I had reconstructive (allograft) surgery on my left knee. When I was four weeks post op I had continuing and it kept getting worse. In addition, I had an incident where my knee became extremely swollen and the subsequent pain was unbearable. I was unable to put any weight on my leg at all. I went to the emergency room where they took x-rays.
When comparing the x-rays for my left knee to the right knee (which had the same surgery in May, 2010 & healed-up, nicely), I noticed a glaring difference. The right knee had two metal screws visible on the x-ray - one on top and one on the bottom. However, the x-ray of my left knee (which has caused much grief & discomfort) only showed one metal screw. While I understand that dissolvable screws are an option and don’t show up on x-rays, I have been curious and perplexed as to why the procedures were performed differently. That combined with all the difficulty and swelling that I have had with my left knee has given me pause and enough concern to ask more questions.
I have asked my original surgeon and my physical therapist about this situation. However, I was not comforted by the vague answers that I received. In addition, I have sought a second opinion from another surgeon, who has indicated that my left knee is a complete re-do. Based on the x-rays the Dr. has taken, he’s indicated that I am experiencing bone-on-bone contact in my left knee which is causing the pain I am having and that the allograft “didn’t take”. The Dr. has recommended I have additional surgery to correct these issues. Specifically, he would like to proceed with a Proxcitimal Tibial Realignment and new ACL reconstruction (allograft).
My questions are:
• Is my first surgeon at fault because he forgot to put a metal, stronger screw on the bottom of my knee?
• Should I get a MRI to truly see what the problem is?
Most surgeons who do a lot of ACL reconstructions, myself included, have gotten away from using metal screws and have started using either synthetics or bio-composites. There really is no clinically significant difference and certainly no disadvantage in the use of non-metal screws. From what you are indicating, it really doesn't sound as if the choice of screws has anything at all to do with the problems you are experiencing
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.