Arthritis After ACL Reconstruction and Meniscus Repair I Full information
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- Опубліковано 8 лис 2024
- Arthritis is a common long-term complication following knee injuries, including ACL (anterior cruciate ligament) reconstruction and meniscus repair. Understanding the risk factors, mechanisms, and prevention strategies is crucial for patients and healthcare providers.
Risk Factors
Type and Severity of Injury:
The extent of the initial injury significantly impacts the risk of developing arthritis.
Combined injuries, such as ACL tears with meniscal damage, increase the risk.
Surgical Outcomes:
Successful reconstruction and repair can reduce but not eliminate the risk.
Improper alignment or fixation can lead to increased stress on the knee joint, accelerating degenerative changes.
Patient Factors:
Age: Younger patients have a longer lifespan during which arthritis can develop.
Weight: Higher body weight increases joint stress.
Activity Level: High-impact activities can exacerbate wear and tear on the joint.
Mechanisms Leading to Arthritis
Biomechanical Alterations:
Changes in joint mechanics and load distribution post-surgery can lead to cartilage degradation.
Inflammatory Responses:
Surgical intervention can trigger inflammatory processes that contribute to joint degeneration.
Residual Instability:
Even minor instability post-surgery can lead to abnormal joint mechanics and subsequent arthritis.
Loss of Meniscal Function:
The meniscus plays a crucial role in load distribution and shock absorption. Damage or removal impairs these functions, leading to increased joint stress.
Incidence and Prevalence
General Population: The incidence of osteoarthritis (OA) in the general population increases with age.
Post-ACL Reconstruction and Meniscus Repair: Studies indicate a higher prevalence of OA in patients post-surgery compared to those without knee injuries.
For ACL reconstruction alone, the risk of developing OA can be up to 10-15% within 10-20 years post-surgery.
Combined ACL and meniscus injuries increase the risk, with some studies suggesting up to a 50% prevalence of OA within 10-15 years post-surgery.
Prevention and Management Strategies
Optimizing Surgical Techniques:
Advances in surgical methods aim to restore knee biomechanics as closely as possible to the pre-injury state.
Minimally invasive techniques and improved graft materials can enhance outcomes.
Rehabilitation:
Comprehensive rehabilitation programs focusing on restoring strength, flexibility, and proprioception are crucial.
Early and sustained physical therapy can improve functional outcomes and potentially reduce the risk of OA.
Weight Management:
Maintaining a healthy weight reduces stress on the knee joint.
Activity Modification:
Advising patients to avoid high-impact sports and activities that could exacerbate joint stress is essential.
Regular Monitoring:
Periodic evaluation by healthcare providers can help detect early signs of arthritis and implement timely interventions.
Pharmacological Interventions:
Research into biologic treatments, such as platelet-rich plasma (PRP) and stem cell therapy, shows promise in potentially delaying the onset of OA.
Long-Term Prognosis
Varied Outcomes: Long-term outcomes vary based on individual factors such as the extent of the injury, success of the surgery, and adherence to rehabilitation.
Early Intervention: Early diagnosis and intervention are key to managing symptoms and improving quality of life for patients who develop arthritis post-surgery.
In conclusion, while ACL reconstruction and meniscus repair can restore knee function and stability, they do not eliminate the risk of arthritis. Patients should be informed of the potential long-term risks and engage in proactive measures to mitigate these risks. Regular follow-up and a comprehensive care plan are essential for optimal long-term joint health.
while the above information is for education purpose only Always discuss with your Doctor/Surgeon first before following anything.
Exercise Video on ACL and Meniscus month by month: • Exercise and Physiothe...
ACL and Meniscus full playlist: • ACL Reconstruction and...
ACL reconstruction, meniscus repair, post-surgery arthritis, knee injury, osteoarthritis (OA), biomechanical alterations, joint degeneration, inflammatory responses, residual instability, meniscal function loss, surgical outcomes, rehabilitation, risk factors, long-term prognosis, weight management, activity modification, early intervention, pharmacological interventions, biologic treatments, PRP (platelet-rich plasma) therapy, stem cell therapy, minimally invasive techniques, graft materials, physical therapy, joint mechanics.
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Exercise Video on ACL and Meniscus month by month: ua-cam.com/video/PFbY3wc1Ufg/v-deo.htmlsi=wvlPVd1nwk1ydWKQ
ACL and Meniscus full playlist: ua-cam.com/play/PLpqb_VsETOLYWEsqejThc0_wzYIAtICg8.html
Hi Samrat, congratulations on winning the tournament. must feel good after this journey.
Yes Indeed Thank you
Very Informative Video ❤
Thank you
Please make video on limping aftet acl surgery.
Yes Bhai
soon
ACL and meniscus repair did surgery 3 weeks happen shall i try to walk are need to wait.. And which exercise to do to recovery
for exercise watch this video ua-cam.com/video/PFbY3wc1Ufg/v-deo.htmlsi=wYZD3menoeFMd5Nn
@@SamratBhardwaj how to walk I can't walk proper
@@manjum5708 Watch this video on how to walk ua-cam.com/video/uonzQC59jbo/v-deo.htmlsi=drI-O5GWJpgjlwJh
@@SamratBhardwaj sir bone infection happen
@@SamratBhardwaj now it's have late pain
I tried breast stroke swimming after 2.5 months, of ACL reconstruction and Meniscus repair.
Having little pain after walking and climbing stairs.
Will it resolve with time , or is anything serious....??
No pain before that., stiffness also increased after swimming
Keep doing your physio regularly and consult to your doc at this stage whether swimming is recommendable or not
I'm 18 yrs old girl and very soon complete 6 months of my ACL surgery and yet I am not going to the gym because before surgery I am not going...pls tell me is it necessary to do gym exercises for me
If you want , i share my own experience about this.
@@sabyasachipradhan7794 yes pls
@@sabyasachipradhan7794 yes pls
If you want strength then gym is good
and i have explained gym based exercise in this video ua-cam.com/video/PFbY3wc1Ufg/v-deo.htmlsi=RZByhjBLj23uJbTP
@@sabyasachipradhan7794 tell
Loose ACL physiotherapy se think ho sakta hai sir please reply
what was your Doctor's advice?
@@SamratBhardwaj bola tha brace Laga ke rakho
@@vikramkumar1229 follow karo doc ki advice
@@SamratBhardwaj sir 15 din pahne lekin asar Nahi ho raha hai
@@SamratBhardwaj WhatsApp number digiye na sir
Accha brother surgery me jo hamstring use hota hai o fer se regrowth hota hai?
yes exercise karne se theek hojayega thode time baad
Bro mera acl meniscus surgery huva 40days night soneke time breace lagake sona bai please tell me
Ye video me maine btaya hua hai ise dekhlena ua-cam.com/video/Oih4ap_zZ7o/v-deo.htmlsi=PN1H5GNqdK9g4sWW
Hello bhai mai kitne time k liye walking kar sakta hu
5th month running hai acl reconstruction k baad
Abhi koi pain nhi hai swelling nhi hai full bending hai full extension
Only mild pain hai stairs chadte time
Utarte time nhi hai pain
dheere dheere walking badate raho like 5 mins 8 mins 10mins
aur ye video dekh lena walking par hai ua-cam.com/video/uonzQC59jbo/v-deo.htmlsi=obHT4hyk--KzLZ-F
Please english subtitles bro
English subtitles done please check
knock knees prr detail video dalo plz
soon
6 month acl surgery ko abhi joging start kar di hai joging karne par patella par halka sa pain hota kiya ye normal hai😊
pain is normal but unbearable hai to doc ko dikhana
HOW TO RELIEF FROM PAIN DURING NIGHT AND MORNING 🙌🏻
these issues will correct after 8 to 12 weeks just stay consistent in your physiotherapy
Bro ACL surgery ke baad swelling maximum kitne days Tak rehti h please reply me
it depends 8 weeks or more
Next video how to walk properly
Soon
सर अभी मेरी ACL MCL meniscus की सर्दी हुई 40 दिन हो गए हैं लेकिन दर्द बहुत रहता है और घटना भी अभी तक पूरा मुड़ा नहीं है इसका आगे क्या प्रोसेस होगा बताओ
in dono videos me maine share kia hua hai please watch
1. ua-cam.com/video/EmiuKWz1k_Q/v-deo.htmlsi=MDsDUxF51_iK5geV
2. ua-cam.com/video/Oih4ap_zZ7o/v-deo.htmlsi=0RJOzgaHN71pfXsl
Hello bro mere 4 months ho gaye surgery ko swelling nhi gayi h
Bhai excrices ke saat ice therapy karte ra hi ye....10mint se 15mint...
Bro send me your contact number meri surgery ko 2 months huve h
@@avnisharma4800 to kya problem aari h
@@abhishekpawar246 57 days ho gye abi bhi swelling h 40%
Doc ne kya suggestion diya hai ?
Mera 2month hua hh mne 25 march ko operate krwaya aur 5april ko ghar aya ..fir 15 April ko fisal kr gir bhi gya ghr me but utne dard me bhi mne excerise nhi chorra aur iska ye natija hh ki ma 5 km walk krta hu subh shaam milakar aur 15 min halka running 🏃 bhi kr leta hu problem kuch nhi hh bss wahi problem hh ki leg 🦵 se kaat kaat ki awaj ati hh halki fulki bss..😊
vo common hai cut cut
Bhai mera ACL MENECUS REPAUR HUA HAI AAJ 32 SEN HO GAYE 90 SE 120 DEGREE JA RAHA HAI LEG. KNEE EXTENSION BE AB HORHA HAI. THIGS ABHI WEEK HAI STRENGTH KAB TAK AA JAYENGE .. KHA M WITHOUT SUPPORT CHAL SKTA HU??
Thigh muscle ko repair hone me time lagta hai aur uske liye exercise karni padegi
without support ke liye ye video dekhlena: ua-cam.com/video/Oih4ap_zZ7o/v-deo.htmlsi=B0H94NxPB-Ohai6-
Please Bhai Koi bta sakta hai Ki ACL SURGERY KE BAADH KITNE DIN MAI NORMAL WALK START HO JATA HAI BECAZ ABHI MERKO 15 Din hoye hai Bt abhi mai proper nhi chl pata
is video me iska answer mil jayega ua-cam.com/video/Oih4ap_zZ7o/v-deo.htmlsi=T7sXqXx44B04wRuh
Asllamualikum ❤️
Bai apki age kitni hai
hare bol
Bhai ap se bat krni he ap ka number
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