MBBS; MSc Sports Medicine (UK)
Sports Medicine Consultant
Aspetar, Qatar Orthopaedic and Sports Medicine Hospital
I would suggest you go and see Dr Tay again. Talk to him of the various options already suggested to you by other doctors. I know him and he should be able to give you the best possible option for you. It would be difficult for me to provide you further advice online as I have not seen you.
Thanks for your reply Dr.AstXX,
Just to tell you my story.
I did my physio religiously for past 4 month.
Along my recovery, I got 2 times infection where my operation scar suddenly bleeding.
Since then, my knee flexion become slower and slower. I did highlighted it to my surgeon. For my 1st infection, he took out a stich from the scar that cause infection.
2nd infection, no stich. I continue my physio as usual. Passive and active knee flexion has been done but too pain full.
I went to Kelang Hospital for further physio after my GL expired. About 2 month later. They (physiotherapist) said, something is not right and ask me to inform my surgeon.
I did inform him. Asked him if i got fibrosis. He said I think to much and tell me not to worry.
My surgeon asked me to continue physio another one month MC. All together 4.5 month MC.
After a month, I did not see any improvement. I did my physio, swim, workout at gym. No improvement. My knee still painful.
Physiotherapist advised me to get other doc advise. From my reading, I have all symptom of athrofibrosis. Then I see Doc no 1 as mention in previous email.
He listened to my concern and checked my knee. He issued MRI.
From the MRI result, confirmed I am having fibrosis inside and suddenly got meniscus injury. I did not fell down that might cause me injured my meniscus.
I see my surgeon, show him the MRI result. I already highlighted to him about the athrofibrosis and what he replied.
Again he said this is only diagnosis and ask me what I want him to do.
His reply piss me off.
I discover that my surgeon forgot to asked physiotherapist ice my knee (cryo cuff) after operation until 3rd week. The operation so sudden, 4th day after injury.
I went to see Dr Gan, Damansara Specialist. He told me the graph position was wrong. Advise me to redo everything back. He looks confident but to redo whole thing is so scary.
Then, Dr Tay from Kuala Lumpur Sport Medicine Center, he said technically wrong inside my knee. The graph position is acceptable.
He advise to inject gel & do physio. Worse case is operation.
Now, I am confuse which one should I do. That why i am looking for another opinion.
I am for sure no going back to see my surgeon or ask him to do my 2nd operation.
From: "Dr. AstXXXX ail.com>
Date: 31/03/2012 05:57 PM
Subject: Re: Request your opiniont.
Sorry I've been away and will be away from some time. Although I'll be back only in July 2012 but it would be difficult as my practice has closed in PJ. Here are my suggestions:-
1) Go back to see your surgeon who operated the knee - find out what's the current situation
2) Complete the physiotherapy
3) Check again after completing the recommended duration
I do not usually recommend you to see another surgeon since he may not know the exact situation during the previous surgery. Hope this helps.
On 29 March 2012 11:05,
Hi Dr AstXXX
I am LIBL from Shah Alam.
I did my ACL recon (patella) and MCL repair on OCT 2011.
Unfortunately, until today I did not get my full ROM and extension. Along the recovery, I got meniscus injury. My knee stiff and quad muscle still waste. Latest MRI shows that I am developing fibrosis at hoffa's fat pad.
I have visited few doc tors for advise.
Doc 1: Minor Operation. Clean the fibrosis and move the knee cap to centre.
Doc 2: Revise all.(ACL,MCL) Reconstruct my ACL using hamstring.
Doc 3. Inject Gel and continue physio.
I plan to visit your clinic but note said tht you not in MY. Let me know when are you coming back or advise me, the best orthopaedic in MY who experience in handling this case.