ACL Injury: Does it Require Reconstruction (Surgery Vs No Surgery)
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- Опубліковано 3 бер 2021
- During the 2019 NBA finals, Klay Thompson ruptured his ACL. If you are a recreational or non-professional athlete with a recent ACL tear, should you get an ACL reconstruction or ACL surgery? In today's video, we will use science to help you answer this question.
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👨🏻🎓 Fred Wang
• Doctor of Physiotherapy Candidate, Macquarie University
• Bachelor of Kinesiology, University of British Columbia
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📚 References
1. Mather RC, Koenig L, Kocher MS, et al. Societal and Economic Impact of Anterior Cruciate Ligament Tears. Journal of bone and joint surgery. American volume. 2013;95:1751-1759.
2. Brukner P, Khan K. Brukner & Khan's Clinical Sports Medicine: Volume 1, Injuries. 5th ed. North Ryde, N.S.W: McGraw-Hill Education (Australia); 2017.
3. Frobell RB, Roos EM, Roos HP, Ranstam J, Lohmander LS. A Randomized Trial of Treatment for Acute Anterior Cruciate Ligament Tears. The New England journal of medicine. 2010;363:331-342.
4. Frobell RB, Roos HP, Roos EM, Roemer FW, Ranstam J, Lohmander LS. Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. BMJ (Online). 2013;346:13-13.
⛳️ Medical Disclaimers
The content (video, description, links and comments) and recommendation from this video is intended to be used for general education; and are NOT intended to be taken as medical advice, or to create or replace a clinician-patient relationship.
#ACL #ACLSurgery
Very informative! I feel it conveys a very important message as the decision of undergoing surgical intervention is often quite difficult for many individuals.
You have summed it up well Fred. Its good to see both side of the coins for ACL injury.
Well done mate! Short and Sweet!
DUDE I just opted OUT of surgery and you confirmed my choice! Thank you this is the MOST OBJECTIVE statements on this subject I’ve ever seen. Thank you.
How is your progression without surgery? Are back on your feet like normal at the 6month mark?
Hello..are you leading a perfectly normal life now? Please answer.
I too did not have the surgery. Long story but had torn acl completely 17 years ago. Did physical therapy and thought everything was normal for 15 years, even playing recreational sports. Not until I had a contact injury a couple of years back was it discovered I had long torn my acl long ago. Physical therapy and strengthening for me back to normal once again. Thank you for this video, most don’t realize that surgery isn’t the only option. Almost glad I didn’t know for certain years ago else I would have possibly had surgery for no reason.
How are you now? Or there were more tears rather than Acl?
@@erenyeager7842 I’m great now, haven’t had an issue. Continue to run almost daily and play sports.
@@Blud7778lucky you!!
Yea I wish I didn’t know and just started rehab
I hope you read this. my PT said I probably have a torn acl, but because they didn't do any MRI we don't know if complete or partial. I progressed a lot after almost 3 months of exercise and physical therapy, but what's left is the stability and when i stand it's a little painful behind the knee as I straighten it fully so I tend to bend slightly out out of fear and discomfort. Did you also experience such thing before you fully healed ? And did this feeling totally go and you went back to your normal daily functions? also how long did it take you to heal? I'm not an athlete, but I only workout at the gym and recently started calisthenics. I really don't want surgery and I'm 36 btw.
I'm 31 and a general practitioner, so i kinda know what i'm talking about.
I had an acl tear during kickboxing sparring 4 years ago. My orthopedist friend talked me into surgury and recently i have re-teared my acl. I think my experience comes to this points:
1. You're gonna loose a great amount of muscle mass and power in post surgury period and it's gonna weaken neuromuscular connection leading to awful balance and agility.
2. Unless you're a professional athlete with a lot of time and equipment to go through full potential rehab it's very likely that surgury just throws you in a situation that takes years to come back to same level of agility, power, balance
3. Most of people with torn acl are not professional athletes, and not sedentary people, something in between that means there's high chance that you don't get ideal rehab, and also there's chance of re tear .
4.because for these population surgury in the best case scenario means you have the same acl but this time much weaker sorrounding structures.
Great
thanks
please create more content about acl tear and partial tear
and i think you can express your content a little bit more simpler
Super informative and great video!
Glad it was helpful!
This was great video but recently I have done with MRI kindly guide suitable options for ACl tear treatment
This was a great video for anyone to watch with an ACL tear. When I tore my ACL, it was very confusing as every medical professional gave me a different take on what to do. Ultimately, I've decided to do the full rehab without surgery at the age of 37 because I'm not planning to do more intensive basketball training and I trust in my body's ability to heal from this and come out of this process with stronger awareness towards what caused this injury. There are so many things to consider when deciding what to do with this injury and this video, while it's short and sweet, is a great first place to start.
How's your knee now
I dislocated my wrist the other day falling off my mountain bike and landing on the wrist and twisting it under pressure of 3m fall. the hospital says my dislocation was bad and after a CT scan they advise surgery so it doesn't happen again. I will find out how many ligaments are torn today to get an idea but I cant choose surgery right now as my fiancee is waiting on her surgery next month and won't manage bills .....not sure if I can recover naturally through training overtime
How’s your knee now? Would be helpful to everyone
how is your knee now? I tore mine in november at the beginning of my wrestling season and decided to finish the season out for the second semester.. I plan on getting another MRI but thought surgery was going to have to happen but i really don’t want to unless i damaged it more.. Do you have any pain now or problems there has to be something that comes about after so long
@@teamhalibut4129 Sometimes, it feels unstable, so there's a heightened awareness in the area. Some days, especially when it's colder, feels more stiff and tight. It requires more care than my other knee. If I wasn't playing sports or physically super active, I wouldn't notice it.
hello sir, i had my acl operation way back 2010, and now i know and i feel that my acl is torn again, if i have another opertion, are they going to use the same metal they put last 2010?..
I am a 59 year old man and ruptured my acl playing tennis. I am very active riding motorcycle and scuba diving and playing tennis. I have elected to have acl reconstruction. i hope I'm making right decision
My ACL reconstruction surgery fail,can I go for revision
How can the body reatache a full tear by itself ?
It has taken 9 years for my torn acl to heal naturally. I was 22
Good to here that
@@stickstaboom2118 but only because I just started to really do physical therapy. Would’ve took me 5 years tops if I had been workin out
Are you completely torn acl?
@@antarahibnshaddad7725 did u take mri to check what was the grade of tear
ACL does not heal that is why they can't use the torn ACL to repair the ACL. ACL can't heal itself because you do not get enough blood flow in your knee to heal a ACL.
Fell from my bike...
My MRI report shows,
ACL appears avulsed from the proximal attachment and is seen at the intercondylar notch area
Pls suggest me is this partial tear or complete tear of ACL
only MRI specialist can answer you or person who do knee surgeries.
Can you wear acl brace instead of surgery? In this case, it is for soccer. Please reply, thanks.
same here
Yes you can but you will still damage your knee. All the Brace does is keep your knee from twisting. You may have to pick between surgery now verses a total knee replacement later in life.
Im hopping my acl is torn because that will be the reason I can't walk without a Walker for the past 6 years 😬. Im getting an MRI next month 🤞🏻
Why the hell are you going on like this from past 6 years!!!!!
Why didn't you go for surgery or required treatment earlier?
Because I didn't know what was wrong with my until just recently. Know it's just a matter of time. Plenty of calls between doctors and physical therapist
Wish u included the part of coping with the knee giveaway in pregnancy too... Curious how a pregnant woman with acl and without surgery would be dealing with it.
Yes exactly...are you facing any issue with your acl tear in pregnancy stage?
Sir my MRI report
Chronic complete tear of acl
Mild knee joint effusion
Mild petallar tendinopathy
Grade 1signal with body of medial meniscus -degenarative changes
Is surgery compulsory sir??
I don't need sports activities
Hey same what you did in this 2 month have you gone for surgery or not
Grade 2 signal posterior horn medial meniscus not reaches to the articular surface and grade 1 mild sprain acl . Feel unstable and popping without pain what can I do boths knee have same problem
You recovered?
@@PallaviBhardwaj-ox3uk no na still feel unstable but no pain 😌
There is healing in the acl ligament in the ayurvedic treatment there is complete immobilizaition of the knee and other some upahana it will completely heal it has poor blood supply takes time
这个中式发音我可太爱了
thanks brother
Sir i am a footballer my Mri report show complete tear seen in acl. If I am stop playing football. Can it is stop surgury?
Surgery is a must to continue playing sports.
Surgery is not completely nessarly but you must wear a knee brace but you will need the surgery eventually.
Some of my friends also told their ACL tear has healed after strict rehabitation.When I asked did you took 2nd MrI to confirm weather healed or not they told it is not necessary since ACL is already healed they can feel like before.I am from india
He got a complete tear or partial..?
Hi... I torn my ACL 2 months back... I am lecturer.... Can u give me contact details of your friends?
If you are young involved in a sport which includes fast rapid or movement which involve pivoting of knee should consider surgery cause in the long run you will save years. If you're not an athlete don't do it just keep on doing rehab. Surgery isnt for the faint hearted it takes lot of thinking and knowledgeable takes. There are lot of football players who have done surgery and are doing just fine. The sole reason for athlete's to opt in for surgery is if you're doing your rehab and getting back on the field your knee will give in every time no matter what sort of rehab you do.
Not necessarily true, I was able to rehab without surgery and continue playing sports for years with no problem, and that’s with a complete tear.
Is this true? what kind of rehab did you do? and for how long till it brings back normal?@@Blud7778
Sir grade 1 acl tear need surgery
You recovered?
Does complete ACL tore requirs surgery?can the ACL fixes itself?
Medical Disclaimers:
The content (video, description, links and comments) and recommendation from this video is intended to be used for general education; and are NOT intended to be taken as medical advice, or to create or replace a clinician-patient relationship.
Question
Does complete ACL tore requirs surgery?can the ACL fixes itself?
Answer
For our general population with isolated complete ACL tear, current literature suggests ACL rehabilitation prior to ACL reconstruction. There are no black and white answer, every case is different, let’s step back for a second and ask ourself why is surgery indicated, why is rehabilitation indicated, don’t let emotions dictate our decision, actively seek information from our healthcare professionals and make an informed decision.
I have read few literature suggesting ACL reunion after complete ACL tear. More research needs to be done in this field, but we know for ligament tear to reunion, fibers need to overlap, it could be difficult with ACL.
Please see below for an ACL rehabilitation guide.
www.sspc.com.au/wp-content/uploads/2018/06/acl_rehabilitation_guide.pdf
Good luck Alok,
Fred Wang, BKin, DPT
damn man just answer with yes or no
Complete ACL tear does not heal itself. You need reconstruction surgery.
Good Afternoon sir, myself Sharma, I met with an accident 4 years ago and my right leg ACL completely torn as per the MRI report. Rarely am experiencing instability. Some of the doctors suggested for reconstruction and some doctors suggested physiotherapy. Am afraid of this. And recently fibula of the same leg broken and operated.
What did you go for 4 years ago? Did you have the operation?
@@Fallen701Angel No sir, am regularly doing knee strengthening exercises for ACL tear. But swelling is there in the ankle due to fibula surgery.
@@kbsharma4605 thank you for answering. How long did you wait until you could start exercises?
@@Fallen701Angel 3years sir
@@Fallen701Angel which kind of brace is suitable for my problem sir.. please suggest me
Surgery is worth it. It’s only a minor set back for 6-9 months and you’re back to normal like nothing ever happened. My surgery is in a few days and it sucks but it’s the best thing to do
My surgery is scheduled next week
@@jwolf267 a quick question, did u experience any stiffness ?
@@jwolf267 I'm panicking , I'm just not able to bend my knee no matter how much I try , just hurts.. it's been a week , Hopefully I'll get it soon 🤕
@@pradeepp9428 ACL tear grade 3 it's been more than 3 months not able to bend my knee. It sucks
@@JustAHumanOnEarth123 hang in there , I had to go thru the same , infact not completely recovered yet , but slowly getting there, MUA helped me to an extent , did see significant difference post MUA , I'm able to walk without crutch now and can bend a bit , expect full range by Feb, should be almost 5 months by then
💯
Please improve your English. It is hard to understand, from an American.
The information is good though
Or you can learn a second language like he has and he can do the video in his native language so that you can fully understand 😊 I’m American and I understood everything, great job with the video
@@er1417 ok i'll learn a 2nd language to understand a yt video.
It's not that bad dude I've heard way worse accents coming from a New Yorker
@@deathmetalshinobi ah well yeah in NY I can see that
M8, i'm Romanian and i can undestand him, what the fuck? He needs like 10 years to change his accent