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Frequently Asked Questions

What kind of surgery would I have if I damaged the meniscus?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Surgery for the common meniscus tear is an outpatient arthroscopic surgical procedure. A couple of portals (holes) are made in the knee so that an arthroscope and the trimming instrument(s) can be inserted. Often a motorized or radiofrequency (electro-thermal) device is used to help trim and contour the torn area of the meniscus to create a smooth surface.
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What kind of symptoms would I have if I damaged the meniscus?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Symptoms of a damaged meniscus are pain and catching, clicking, or locking during certain twisting knee activities. These mechanical sensations are very commonly felt by the patient. The knee can also have swelling. Generally, meniscus tears do not heal because they have a poor blood supply. However, they can occasionally become asymptomatic.
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What kind of surgery would I have if I damaged the ACL?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
The damaged ACL cannot be sewn back together as it will not heal. A torn ACL will require a reconstructive procedure using transplantable tendons from your body (autografts) such as the hamstring, bone-patella-tendon-bone (BTB) or quadriceps tendons, to reconstruct this torn ligament. Allograft (tissue bank cadaver tissue) tissue is often used with less pain to you and earlier return to function. Both autograft and allograft tendons are acceptable to use for ACL reconstructions.
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What kind of surgery would I have if I damaged the patella?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Surgery about the knee cap can be controversial with no exact reason when to operate or consensus about the type of procedure that should be done.
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What kind of surgery would I have if I damaged the PCL?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Surgery for the PCL involves either an autograft or an allograft reconstruction of the ligament. Either a bone-tendon-bone, hamstring autograft, an achilles tendon or bone-tendon-bone allograft is used to reconstruct the posterior cruciate ligament.
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What are the recent advances in meniscus surgery?

Frequently Asked Questions
Preserving the meniscus has become a priority. Stable tears are left alone. If most of the meniscus is torn and deficient, Meniscus transplantation is carried out in few centers. In this procedure the entire meniscus harvested from cadaver knees are used to transplant into the recipient. In addition cellular and molecular biology researches aim to improve the healing potential of the meniscus.
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Do all meniscus tears require surgery?

FAQ Knee - Howard J Luks,MD
No. Many degenerative or attritional tears can be managed non-operatively and allow you to return to your "normal" lifestyle.
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What is a meniscus?

Frequently Asked Questions
The meniscus is a circular shaped disc of cartilage tissue. There are two menisci (plural of meniscus) in the knee – one on the inside, called the medial meniscus, and one on the outside, called the lateral meniscus. Their main function is to act as shock absorbers in the knee, helping to reduce wear and tear on the joint.
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How can a meniscus be torn?

Frequently Asked Questions
The medial and lateral menisci are fixed between the two weight-bearing surfaces within the knee, and as such can become “pinched” by the other structures of the knee between the joint when an injury occurs. Typically, the injury involves twisting on a bent knee. When this happens the menisci can become torn (“torn cartilage”). Any form of physical movement can potentially cause a meniscal tear, although they tend to be associated with sporting activities.
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What kind of symptoms would I have if I damaged the ACL?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Symptoms with a damaged ACL will be pain, swelling and a feeling of instability. Often times the knee can buckle underneath you and “give way.” If twisting, stopping, turning sports are attempted with a torn ACL, these buckling and “giving way” episodes will recur – a “trick knee.
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What kind of symptoms would I have if I damaged the patella?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Generally, this pain can go away and heal on it’s own. Body mechanics and control of the femur from above with your hip muscles are important. Stretching and strengthening the quadriceps and hamstring muscles are also important.
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What kind of symptoms would I have if I damaged these ligaments?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Symptoms include instability and “giving away.” Occasionally, you can feel the tibia slipping underneath the femur. The inside medial collateral ligament (MCL) can heal on its own and rarely requires surgery. Injury to the outside lateral collateral ligament (LCL) is different altogether. This usually requires surgery, but is a rare injury.
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What kind of symptoms would I have if I damaged the PCL?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Feelings of instability with certain motions about the knee can occur with a damaged PCL. Occasionally, with a long standing injury, the knee cap can be painful.
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What kind of treatments or surgery do you do for fractures?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
Generally, if the fractured bone is not separated then surgery can possibly be avoided. If the bone is broken in many places or the bone fragments are separated then often surgery may be required to help correct the anatomy of the broken bone. Even if the fracture does not require surgery, a period of immobilization (cast) may be required.
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How much is the surgery? What kind of payment is expected?

Asian Eyelid - Frequently Asked Questions
Surgery is between $2000 and $3000 including the operating room fee, depending on what needs to be done. For most patients the charge is about $2500 complete. Payment can be by check, cash, or credit card, and a finance plan is also available.
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What kind of medical tests will I have to take before surgery?

Frequently Asked Questions
This will vary from doctor to doctor. Some insurance companies also require specific tests. These may include an upper GI, endoscopy, gall bladder ultrasound, blood tests, and x-rays. Sometimes a psychiatric evaluation is done. This is to ensure that patients understand what this surgery will or won't do for them, and they will be able to commit to the major lifestyle change.
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Have you had surgery? How many? What kind?

Personal Injury and Case Fee FAQs - Miami, Florida
Still have questions? If so, contact personal injury attorney John H. (Jack) Hickey in Miami, Florida, to schedule a free consultation. Report the accident immediately. If it is a car accident, call the police. If it is an accident at a business or store, tell the manager or whomever works there, and get their full name and title. Go get medical treatment immediately. Do not try to be your own doctor and think that it can wait. Go to an emergency room at a hospital if you have to.
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How are the meniscus tears diagnosed ?

Frequently Asked Questions
Meniscus tears are suspected from the history given by the patient and diagnosed by careful clinical examination. In cases of doubt, an MRI scan can give diagnosis.
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What is a meniscus and how does it tear?

FAQ Knee - Howard J Luks,MD
A meniscus is a"C" shaped structure in your knee that is made of fibro-cartilage. It acts as a cushion for the knee when weight bearing. Most meniscal tears in adults are attritional. That is the meniscus simply wears out from years of use. Most adult patients do not recall the moment they tore their meniscus. The presentation is usually quite different in children or adolescents. Their tears are usually traumatic in nature and will usually arise from a non-contact twisting injury.
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What are the most common symptoms of a meniscus tear?

FAQ Knee - Howard J Luks,MD
Many adults have a tear and do not even know it. These are typically degenerative or attritional tears. Painful tears in adults are usually larger, "flap" tears. They will cause pain with kneeling, squatting, pivoting, going downstairs and occasionally they will even hurt at night when you roll over in bed.
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CATSCLEM GEZONDHEID en ZIEKTE - HEALTH and DISEASE
Health Library at MerckSource: Meniscus Meniscus of acromioclavicular joint, meniscus articula?ris, converging meniscus, discoid meniscus, discoid lateral meniscus, diverging meniscus, meniscus of inferior radioulnar joint, joint meniscus, Kuhnt's meniscus, meniscus latera?lis articulatio?nis ge?nus, meniscus media?lis articulatio?nis ge?nus, negative meniscus, positive meniscus, meniscus of sternoclavicular joint, meniscus tac?tus, meniscus of temporomandibular joint Menke Disease - Support Pro.
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How does the meniscus get injured?

Frequently Asked Questions -- C. Thomas Vangsness, Jr., M.D....
The meniscus is a tough fibrocartilage structure and can be injured with twisting, stopping, and turning motions of the knee. Meniscus tears are usually traumatic in origin. However, as we age, hydration decreases in this tissue and tears can happen with twisting motions that pinch and tear or shear the meniscus between the end of the femur and the tibia bone.
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Is refractive surgery of any kind as accurate as glasses?

Lasik, laser, Portland, Oregon, Denman, vision correction, e...
In general, the prescription of glasses is more accurate than any type of refractive surgery. However, the vast majority of patients do not require glasses after refractive surgery.
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What kind of vision can I expect after refractive surgery?

Lasik, laser, Portland, Oregon, Denman, vision correction, e...
No guarantees can be made as to the results of any kind of surgical procedure whether it is done on your big toe or your eye. However, I think it is safe to say that the vast majority of patients have at least 20/40 vision without glasses after surgery, and many of them have 20/30 to 20/20 vision after surgery.
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What kind of exercise should I do after surgery?

ThaiMed International - Gastric Bypass Weight Loss Surgery H...
We advocate increasing two kinds of exercise as part of a post surgical lifestyle change: 1) Increase the difficulty of unscheduled everyday activities. For example, try to walk farther - a pedometer is helpful in this regard - climb the stairs instead of taking the elevator; volunteer for small tasks that you might not otherwise choose. 2) Schedule workouts two or three or four times a week simply for the purpose of exercising.
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I tore my ACL, MCL, LCL, or Meniscus, what do you suggest?

ProCare FAQ
DonJoy makes several functional braces to address instabilities in the knee joint from the custom Defiance to the Playmaker. Since many of these braces are sold by prescription only, we suggest patients seek advice from their medical provider to ensure they get the correct brace for their specific condition. Of course we are always available to answer your questions. For further information, check our product detail pages here or contact our Customer Service Department at 800-336-6569.
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Does removing meniscus have any adverse effect?

Frequently Asked Questions
Trimming a meniscus (partial meniscectomy) does not have any immediate adverse effect. It eliminates the pain and locking and allows high level of activity. However, because of the loss of part of meniscus substance, the shock absorption in the joint is reduced minimally. In the long term patients are advised to avoid gaining weight and to take care of their knees by exercises.
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