Surgery will be followed by three months of bracing. Physical therapy may be necessary before resuming full activity.

Patello-femoral syndrome (PFS)

The patella rests in a groove on the femur. Anything but a good fit can cause the patella to be unstable in its movement and very painful. Some individuals have chronic problems with the proper tracking of the patella with the femur. This may be associated with conditions related to physical features like foot pronation, or to types of body development in exercising or overuse of muscles. In the case of damage, an examination of the cartilage surrounding the patella can identify cartilage that increases friction as the patella moves. Smoothing the damaged cartilage can increase the ease of movement and eliminate pain. Finally, a tendon can occasionally make the patella track off center of the femur. By moving where the tendon is attached through lateral release surgery, the patella can be forced back into its groove.

Step A shows the anatomy of the knee from the front with the leg bent. To repair a torn meniscus, three small incisions are made into the knee to admit laparoscopic instruments (B). Fluid is injected into the joint to aid in the operation. The injury is visualized via the instruments, and the torn area is removed (C). (Illustration by GGS Inc.)
Step A shows the anatomy of the knee from the front with the leg bent. To repair a torn meniscus, three small incisions are made into the knee to admit laparoscopic instruments (B). Fluid is injected into the joint to aid in the operation. The injury is visualized via the instruments, and the torn area is removed (C). (
Illustration by GGS Inc.
)

Pain management with lavage and debridement

In addition to the ligament and patella surgeries that are largely required for traumatic injuries, arthroscopic surgery treats the wear and tear injuries related to a torn meniscus, which is the crescent-shaped cartilage that cushions the knee, as well as injuries to the surface of bone that makes joint movement painful. These are related to osteoarthritis and rheumatoid arthritis.

In lavage and debridement, the surgeon identifies floating or displaced tissue pieces and either flushes them out with a solution applied with arthroscopy or smoothes the surface of bone to decrease pain. These two surgical treatments are controversial because research has not indicated that alternatives to surgery are not as successful.

All of the above procedures are conducted through the visualization offered by the lighted arthroscope that allows the surgeon to follow the surgery on a television monitor. Instruments only about 0.15 in (4 mm) thick are inserted in a triangular fashion around the knee. The arthroscope goes in one incision, and instruments to cut and/or smooth and to engage in other maneuvers are put through the other incisions. In this fashion, the surgeon has magnification, perspective, and the ability to make tiny adjustments to the tissue without open surgery. The triangular approach is highly effective and safe.


Diagnosis/Preparation

Disease and injury can damage joints, ligaments, cartilage, and bone surfaces. Because the knee carries most of the weight of the body, this damage occurs almost inevitably as people age, due to sports injuries and through accidents.

The diagnosis of knee injuries or damage includes a medical history, physical examination , x rays, and the additional, more detailed imaging techniques with MRI or CT scan. Severe or chronic pain and/or knee instability initially brings the patient to an orthopedic physician. From there, the decision is made for surgery or for rehabilitation. Factors that influence the decision for surgery are the likelihood for repair and recovery of function, the patient's health and age, and, most importantly, the willingness of the patient to consider changes in lifestyle, especially as this relates to sport activity. Arthroscopic viewing is the most accurate tool for diagnosis, as well as for some repairs. The surgeon may provide only a provisional diagnosis until the actual surgery but will apprise the patient of the most likely course the surgery will take.

Arthroscopic surgery can be performed under local, regional, or general anesthetic. The type used depends largely upon the severity of damage, the level of pain after surgery, patient wishes, and patient health. The surgery is brief, less than two hours. After closing the incisions, the leg will be wrapped tightly and the patient is taken to recovery. For most same-day surgeries, individuals are allowed to leave once the anesthetic effects have worn off. Patients are not allowed to drive. Arrangements for pick up after surgery are mandated.

Unlike open surgery, arthroscopic surgery generally does not require a hospital stay. Patients usually go home the same day. Any crutches or canes required prior to surgery will be needed after surgery. Follow-up visits will be scheduled within about a week, at which point dressings will be removed.


Aftercare

Ligament- and patella-tracking surgeries

Arthroscopic surgery for severe ligament damage or knee displacement often involves ligament grafting. In some cases, this includes taking tissue from a tendon to use for the graft and drilling holes in the femur or tibia or both. Aftercare involves the use of crutches for six to eight weeks. A rehabilitation program for strengthening is usually suggested. Recovery times for resumed athletic activity are highly dependent on age and health. The surgeon often makes very careful assessments about recovery and the need for rehabilitation.

Patella-tracking surgeries offer about a 90% chance that the patella will no longer dislocate. However, many people have continued swelling and pain after surgery. These seem to be dependent upon how carefully the rehabilitation plan is developed and/or adhered to by the patient.


Lavage and debridement surgeries

Elevation of the leg after surgery is usually required for a short period. A crutch or knee immobilizer adds additional stability and assurance when walking. Physical therapy is usually recommended to strengthen the muscles around the knee and to provide extra support. Special attention should be paid to any changes to the leg a few days after surgery. Swelling and pain to the leg can mean a blood clot has been dislodged. If this occurs, the physician should be notified immediately. Getting out of bed shortly after surgery decreases the risk of blood clots.


Risks

The risks of arthroscopic surgery are much less than open surgery, but they are not nonexistent. The risk of any surgery carries with it danger in the use of anesthesia, including heart attacks, strokes, pneumonia, and blood clots. The risks are rare, but they increase with the age of the patient. Blood clots are the most common dangers, but they occur infrequently in arthroscopic surgery. Other risks include infections at the surgery site or at the skin level, bleeding, and skin scars.

Risks related specifically to arthroscopic surgery are largely ones related to injury at the time of surgery. Arteries, veins, and nerves can be injured, resulting in discomfort in minor cases and leg weakness or decreased sensation in more serious complications. These injuries are rare. One major risk of arthropscopic surgery to the knee for conditions related to tissue tears is that the pain may not be relieved by the operation; it may even become worse.


Normal results

Normal results of ligament surgery are pain, initial immobility and inflexibility, bracing of the leg, crutch dependence, with increasing mobility and flexibility with rehabilitation. Full recovery to the level of prior physical activity can take up to three months. With ACL surgery, pain in the front of the knee occurs in 10–20% of individuals. Limited range of motion occurs in less than 5% due to inadequate placement of the graft. A second surgery may be necessary.

Research indicates that the pain-relieving effects for arthroscopic partial menisectomy (removal of torn parts of cartilage) and debridement (the abrasion of cartilage to make it smooth) are not very reliable. Pain relief varies between 50% and 75%, depending upon the age, activity level, degree of damage, and extent of follow-up. One study indicates that the two surgical procedures, lavage and debridement, fared no better than no surgical procedure in relieving pain. The participants were divided into three groups for arthroscopic surgery: one third underwent debridement, a second third underwent lavage, and the remaining third likewise were anesthetized and had three incisions made in the knee area, though no procedure was performed. All three groups reported essentially the same results. Each had slightly less pain and better knee movement. The non-procedure had the best results. Debates about normal expectations from minor arthroscopic surgery continue with many surgeons believing that arthroscopic surgery of the knee should be restricted to acute injuries.


Morbidity and mortality rates

Complications occur in less than 1% of arthroscopic surgeries. Different procedures have different complications. In general, morbidity results mostly from medically induced nerve and vascular damage; death or amputations almost never occur. Graft infection may occur, along with other types of infection largely due to microbes introduced with instruments. The latter cases are becoming increasingly rare as the science of arthroscopic surgery develops.


Alternatives

Whether or not surgical treatment is the best choice depends on a number of factors and alternatives. Age and the degree of injury or damage are key to deciding whether to have surgery or rehabilitation. The physician calibrates the severity of acute injuries and either proceeds to a determined treatment plan immediately or recommends surgery. Alternatives for acute ligament injuries depend on the severity of injury and whether the patient can make lifestyle changes and is willing to move away from athletic activities. This decision becomes paramount for many people with collateral and cruciate injuries.

According to the American Association of Orthopedic Surgeons, conservative treatment for acute injuries involves RICE: Rest, Ice, Compression, Elevation, as well as a follow-up rehabilitation plan. The RICE protocol involves resting the knee to allow the ligament to heal, applying ice two or three times a day for 15–20 minutes, compression with a bandage or brace, and elevation of the knee whenever possible. Rehabilitation requires range-of-motion exercises to increase flexibility, braces to control joint immobility, exercise for quadriceps to support the front of the thigh, and upper thigh exercise with a bicycle.

For arthritis-related damage and pain management, anti-inflammatory medication, weight loss, and exercise can all be crucial to strengthening the knee to relieve pain. Evidence suggests that these alternatives work as well as surgery.


Resources

BOOKS

Canale, S. Terry. "Arthroscopic Surgery of Meniscus." In Campbell's Operative Orthopaedics. 9th ed. St. Louis: Mosby, Inc., 1998.

PERIODICALS

Alleyne, K. R., and M. T. Galloway. "Osteochondral Injuries of the Knee." Clinics in Sports Medicine 20, no. 2 (April 2001).

Brown, C. H., and E. W. Carson. "Revision Anterior Cruciate Ligament Surgery." Clinics in Sports Medicine 18, no. 1 (January 1999).

Heges, M. S., M. W. Richardson, and M. D. Miller. "The Dislocated Knee." Clinics in Sports Medicine 19, no. 3 (July 2000).

Moseley, J. B, et al. "A Controlled Trial of Arthroscopic Surgery for Osteoarthritis of the Knee." New England Journal of Medicine 347, no. 2 (July 11, 2002): 81–88.

Vangsness, C. T., Jr. "Overview of Treatment Options for Arthritis in the Active Patient." Clinical Sports Medicine 18, no. 1 (January 1999): 1–11.

ORGANIZATIONS

American Academy of Orthopaedic Surgeons (AAOS). 6300 North River Rd. Suite 200, Rosemont, IL 60018. (847) 823-7186 or (800) 346-2267; Fax: (847) 823-8125. http://www.aaos.org .

Arthritis Foundation. P.O. Box 7669, Atlanta, GA 30357-0669. (800) 283-7800. http://www.arthritis.org .

National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse. 1 AMS Circle, Bethesda, MD 20892-3675. (301) 495-4484 or (877) 226-4267; Fax: (301) 718-6366; TTY: (301) 565-2966. http://www.nih.gov/niams .

OTHER

"Arthroscopic Knee Surgery No Better Than Placebo Surgery." Medscape Medical News. July 11, 2002. http://www.medscape.com .

"Arthroscopic Surgery." Harvard Medical School Consumer Health. InteliHealth. http://www.intelihealth.com .

"Knee Arthroscopy Summary." Patient Education Institute, National Library of Medicine/NIH/MedlinePlus. .


Nancy McKenzie, PhD

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


Surgery is performed by an orthopedic surgeon, a specialist in joint and bone surgery, trained in arthroscopic surgery. Arthoscopic surgery is usually performed in a general hospital with an outpatient operating suite.

QUESTIONS TO ASK THE DOCTOR


  • Are there rehabilitation alternatives to this surgery?
  • Will this surgery allow me to return to sports?
  • How much success have you had with this surgery in eliminating pain?
  • Is this injury one that I can live with if I pursue a change in lifestyle?
  • How long will post-operative rehabilitation take and how can I help in moving it along faster?


User Contributions:

MAURICE MABRY
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Apr 25, 2007 @ 3:03 am
IF I HAVE P F S SOULD I HAVE THIS TYPE OF SUGERY PLEASE LET ME KNOW
hameed
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Aug 26, 2007 @ 10:22 pm
hello i need to know about my knee surgery
by how many weeks i can get to play cricket
tracy
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Sep 27, 2007 @ 4:16 pm
i had knee surgery done monday the 24 of sept. im up and moving around but i aint back to work or anything like that i am walking with crutches because i don't have good balance on my own yet im 25 years old i had the surgery done in jacksonville,florida and the doctor was great i still have pain and don't sleep through the whole night i wake up about 2-3 times through out the night because of the pain im on pain pills
Avanti
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Oct 17, 2007 @ 8:08 am
my acl was tear in aug.07 i was underthrough the phisysotheraphy treatment i can play cricket or not in next month
liza
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Oct 20, 2007 @ 7:19 pm
Guys Lucas Grabeel had knee surgery.He torn meniscus since high school
muja
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Oct 21, 2007 @ 7:07 am
I HAD AN INJURY.MY KNEE LIGAMENT COMPLETELY TEARED
Micky
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Nov 5, 2007 @ 1:01 am
But strengthening of knees through good excersises and asanas are better than these surgeries. At the early age operations are not appropriate ones as they lead to more and more troubles when you grew older.
stacey
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Nov 5, 2007 @ 4:16 pm
would really like to know how long before the average person can go back to work after arthroscopic surgery with a lateral release of the left knee.

thank you
jade danils
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Jan 4, 2008 @ 8:08 am
Hello, i had an ACL reconstruction around 5/6 months ago and i read that i should be phsychologicaly prepared or something! i see my consultand in Feb but i cant even think of starting to run on my leg im just too scaed that it could happen again. also my Tibia come too far forward still and i get the clicks and clunks still. is it often people have to have the surgey more than once even if they havnt injured it like they had in the 1st place?? Also as i had a hamstring graft, im getting alot of pain in that area in the back of my leg, is it normal?? please write back to me, thanks
jade.
Johhny Payne
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Feb 9, 2008 @ 11:23 pm
UMM I HURT MY ELBOW...WHY AM I HERE? I WOULD REALLY LIKE TO KNOW WHY MY ELBOW HURTS AND IF SOMEONE IN THE KNEE DEPARTMENT CAN HELP CUZ I KNEE HELP BAD.
D. Cannon
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Mar 16, 2008 @ 9:21 pm
I am having both of my knees scoped soon. They are going to do the right one on April 3rd and the other at a later time. I am wondering how long the recovery time usually is and any other good advice that I can get. I work at a animal hospital and I'm always squatting and kneeling at work to treat animals and I am concerned that I will not be able to go back to doing my job after this is done. My knees are pretty bad, I get awful sharp pains and they "talk" to me when I walk...I can hear them grinding. Any advice would br greatly appreciated.
A Tarass
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Apr 27, 2008 @ 1:01 am
it is a good article, I just did a knee surgery 10 days a go. I found some important information. Thank you.
Jeannie
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May 5, 2008 @ 6:18 pm
I am 56 I was getting around good till last July after my MOM passed she was 95 I miss her so much anyway since then I have had
2 shots of corizone and my orthopedic doctor ruled out arthitus
he siad it was wear and tear on my knee cartiledge, I am not sure from what I have read this will fix it but I am so tired of pain and not being able to get around good and the fact that it is beginning to work on my right side trying to handle the weight of it all and did I mention the PAIN...PAIN and Pain imput neeeded.
Thank You
Jeannie
Paula Westbrook
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May 25, 2008 @ 11:23 pm
my surgery was May 21st, one year post injury. After searching, the doctor discovered the PLC injury. I was in surgery for nearly 2 hours. How long is reoovery expected? I stopped taking any pain meds on day two. It still hurts, but am afraid to become addicted.
kenneth
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Aug 9, 2008 @ 3:15 pm
MY MOMS 76YEAR HAS SOME HEART PROBLEMS NOT MUCH HER KNEE KEEP HER IN PAIN SOMEDAYS CAN WALK AN TIMES IT HURT TO MUCH LIKE TOO GET HER KNEE FIT ARIAN,MICHIGAN 49221
Sarah L
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Sep 2, 2008 @ 5:17 pm
I had an arthroscopic surgery done on August 2008. I had it on my knee. I used to have non stop pain on both knees. But the right one was worse than the left one. I saw a rheumatologist, he sent me to phisical therapy for 5 months.It wasn't helping.Then he refered me to see a orthopedist. I went to phisical therapy again for a month and i had two cortosone shots it didn't work. Finally the orthopedist refered me to a surgeon. The surgeon told me that i had something call Hoffa's syndrome, he required me to have an arthroscopic surgery done. I was scared but i did it. I pray to God for the pain to go away and never come back. I am still having pain. I am kind of scared. Please if anyone has something similar like my story let me know. And tell me if yours is or successful.Thank you very much!!!!
RICHARD CHAPMAN
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Dec 18, 2008 @ 6:18 pm
I WANT TO KNOW WITH ALL THE DEATHS SURROUNDING THESE TYPES OF KNEE SURGERYS WOULD IT BE SAFE TO GIVE A PERSON BLOOD THINNERS AFTER KNEE SURGERY THAN NOT TO GIVE A PERSON A ANTICOAGULANT PLEASE LET ME KNOW.
peggy
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Dec 30, 2008 @ 11:23 pm
is this surgery a major surgery.. i am having it in february
faye
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Jan 30, 2009 @ 8:20 pm
I have been to an orthopedic physician. Have had x-ray and told to wait until my knee is worse and then have surgery. The doctor said there was nothing they could do until then and for me just to take advil for the pain. My stiff and painful knee is interfering with my daily life. Are there alternatives to surgery that will help? From what I understand I have loose pieces of cartledge in the knee joint - I also have foot pronation. I'm not overweight, eat healthy and am active.
Andrew
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Feb 2, 2009 @ 4:16 pm
i dislocated my knee but its because on my bone it is smaller on the outside so my knee slides out easier i was just wondering what kind of surgery i would need for that
dante larcon
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Feb 8, 2009 @ 10:22 pm
Apparently I have the need for an ACL surgery. It is taking them too long to decide wether to operate cause I was given a 4 weeks period before going to the arthroscopic doctor. Is it necesary to speed up the procedure before the ligament deteriorates any further?
Mary Ann
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Feb 28, 2009 @ 10:10 am
I had knee surgery for a torn meniscus 1 month ago. I am 69 and did very well with surgery, although I still have swelling and pain, especially at night. I do Yoga and aerobic exercise every week and am back to pretty normal activity except walking. I used my yoga with a biofeedback tape that I played going into surgery. I know this helped me to heal quickly and made the whole procedure very easy.
m gray
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Feb 28, 2009 @ 5:17 pm
i have a cyst on my knee wuld this surgery work 4 the pain and the swelling i need 2 kno i play softball 4 my county and its starting soon im suppost 2 go c an orthopedic surgeon but idk when and i also have physical therapy after i c the orthopedic surgeon plz help.
Abhijit Ghodke
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Mar 4, 2009 @ 3:15 pm
Conclusion from MRI Report.

1. Bony avulsion fracture is seen involving the inferior attachment of the posterior cruciate ligament at the posterior intercondylar eminence with buckling of the ligament without intraligamentous tear. Diffuse contusion is seen along the posterior tibial condyle.The fractured fragment shows 5 mm elevation.

2. Grade II signal is seen in the posterior horn of the medial meniscus with abnormal intrameniscal signal reaching up to the inferior margin of the meniscus without obvious communication with the joint space.

3. Interstitial tear pattern is seen in the anterior cruciate ligament.

4. Moderate effusion is seen in the knee joint space.

Please suggest the Remedy / Solution for this problem.
Mildred
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Mar 23, 2009 @ 6:18 pm
I had knee surgery in December 2007. I'm still having problems with my knee& it swells up. How long ru suppose to be out and what can I do to keep the swelling down and what can I do to strengthen it?
Carmen George
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Apr 24, 2009 @ 4:04 am
I had an MRI. in 2007..Showed bad Osteoarthritis and 2 torn ligaments. An orthopedist took Xrays and said I need Total Knee Repl.... My knee is swollen 1 1/2 years and pains quite a bit... I am afraid of this Metal Knee. I want Orthroscopic Surgery instead. Should have another opinion?????Please reply.I am anxious for relief, but NO METAL!!.Thank You.
Rob Miller
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May 22, 2009 @ 12:00 am
I found your site very interesting













































































































......
nancy
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Jul 20, 2009 @ 10:22 pm
hi, I am due to have surgery on july 21. I am very nervous about it. I have been out of work since june 25.
heather
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Jul 29, 2009 @ 6:18 pm
I have been diagnosed with osteonecrosis in my knee and may need arthoscopic surgery. What is the average recovery time?
heather
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Aug 1, 2009 @ 7:07 am
can any one tell me what moderatlly severe cmp grade 1v carlilage damage patella means was told i have this waiting on hopital letter please explain thanks oh to the knee
Lance Fischbach
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Sep 9, 2009 @ 1:13 pm
I had surgery towards the end of March 2009 on my left knee. The doctor removed lateral mensicus, which helped, but now I am having immense pain when I go on my knees for say a push-up. There is constant popping and my knee feels like there is fluid or a squishy substance within the knee-cap. Have any ideas what this could be from? PS, this was my 5th arthroscopic procedure done to the knee.
Paula
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Sep 13, 2009 @ 1:13 pm
My name is Paula and I had arthroscopic knee surgery 9 days ago because of a torn meniscus. The pain wakes me up at night and the pain is also incredible when I first get up in the morning or stand up from a sitting position. I took one prescription for paid meds and am going to ask for a refill because I can't stand the pain. It does not hurt when I am sitting. Has anyone had the same problem and does the pain eventually go away? Please reply.
shahrzad
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Sep 24, 2009 @ 9:21 pm
after 5 years i dicide to do arthroscopy.. but im still affraid about it..bCuz i have minor thalasemia is there any problem with anasthesia?! plzzzz help me
Elouise
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Oct 14, 2009 @ 2:14 pm
Can arthoscopiic surgery be done on knees whee the cart;iage has worn away. Thanks
Nannie
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Oct 15, 2009 @ 2:14 pm
I had a complete knee replacement on Jan 5, 2009, I'm still in allot of pain and have very little extension or range of motion, I was in therpy for 6 1/2 months. The Dr is wanting to do Arthroscope surgery,
Is this something that is done allot? after a knee replactment? he said to remove scare tissue, but I'm wondering if, there was some damage done to the tendons or something, when he did a manipulation to unfreeze the knee about 6 weeks after surgery.
Thank you, worried about more pain and phsyical therpy.Just need information
Nannie
Ed
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Jan 27, 2010 @ 11:23 pm
Thank you for your site. The basic information is very important.
The MRI shows a 7mm bone fragment of about 3mm diameter, along with some
possible attached cartilage that is under the patella. Surgery is scheduled for Feb 2010.

Recovery is estimated to be 3 to 4 weeks. I am 63 yrs of age, practice judo and have a reasonable
fitness for my age.

I was told that they will inflate the knee region with a water solution to allow the surgery to
proceed. And that the water will take several days for the body to remove the water. With the
pain period to be mostly over the first 3 to 4 days.

It was suggested that I acquire the use of a knee wrap that has a battery powered cooling unit,
so that the cooling and the pain can be controlled. I believe this works like my electronic
camping cooler unit.
sophieanna
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Jan 31, 2010 @ 11:11 am
Had arthroscopic surgery on my knee 11 years ago. On crutches for 6 weeks post op, took all prescribed medication, did aqua aerobics hoping to strengthen knee cartilage.I´m still young, and get dreadfull pain and swelling at the front of my right knee, especially following sports, going up steps and step aerobics. I´d love for the pain and swelling to go away and just lead a normal active life, like other people my age. Never did physical therapy, couldn´t afford it. Is government subsidised physical therapy out there? Is it normal that after 11 years I should still get the pain and swelling?
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Feb 12, 2010 @ 1:01 am
i want to know that the demographics which u had written are concerned worldwide or any particular area. i m writing thesis so i want to know. thanks.
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Feb 21, 2010 @ 2:02 am
hi, i accident on 4/1/2009 with a car, badly injured my right leg knee, After searching, the doctor discovered the PCL, ACL, LCL injury. I was in surgery for nearly 9 hours,so i done the surgery on 3/2/2009. until now i cant bend my leg fully, for ur informatin i'm football player.until now i didnt go for any exercise, tell me how to get fit again and play football
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Feb 27, 2010 @ 7:07 am
the meniscus was partially removed, and I am still experiencing a certain degree of pain. the procedure was done five months ago. the bones also had divets in them,caused by the upper and lower bones grinding together. Was also told that I have Osteoarthritis. The meniscus was shredded due to sports and wear and tear. What can be done to eliminate this pain? Please HELP!!
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Feb 27, 2010 @ 7:07 am
the meniscus was partially removed, and I am still experiencing a certain degree of pain. the procedure was done five months ago. the bones also had divets in them,caused by the upper and lower bones grinding together. Was also told that I have Osteoarthritis. The meniscus was shredded due to sports and wear and tear.What can be done to eliminate this pain? Please HELP!!
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Mar 4, 2010 @ 9:09 am
I am a 72 year old female.
It has been 2 years since my arthroscopy knee surgery; due to a slip in the bath tub; and injuring my knee. I am still in a lot of pain. I have had cortisone injections every 3 months and I
have orthvisco injections every 6 months. The last injection of
cortisone did not help to releive the pain. My knee has been x-rayed
a few times since surgery; and per doctor there is no sign of
arthritis. My mobility is very good; but the pain around the knee and down the leg sometimes is unbareable. Sometime there is severe swelling and fluid has been removed. I have taken vicodin for severe pain and also over the counter pain releivers.
The doctor wants to do arthoscopic surgery again to review the divot
in the meniscus and also the tear that was repaired in the meniscus. Should I seek a second opinion or do what the doctor recommends? In the last 4 years this doctor has performed 4 surgeries on me.
(On the right shoulder (torn rotator cuff) this surgeon had to go back to take out a small anchor that was loose in my shoulder bone:
which was rubbing against tissue in my shoulder. I still have problems with that shoulder. The left shoulder; which had a torn
rotator cuff seems to be doing ok.

Sincerely,
Donna Seal
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Mar 4, 2010 @ 11:11 am
HI:

I had arthroscopy on my knee on Feb 23, Its now march 4 and the site of on incision is getting black and blue. Is this normal?
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Mar 14, 2010 @ 10:10 am
I'm 48 and have had both knees scoped already. Causes are from working decades in construction/mechanical/industrial trades. 1st tip is make sure you have a good surgeon. Mine turned out to be a 'god complex' nutcase. Both knees had meniscus tears and calcified buildup along with ligament fraying and decreased bone mass.I recieved VERY ineffective pain meds (I was 'profiled' as a junkie), and still am down from the 2nd surgery (6 weeks and counting). 45% of my leg painfully bruised up and was badly inflamed and hot due to infection from 'excessive leakage'(which the Dr refused to acknowledge). My first surgery landed me in the hospital a week later with a bad blood clot (DVT).
With a good reliable, trustable surgeon your recovery times will be alot shorter than mine. My surgeon all but expected me to be out playing soccer 2-3 weeks after surgery even though I had completely bled through the dressings before I even left the hospital
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Apr 2, 2010 @ 9:09 am
I am 67 years old and had orthoscopic surgery about 5 weeks ago. I went back to work about a week after surgery because I felt great. After a day at work, the pain was horrible and the surgeon said I have to day home for 6 weeks. I am having therapy twice a week and doing exercise with weights a couple of times a day. When can I expect to go on long walks again without pain?
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May 9, 2010 @ 11:23 pm
I had my Arthrochopic knee surgery for ACL injury in December 2009 and now I completed 4 months. Thanks to Almighty for the successful surgery.
My pain started in 2000 and now no pain. Physiotherapy adviced by doctors are very important for the recovery. If I feel lazy to do it, after 2 days I will get the symptom of pain. So I am strictly following the excercise adviced by my doctor.

From yesterday, I started doing Aqua aerobics along with cycling and squats.
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May 27, 2010 @ 7:07 am
I HAD A LATERAL RELEASE DONE ON MY RIGHT KNEE, MICRO FRACTURE FIXED UNDER THE PATELLA, TEAR FIX, AND THE DR SAID HE DRILL SOME HOLES IN MY BONE TO TRY AND MAKE THE BONE BLEED THEN HEAL BETTER. I HAD THIS DONE ON FRIDAY MAY 14 2010. IM STILL IN A LOT OF PAIN. KNEE IS SWOLLEN, HARD TO TRY AND BEND. I CANT SLEEP A WHOLE NIGHT DUE TO THE PAIN. WHEN IM SLEEP AND I PUT MY KNEE IN A SLIGHT BEND POSITION AND I TRY TO MOVE IT STRAIGHT IT FEELS LIKE IT GONNA POT OUT OF PLACE. THATS NOT A GREAT FEELING. I KEEP IT ELAVATED AND ICED. I ALSO TRY AND DO THE EXERCISE TO THAT THE DR TOLD ME TO DO BUT IT HURTS SO BAD. IM GONNA START THERAPY ON TUESDAY MAY 31.LOOKS LIKE IM GONNA BE OUT OF WORK FOR ABOUT 4 MONTHS. MY JOB REQUIRES ME TO STAND FOR 8 HOURS AND THERE IS NO WAY MY LEG IS READY FOR THAT. THIS IS THE 3RD ARTHOSCOPE SURGERY IM HAVE HAD IN 3 YEARS. I THINK ITS TIME FOR A KNEE REPLACEMENT.
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May 31, 2010 @ 8:20 pm
I had knee arthroscopic surgery on one knee May 19, 2010. I had stitches out May 28. I'm walking without a cane. I find knee still very stiff particularly after sitting for a little while. What exercises can I be doing to help this, as my doctor has not recommended therapy. I return to see dr. June llth. Thank you
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Jul 15, 2010 @ 7:19 pm
dear sir, i recently had arhtroscopic surgery on my left knee for a torn meniscus. it went well however my calf muscle feels weak and stiff and also behind my knee also feels stiff and weak. there is some fluid build up in both areas. should i begin to excercise it to loosen it up so it feels better over time? please get back to me as it has been 2 weeks since my surgery. thank you. respectfully, gregg t. kolessar
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Jul 19, 2010 @ 10:10 am
I have had five dislocations on one knee, (four in one month) and one on the other; would having surgery help? It dislocates if I do anything- i dislocated it twice just by sitting down! People say that surgery is never a good idea, but I am running out of options. I started therapy, but it hurt so bad that I stopped. Help! Thanks!
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Jul 28, 2010 @ 2:02 am
whats the recovery time?

when will I be able to walk freely
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Jul 29, 2010 @ 8:20 pm
I had arthroscopic surgery on August 7, 2009. It is now July 29, 2010 and I still get on and off sharp pain in my knee. When will this heal? Is there anything I can do to fully recover. I have had months of therapy and a cortisone injection above the area of pain. Also I have some arthritis in back of the knee that was repaired (a small meniscus tear). I'm over 50 and was told that it could take up to a year to heal. About 2 months ago I had an MRI of the knee. The doctor said the changes shown in the MRI are consistent with normal changes after arthroscopic surgery.

At this point (nearly a year later) I need some help or perhaps treatment. Any suggestions or help here would be greatly appreciated. Thank you for your time in reading and perhaps answering my plea for help.

Nathan
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Jul 31, 2010 @ 7:07 am
its good for knowledge, DR did my Arthroscopic operation of left knee five days before but still there is a swelling on upper knee , i want to know that what is the reason and when the swelling will disappear
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Aug 9, 2010 @ 12:12 pm
I have got arthroscopic surgery for lateral meniscus .what precaustion should I take?
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Aug 11, 2010 @ 7:07 am
i have got arthroscopic surgery on right leg knee during November 2009. During surgery it was found that there was tear of ACL as shown in scanning report.Before surgery it was told that this surgery will take more than two hours but after viewing through scopy it was found that there is no tear of ACL.still Iam having little pain and not able to walk fast.Kindly inform whether I will become as earlier.
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Aug 21, 2010 @ 5:17 pm
Having large tear in cartilage repaired with arthroscopy next week. Have lead a physical life with lots of sport., and at moment hill walk for an hour a day. Any idea of my rehabilitation and condition 1 week after op. Is it possible that I will be able to get around reasonably well. Want to take a flight to visit family out of town.
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Sep 8, 2010 @ 10:10 am
I have had surgery to repair my pcl ligament which had not tore but became partly detached taking a small piece of bone with it. Could you give me any advice on recovery times, and how long I will be in a leg brace. I am able to move my knee about 75 degree at the moment.

Also has anyone got any advice on flying
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Sep 12, 2010 @ 1:13 pm
I recently had arthroscopic knee surgery to repair a torn meniscus. Two days after surgery I developed 2 blood clots in my lower leg. Intense blood thinners both by injection and orally were prescribed. Another couple of days later bleeding began in the surgically repaired knee. Sweeping my knee to 3 times it's normal size. It has been a week now and the pain is becoming manageable but for several days it could only be classified as a 10 on the pain scale. Since then I have been unable to control my leg below the knee. Standing with crutches is only tolerable for a couple of minutes. My doctor says sorry but these things take a long time to turn around for the better. What am I in for and how long will this last? I'm classified as a healthy, non smoker, 6'1" 52 year old male.
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Sep 12, 2010 @ 3:15 pm
i had arthoscopy surgery about 2 weeks ago, i have some range of motion in my leg but not fully
but i still have swelling, how long does the swelling take to go away and can i excercise the
knee would this cause any more damage.
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Sep 17, 2010 @ 4:16 pm
Hi, I am currently experiencing knee joint pains, and instability of the knee. Last year I did the antroscopy, and the surgeon saw nothing wrong with my knee. What other options do I have?

Kind Regards
Philani Khambule (Male 30yrs)
South Africa
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Sep 21, 2010 @ 2:14 pm
hi... i had a bucket handle tear a few months back and i did not do any surgery... is there any means of getting well without surgery and how long does that take..am actually having pain and locking in my knee and an unable to walk or use stairs normally...
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Oct 1, 2010 @ 11:11 am
i am scheduled for arthascopy surgery to repair a torn meniscus tear but i have osteoarthritis of the knee will the arthritis cause a repeat of the same in the future
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Oct 9, 2010 @ 8:08 am
Experiencing a period of very cold foot following surgery. Should I contact my surgeon?
Fei
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Oct 9, 2010 @ 9:21 pm
Hello, I have a question. Well I am only 21, about to have my 3rd arthroscopic surgery to scrape off some bone that is rubbing together and out of place since I was born, plus I have had multiple cortizone shots, and therapy. I started arthroscopic surgeries when I was 15 on my right knee, this must be done every two years for the rest of my life til I finally get a full replacement, this is what the doctors told me. I am in constant pain and can hardly sit, stand, or walk for 30-60 minutes, I can not sleep, I collapse, etc. Is there any other options out there to consider rather than the arthroscopic to last longer or help my pain? I want to cry every day because the pain is so intense, I can barely walk up my own steps anymore or bend down onto the floor. What can I do to stop this?
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Oct 13, 2010 @ 9:09 am
What are the long term disadvantages of having Arthroscopic Knee surgery? This procedure will be for pain management and will require the removal of displaced cartilage. When you have a portion of your cartilage removed are you loosing cushion in the knee?
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Nov 3, 2010 @ 4:16 pm
i will like to know how long it take's to heal after knee surgery i'm having the antroscopic & how long for phisical therapy more or less
angelo
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Dec 10, 2010 @ 5:17 pm
i had total knee replacement i april 2008 it was great within 3 months then i feel down the stairs my doctor went in and replaced the plastic piece the pain was very bad 6months after that he went in and put a whole new replacement the pain never got better i mean alot of pain every step the knee clicks and knocks then a few months later he scoped to clean out scar tissue maybe that was causing the pain after that he cut the it band on the side of my leg thinking that was pinching the mechinizm my pain is unbarable what should i do now would it be crazy to go for a compleat knee replacement and can the knee withstand it
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Dec 11, 2010 @ 4:16 pm
Need information on knee hypextension and what remedies can be applied
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Jan 1, 2011 @ 12:00 am
Im wondering I have knee problems since I was teenage and people would say it's growing pains now that Im 24 the pain has been getting worse to the point where lately it hurts to bend my knee
Kim
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Jan 3, 2011 @ 11:11 am
I am almost glad that I didn't read this article before I had the knee surgery because I would not have gone through with it. I am glad because I do not have any pain anymore so I suppose that I was part of the small percentage of patients that the surgery was successful for.
julie
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Jan 21, 2011 @ 7:07 am
I had knee surgery on the 3rd of January and am still having pain in my knee and notice in the last couple of days that there is alot of swelling around the knee and was wondering if this is normal or if it could possibly be fluid buildup? Thank you. Julie
Donald Stanford
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Feb 15, 2011 @ 5:17 pm
About 15 years ago I had my left knee reconstructed,because it kept dislocating,worked great,no problems.Three years ago,I tripped in a dark shed,and hyper extended the right leg,so I was on crutches for 2 weeks,well it did something to my left leg,I have this pain on the inside of the left knee.It only hurts when I walk on it,feels like something rubbing together,but is tender when you press on that spot.I have been to the Dr. 2 times and he has given me shots both times in the knee,but with short term results,he took x-rays and said everything looks alright ,But it's not I live with the pain every day,it makes me limp.The knee seems strong to me,but it really slows me down,if you would rate the pain on a scale from 1-10,it's probably a 5.Help I need some answers!!
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Feb 16, 2011 @ 5:17 pm
Arthroscopic surgery on knee done Jan 28, torn medial meniscus. Good recovery with physical therapy until Feb. 5th. Swelling, throbbing, disruption of sleep. Follow-up for blood clots...none.
What else could this be??? What should be checked?

Thanks, Carol
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Feb 19, 2011 @ 5:17 pm
I had right knee surgey right and left meniecus removed still cannot move my knee like l want to it still grins and pops real bad causes server pain is this normal
connie
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Feb 22, 2011 @ 1:13 pm
i hurt my knee and the doctors said the i have a torn cartilage and it hurts and everything but they don't really know whats wrong with it, so they are sending me to see a specialist in march which i think isn't very good because they're expecting me to live with this pain 'til march and it hurts to straighten it and also to bend it, and a couple of weeks ago, i couldn't even stand on it and even when i'm not doing anything it still hurts. in the mornings, i find that it always feels like theres something like under my knee cap, like at the top. feels like theres air or something. i had a little bit of swelling but not much and its annoying because i'm basically walking a limp :(
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Mar 24, 2011 @ 1:01 am
I recently met with an accident post which an MRI was done and the result was a torn MCL and ACL along with damage to the meniscus. The doctor put me into a straight leg cast for 3 weeks and since the removal of the cast 2 weeks ago has asked me to use a hinged brace and do physical therapy twice a day. My range of movement has got better but there is still quite a bit of swelling around the knee and it feels very stiff especially in the morning. After a bit of physio it starts feeling more flexible but is this swelling normal? Please advise.
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Mar 24, 2011 @ 12:12 pm
I Am Thanooj Khan from INDIA,KERALA.19 years and studying for Mechanical engineering.I had a knee injury about 2 months ago while I was playing football.The problem was detected by an OMR scan.It is said that there is a tearing in ACL and needs surgery.
I Am not to supposed to do the surgery immedetely because of my engineering classes.Is there any problem doing surgery after a period of 3 or 4 months.And can i play football again after the surgery by this treatment.And what may be the recovery period after the surgery for me consideering my age.Please send me the reply.Please am curious.
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May 1, 2011 @ 2:14 pm
Several years after arthroscopic surgery for torn minuscus I have continued pain and require narcotics. I was warned by my surgeon that many do hurt worse following the scope and I am one of them.
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May 7, 2011 @ 8:08 am
My nill of the ligarment cut be the side of my nill ,how meay days can i step it to be working and to contiune playing soccer football
Cindy
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May 12, 2011 @ 9:09 am
My mother will soon be 74, she weighs 263-lbs, she fell years back (Aug-7th,2007)an broke her right Femur.Ever since that surgery,she hasn't walked without assistants of a walker. She doesn't always pick her feet up high enough off the floor and this causes her to be unsteady on her feet. I think her fear of falling is causing her to do this. She uses those electic carts everywhere they are availible, and just recently recieved an electric Scooter of her own. Now here in 2011 she is having very bad pain in her right knee and her doctor is telling her that she needs knee replacement surgery and that after this surgery, she will walk again without any pain and without assistants. We need to know if this is true, because there is no way that I can lift or pull on her, because of her weight. Any information reguarding this, is very appreciated.
Thanking you all in advance; Cindy
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May 20, 2011 @ 7:19 pm
I had arthroscopic surgery on my knee one month ago. I go to therapy
twice a week, but my knee gets stiff when I sit awhile. Is this common and how many more weeks till the knee will feel better? I keep icing 3 to 4 times a day. I'm still taking pain pills and ibuprofen. This was a bad tear.
ryan
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May 25, 2011 @ 10:10 am
if i wil have this kind of knee operation arthroscopic surgery, how many days i can back to walk properly after the operation?example the torn of my knee is worse? mild only? how many weeks it will be heal and i can walk properly.thanks alot!
Margaret
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Jun 15, 2011 @ 3:15 pm
I had arthroscopic surgery 4-months ago since surgery I've constant swelling,extreme pain knee is still catch on me the pain is really bad when I walk on it the is in the front on left side knee just below my knee cap pain inback of knee since surgery I've had a coritozone shot and 4- shots of lubricant its not helped this makes the arthroscopic surgery I've had on this knee my left knees almost as bad between the2 its getting hard to walk.can you help me
Thank You
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Jun 16, 2011 @ 10:10 am
I had orthroscopic surgery in April 2011. It took a good 6 weeks and I was walkiing without pain. Now I have several days I am OK and then some days It hurts and I feel like it is going to give out when I walk. I used to do 3 miles a day on exercise equipment, mow and all kinda outside work. I am afraid I will never be the same anymore. Cindy
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Jul 25, 2011 @ 6:06 am
Hi Everyone:

I had knee surgery on the 11th. Believe me when I say you have to seek your
own advice. I had my intergration therapist work my leg pain out and he suggested
eating seaweed. The minerals are very important for recovery. It tastes like fish
but man does it help...

Treva
chelsey
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Jul 26, 2011 @ 2:14 pm
Well i tore my acl on playing basketball. Well i really didnt kno that i had tore my acl until i went to the doctor and they took x-rays and the doctor came back in the room and told me tht i had tore my ligament in my right knee. So i went to go see a orthopedic phyisican and then 3 days later i had acl surgery on feb 4. Wen i got home from surgery i wasnt in pain but a couple of days later i was in so much pain that i was crying. But now i know what surgery feel like now. But i didnt have any range so they since me back to the doctor and he said that i had to have a arthscopic surgery asap so i went in on june 14 and have a arthscopic surgery. But after that surgery i wasnt in no pain and i started therapy the next day and still in therapy but my doctor said i will be back playing basketball this season.
gabriela
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Jul 30, 2011 @ 3:03 am
my mom had this surgery done but her legs keep getting swallen, and doctors put her on blood thinnners, but her legs go back to being swallen, is that normal, can she have cancer or is the swallen gonna go away..
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Aug 5, 2011 @ 1:13 pm
When can a patient after surgery swtch from ice to heat?
Vivek
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Aug 9, 2011 @ 11:23 pm
I am 38 yr old, I had my left knee arthoscopic surgery done in December 2009. My medial meniscus was torn, doc said it is minor procedure and needs to stich the torn meniscus. After surgery I followed physical therapy regularly, but could not do much at home as I had to change the job and move to diffrent place, Initially I use to protect my left knee as doc said by putting only partial weight, slowly over the time i was back to normal walking bearing equal weight on both the legs. During this process my right knee also started giving pain. I saw the doctor again a diffrent one as I change the job and moved to a diffrent place, he asked me to go for X-ray, MRI and blood work and came up to the conclusion that there is no problem with the right knee. I also had cortisone injection in my right knee. I am a chemist and need to stand all along the day for work. I have constant pain in both knees that i want to cry, i wake up with pain and go to bed with the same. some time I will have both knees hurting badly, I can not bend, run and live a normal life. Both of my knees make sound when I walk, both have pain behind the patella. Also in case of left knee that is operated before I feel my quadraceps, calves and hamstrings muscles are weak. I feel this is not normal to my age. Please suggest if there is any other better solution for this. I would really appreciate your time and suggestion. Thank you.
Susan Trickel
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Aug 18, 2011 @ 9:09 am
I had knee anthroscopy last January with two months of physical therapy afterward. Five months have followed since the therapy and I am not totally well. Now I have swelling in my inside leg calf muscle and knee swelling on the outside of my knee which I never had before. I could go
back to my doctor but I which he had been totally honest after the operation and said "It's your weight. Lose 80 lbs. or ache the rest of your life." Every pound you lose takes 7 lbs. off your knee.

It's very hard to exercise after you have knee problems, but I must continue to lose this weight so I can stop inflammation from occurring elsewhere in my body.

In short, keep your weight down and do lots of lower waist exercises to stop or correct these knee problems. Stop eating bad food and exercise daily. This costs nothing. Good luck to you all.
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Aug 31, 2011 @ 8:20 pm
I Madhab Pokharel ,35 and teacher. I had a knee injury about 3years ago in my left knee while working in my kitchen garden. the pain occur time and again when little bit load on it. my left thai is 1 inch smaller than right. plz reply me the advice.
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Sep 1, 2011 @ 4:04 am
i live in india, west bengal, (kolkata). please send e-mail on kolkata (west bengal) based 6th drill orthoscoppic center. after sergery can you allow me to return to sports?
McNamara
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Sep 11, 2011 @ 3:03 am
I had knee arthroscopy on 1st September 2011. I return to my Specialist on 15th. My symptoms were that my knee would lock and I also experienced drop down symptoms. I was in a lot of pain and because of my current medication, I am not allowed to take anti-inflamatories. My Specialist was quite pleased with my procedure which included radial and lateral meisciectomy. I appreciate that rate of progress differs per patient. What is the approximate rehab timeframe, also I have huge areas of bruising. The incision areas are very clean and there has been no infection. It's just that I cannot still get around as I thought I would be able to. I am using a walking stick and for some reason or other I am a bit afraid I might have a fall - I await your response.
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Sep 17, 2011 @ 12:12 pm
I had my surgery on 9/13. Went well, left feeling good. But, the next day follow-up visit was very disturbing with information, instructions, needs that I had not known about. I had slightly torn meniscus. I didn't even have much pain after surgery. I will write more another time, but doctors and their assistants need to recognize that not all of us have caretakers, and we need to be completely prepared with information prior to surgery! Don't assume I haqvde a caretaker! I have someone to drive me, to pick up meds. That's it. I also get conflicting info from physical therapist and doctor's office.
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Sep 19, 2011 @ 8:08 am
About 3 years ago I had my left knee reconstructed and ACL surgery was done on me.After ACL was done i feel my keen still giving way and now the Dr say that i have to do PCl surgery to tighten my left knee again.How long will it takes to recover after the surgery.How long it takes to walk without a crutches.Please write back to me as my surgery is on 9/22,thanks.
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Oct 9, 2011 @ 4:04 am
Hi my mom is 55 yrs old and she has a tear in her right knee cartilage since last two months this has been confirmed by an orthopedic. He has suggested us to get arthroscopy surgery done since my moms knee hurts a lot and gets locked while shes walking. She cannot bear the pain while shes walkin. What do u suggest should we go in for the surgery at this age or not?? The doctor also says that the pain would not subside completely even after the surgery. Will the surgery be a good decision or not. Will her condition get better after the sugery or not? How long is the recovery process after the surgery?
Nancy S
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Dec 11, 2011 @ 12:12 pm
I had arthroscopy surgery 2 months ago and still have pain and stiffness in the knee. There is no way that I can do steps normally. I have to do them one at a time. Will this ever improve or is this the way it is going to be without knee replacement?
bharath
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Dec 23, 2011 @ 12:12 pm
Hi my mother is 52 yrs old. She is suffering from knee pain . Orthopedic suggested us to go for arthroscopic surgery for meniscus . Guys will you please suggest me is this correct decision to go for arthroscopic at the age of 52yrs and also which Orthopedic is good for this surgery in Hyderabad .
matt dunn
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Dec 26, 2011 @ 5:05 am
hi ive had my acl replaced, a manipulation, and a scope done all in the last 8 months. i also suffer from rsd in the leg[joint] i cannot get any relief from the pain meds.ive done therapy,gym membership/hot tubs massage is there any hope for me what else can i do i have also had sympathic nerve blocks done PLEASE HELP
Lenoire
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Jan 24, 2012 @ 9:21 pm
Hello I want to say that I had a menisectomy on 01/20/2012 it's 4 days old today. I am still having pain in my Knee from the incisions however, there is more stability and movement when I walk. I want to know what to expect now that I have had the surgery. My leg is still extremely swollen too, but I am hopin for the best. I want my leg back to the preexisting stages, maybe I can do my rehabilatation without the discomfort and pain I was feeling before the surgery.
Kevin
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Feb 21, 2012 @ 2:14 pm
I had a meniscus repair (one stitch), not a menisectomy, on October 13, 2011. It is not Feb 21, 2012. I never saw my doctor since the day of the surgery. I spent 6 weeks on crutches, 4 months on physical therapy, and still limp and have pain. I saw the doctor's physician assistant twice, once in early November for refill on pain meds and for a referral to physical therapy. I saw him again in late December when he told me that I wasn't responding to PT because of my back and that I need not come back to the office. I have had trouble with my back (L6 vertebrae, Grade I-II), but ibuprofen manages it. Also, the pain didn't go down my back to my knee, the therapy on the knee traveled UP to my back. The assistant said I could continue physical therapy but that I had "full range" of motion; which meant laying my leg flat on the examination table and raising so I could put my foot flat on the table. Strange, they did a lot more range of motion exercises before the surgery. The physician assistant gave me the card of an orthopedic spine specialist and suggested I see him to consider all my options, including spine fusion! I assume all the information from the assistant came from the doctor that I never saw since the surgery. My back is fine, it's my knee that isn't. Suggestions would be appreciated.
Pat
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Mar 7, 2012 @ 6:18 pm
I had Arthroscopic Surgery on my right knee for a tear in the menicus 2008. I was never able to walk without pain and my knee continually gives out. I have to walk with it bent all the time. Went back to the seorgen several times. He told me he could not understand why I was walking that way and in pain. Said I had developed arthritis in the knee but I should be able to walk straight. Since I have seen several orthropedics, they tell me the same thing arithritis. This is cripling me. My leg was fine before I did the scope. What went wrong? I'm 57 years old and use to be very active, worked out at the gym. I can no longer do these things. Just getting out bed and doing normal everyday things is a challange for me. Please help?
Trace T
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May 8, 2012 @ 8:20 pm
I tore my medial collateral ligament about 15 yrs ago. I don't have pain, but there is instability, and cracking. I have full ROM, and sometimes pain probably when the meniscus interferes with articulation. I would like to have surgery for it, but am not sure if it would help or if I should just live with it?
Thiago
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Jul 18, 2012 @ 6:18 pm
My father in law had Arthroscopic knee surgery 2 weeks ago and he died 2 days later after a blood clot.
Maire
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Aug 20, 2012 @ 12:12 pm
How common are blood clots after this surgery. My doctor said the MRI shows torn meniscus. he also stated he may see other injuries during the surgery. I'm nervous about the surgery.
Arun
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Aug 31, 2012 @ 11:11 am
CONCLUSION OF MRI REPORT

1) Acute complete tear of mid portion of anterior cruciate ligament.

2) Bone contusion in anterolateral aspect of lateral femoral condyle and posterior aspect of lateral tibial condyle.

Please suggest me what to do as early as possible.
Michelle
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Oct 16, 2012 @ 2:02 am
I had an Arthroscopic Procedure Done November 28, 2011 Where they remove fluids and debridement remove and I'm still experiencing pains and unable to Kneel, crawl or Squat without extreme pain in my left knee what do you think the problem it? What percent do you think my SLU is
lanette
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Jan 10, 2013 @ 4:16 pm
had ACL replacement surgery sept 2011 with a cadevar implant. after a year of follow up appointments and complaining of my knee still being swollen, tight, grinding, popping, painful, cold wet feeling, and buringing pain inside my knee when i exercise. my doctor released me saying my issues were in my head. I immediately went to a different doctor who noted the swelling without even seeing my knee naked. ordered an MRI found out i have a bakers cyst, a torn PCL and damaged cartledge. All resulting from my orginal injury that the orginal surgeon neglected to fix or even tell about. Did one cortisone shot, didnt do much expect make me knee feel like it moved more fluidly. Now i am going in for a scope, just wondering what i can expect out of this surgery. I do bikram yoga 4 times a week and cardio 4 to 5 times a week. I quit lifitng weights becsuae it made the back of my knee hurt worse. Bikram has help me tremendously i can kneel, not with out pain, knee feels tight and feels like it catches sometimes. Still cant crawl though. any feed back comments etc would be greatly appreciate. thanks
Deena
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Jan 11, 2013 @ 8:20 pm
Some of these comments are scaring me, I'm suppose to have the surgery on Jan 31st, I was just trying to find out the recovery time, but now I'm really concerned about am I gonna heal at all...Please help me
Linda
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Oct 22, 2013 @ 11:11 am
Iam having knee surgery two days before Thanksgiving; not by choice by me. GOBBLE GOBBLE (ha ha) Oh well, I need to get it over with and hope for the best. I will turn 65 Jan of 2014 and I will be in the hospital for two nights and I have been told by my doctor that I will be down for two to three months. The class I went to insisted not to lay around all the time. You have to get up and exercise your leg and move around as much as possible or you will develop blood clots; and that is not good for you. If you can, get physical therapy after your operation and that will restore movement in your knee and leg. This will strengthen your leg and restore knee movement to allow walking and other normal daily activities as soon as possible. You don't want the leg or knee to stiffen up at all or you will have problems later on with you leg. Just tell yourself; Iam going to get my leg and knee back to normal as soon as I can and don't lay around too much like a couch potato; but also limit your exercise to as much as you feel you can do. You, just don't want the leg to get too stiff and give you problems later down the road. PS. Will let you know how it turns out and hope for the best. Linda
Michelle
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Oct 22, 2013 @ 6:18 pm
I had knee arthroscopic surgery in February where I had the cartilage trimmed and tidied up and me knee flushed out. I went to physio for a few weeks after I had it done where the physio told me my knee cap is actually out of place and under the knee cap wasn't cleaned out properly so that's why I still have crunching an pain in my knee, so personally I haven't benefited from the surgery and im still waiting to go back and see someone about it. But what I will say is just make sure you keep doing the exercisesyou are given as they really help build back up the muscles in ur leg afterwards.
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Feb 14, 2014 @ 2:02 am
hello i need to know about my ACL knee surgery
by how many weeks i can get to play footbal.
West bengal cost of ACL.

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