Few days back a colleague of mine mentioned that his friend has anterior cruciate ligament injury. He wanted guidance about surgery and which graft to to be taken- patellar or hamstring?
Evidence for surgery in few indications is dicey and individual cases need special consideration. Surgery or no surgery, get physiotherapy done diligently. Strengthen your quadriceps and hamstrings and they will help you the most.
My response as given in mail is below, of course the person called me and grilled me for more than 40 minutes.
"Hi Martha,
Evidence for surgery in few indications is dicey and individual cases need special consideration. Surgery or no surgery, get physiotherapy done diligently. Strengthen your quadriceps and hamstrings and they will help you the most.
My response as given in mail is below, of course the person called me and grilled me for more than 40 minutes.
"Hi Martha,
Does Praful have any instability of the knee joint?
Has he diligently done physiotherapy to restore/strengthen his knee joint?
The evidence to get surgery done is minimal or non-existent, but i guess getting a surgery done has a strong placebo effect! Also it may encourage the person to take better care of himself (since he would have invested heavily).
If he does physiotherapy regularly (lifelong-there are simple exercises), he will have better QOL and outcome.
Osteoarthritis is a known complication after 10-15 years irrespective of the mode of treatment chosen.
If you want to read further or look deeply into evidence, here you go....
Hope this helps!! I know it only adds to the confusion.
A delayed surgery has been tried in some cases with equal results. "
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