Knee Instability After Old Injury – Do I Need ACL Reconstruction Surgery?
6 days ago
Hello doctor, I had a knee injury about a year ago after I fell during an incident. Since then, I have had pain, occasional swelling, and earlier I used to feel my knee giving way while walking fast or during sudden movements. I consulted multiple doctors some said my ACL ligament will heal on its own in 2–3 months, while others suggested surgery. My MRI (done a few months back) shows a complete ACL tear, but currently I can walk normally, just not run or do heavy activity. I’m confused whether I should go for surgery or continue managing it conservatively. What is the right approach in my case?
Answers (1)
Based on your history and MRI findings, it is likely that you have a complete ACL tear, which usually does not heal on its own because of poor blood supply. Even if you are able to walk normally now, the ligament may not be functioning properly, leading to knee instability over time. This can increase the risk of further damage to structures like the meniscus and may cause early joint degeneration in the future. ACL reconstruction (arthroscopic/keyhole surgery) is commonly recommended in young and active individuals to restore stability and prevent long-term complications. However, the final decision should be based on clinical examination, your activity level, and symptoms. If you want to stay active or avoid future knee issues, surgery is generally the better option.
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