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Knee injury. Opinions needed


Meentb

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Posted

Sorry man. Its like the knee will not stay locked. It gives way.

either posterior or anterior cruciate ligament. The collapsing part is what I experienced on my clean snap of my PCL in left knee. Dr Bornman at Netcare Blouberg or Chris Barnard Hospital fixed for me it in 2015.
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Posted

Sorry man, but that sounds like a cruciate ligament tear. Well it Sounds exactly like my ACL tear (left knee.) But mine had a meniscus tear as well and was very painful. I only had the op two months later though.

She will need an MRI scan for proper diagnosis though. It's something she can do at home though where she has her support network. It doesn't have to happen in Cape Town. Probably advisable for her not to continue playing though.

 

I've been living with an unstable knee that has a possible tear of my PCL in my right knee for nearly two years now, will once again need an MRI to diagnose and may need another ligament reconstruction. I'm living with it, and staying as far away from pivot sports (touchies etc) as I can.

Posted

See if there's any way you can get an appointment with Spike Erasmus at Stellenbosch Medi-Clinic. Probably SA's top knee doc. Fixed my wife's knee when 3 other "surgeons" couldn't get it right.

I've learned to be careful of Dr's that are described as "the best" because even they have off days or operations that don't go as planned. They are but human.

 

There will be an Orthopedic surgeon closer to home for her that will give her as good care as Dr Erasmus can, and it will be better for her to be close to home and near her support network etc.

Posted

Sorry man, but that sounds like a cruciate ligament tear. Well it Sounds exactly like my ACL tear (left knee.) But mine had a meniscus tear as well and was very painful. I only had the op two months later though.

She will need an MRI scan for proper diagnosis though. It's something she can do at home though where she has her support network. It doesn't have to happen in Cape Town. Probably advisable for her not to continue playing though.

 

I've been living with an unstable knee that has a possible tear of my PCL in my right knee for nearly two years now, will once again need an MRI to diagnose and may need another ligament reconstruction. I'm living with it, and staying as far away from pivot sports (touchies etc) as I can.

only had my PCL reconstructed +5 years after the initial snap. I was 34 then, initial injury occurred when I was about 29'ish. Hindsight, I would not have done the Op. Tip for the Pre-Op get pre-rehab something I only learned of afterwards.
Posted

hi

 

i tore my acl 20 years ago wakeboarding. to cut a long story short pick your dr very carefully. my first doctor was an idiot and it meant i wasted 6 months in rehab only to have a partial tear become a perminant tear. from a pain perspective i had pain with the partial but no pain with the full tear.

 

so the doctor i finally went to was Ponky Firer in linksfield clinic, as you stay in guateng i suggest seeing a doctor up here as the rehab process for my acl was 9 months. the other point is that if it is torn make sure you get a really good physio, i used Suzanne Rogers at physioworx.

 

good luck

 

marc

Posted

Orthopedic surgeons that specialize in knees in Cape Town:

 

Dr MY Hassan - former SA rugby doc turned knee surgeon. Recently fixed my right knee. Super quick recovery. Sporting background results in very constructive, confidence building guidance on recovery options and progress. I find surgeons that don't have this background tend to offer recovery options that are more comfortable, but actually lengthen the total recovery process because of increased inactivity reduces muscle conditioning, which in turn requires reconditioning.

 

Dr Spike Erasmus - reputation as one of the best in ZA. Repaired ACL+meniscus damage in left knee a few years back. unfortunately, it's come somewhat undone. His rep pulls a lot of patients, and some have expressed concerns he is a victim of his own success, aka quality slips. This is just assinine. Mistakes and complications do occur and the more ppl you operate on, the more likely you are to hit a negative stat. All a simple case of bigger numbers = higher probabilities.

 

Biokineticist at work recommends all of the above, along with Dr Bornman.

Posted

Thanks for everyone’s input. Appreciate it. Its just so strange that she has no pain.

 

Lets see what the doctors say.

I ripped 2 ligaments off at the end of October (can't remember which two), but there was no pain as long as I stayed still.

I went to see Dr Hobbs @ Vincent Palotti after an MRI (X-ray is to see if any bone was pulled off, but the MRI is where the detail is that the Dr needs).

 

Surgery was required to re-attach my ligaments. long road to recovery.

 

Keep any weight off that joint as bruising of the bone is actually a thing. You can get a basic brace to limit knee movement and crutches in the mean time.

 

Edit:I see that you are based in Joberg, so wont be seeing an surgeons down here in  the cape. They cant operate until the swelling has gone down a bit, so you may as well head home and start with X-Rays and finding a surgeon. Keep the knee iced and immobilized in the mean time.

 

You will become a nurse for a few weeks after surgery, so prepare  yourself for that.

My wife was amazing in looking after me.

Posted

If you guys choose to have her see a specialist closer to home , i would highly recommend Drs Charl Olivier and/or Riaan Steyn in Zuid Afrikaans hospital in pretoria-Those guys are really good , or as mentioned if she can get an appointment with Dr Spike Erasmus in Stellenbosch its worth the wait as he is brilliant - i can vouch for him !

Goodluck with the Recovery process and Ps . I work closely with most of the top surgeons and all of the guys mentioned in this thread are good, the secret lies within the recovery and rehab process.

Posted

Good day everyone. Thanks for all the replies. Work has beem quite hectic.

 

Wife is back in Pretoria. She went to Chris Barnard Casualty yesterday. After some examinations and an x-ray she was diagnosed with the following.

 

Grade 2 or 3 tear in the ligaments and possible miniscus damage. Not sure if the Dr specializes.

 

But we have an appointment with Dr Riaan Steyn tomorrow. Rumour has it he is very good. Just know my sister dated him years ago.

 

V12man suggested Daan du Plessis. I used him years ago on my knee. But unless you a springbok player i dont think we will get an appointment within a week.

Posted

Good day everyone. Thanks for all the replies. Work has beem quite hectic.

 

Wife is back in Pretoria. She went to Chris Barnard Casualty yesterday. After some examinations and an x-ray she was diagnosed with the following.

 

Grade 2 or 3 tear in the ligaments and possible miniscus damage. Not sure if the Dr specializes.

 

But we have an appointment with Dr Riaan Steyn tomorrow. Rumour has it he is very good. Just know my sister dated him years ago.

 

V12man suggested Daan du Plessis. I used him years ago on my knee. But unless you a springbok player i dont think we will get an appointment within a week.

All the best with her recovery.

 

Sent from my SM-G950F using Tapatalk

Posted

Good day everyone. Thanks for all the replies. Work has beem quite hectic.

 

Wife is back in Pretoria. She went to Chris Barnard Casualty yesterday. After some examinations and an x-ray she was diagnosed with the following.

 

Grade 2 or 3 tear in the ligaments and possible miniscus damage. Not sure if the Dr specializes.

 

But we have an appointment with Dr Riaan Steyn tomorrow. Rumour has it he is very good. Just know my sister dated him years ago.

 

V12man suggested Daan du Plessis. I used him years ago on my knee. But unless you a springbok player i dont think we will get an appointment within a week.

Good luck with the process, rehab and recovery.

Remember you have two options - depending on severity of tear:

a. surgery, fixing and recovery - is quicker and imo more stable and long-term solution (IF done correctly)

b. conservative approach - meaning you build up your muscle around your knee to keep it from "collapsing" (as you call it) - so no surgical procedure. I worked in pro sports field where we dealt with this quite a bit, so imo this works ONLY if you are dedicated to strength training to keep muscles fit & strong to compensate and protect the knee.

If the partial tear (grade one, possibly some grade 2) has prospects to recover sufficiently (with the added benefit of intense and correct physio work) then conservative can work. But the individual must be prepared to put in the work required!

A severe grade 2 and 3, as a layman would recommend surgery. 

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