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 Considerable ACL Tear + Lateral Meniscus Injury ):

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TSAfiqKamil23
post Nov 12 2017, 02:32 AM, updated 6y ago

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Hi, I was diagnosed with considerable tear of the anterior cruciate ligament with evidence of disruption of fibre bundles, associated oedema and a small fluid collection. There's also might be a small linear ligament tear in the posterior horn of lateral meniscus. I got these injury when playing in a rugby match where I fell following a 'pop' sensation in my right knee.

These were found following GP consultation, Sports Specialist consultations and a MRI scan done over my right knee. Total cost about 260 EURO (RM 1250). Huhu. I cry 😭. They advised me to get an ACL Reconstruction Surgery which I think will be really expensive here in Ireland (cheapest I found from googling is about 3200 EURO, about RM 15k). 😭😭😭

Does anyone done or know where and how much will an ACL Reconstruction Surgery and Meniscus Repair would cost in Malaysia? Do you have any suggestions for surgeons or hospitals that perform tge procedure? Planning to get the surgery in Malaysia when I got back this January.

Thanks 😬
internaldisputes
post Nov 12 2017, 07:57 AM

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can you afford to wait that long? it sounds kinda risky...
TSAfiqKamil23
post Nov 12 2017, 11:11 AM

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QUOTE(internaldisputes @ Nov 12 2017, 07:57 AM)
can you afford to wait that long? it sounds kinda risky...
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Based on what the doctor said, sooner is better. But, he advised me to get second opinion from knee surgeon first. Planning to do that for now, might as well get the estimated cost
itv
post Dec 7 2017, 07:14 PM

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Did mine last week for ACL recon using hamstring graft and repair complex tear on PCL and Medial meniscus.

4 days stay in private hospital. Current damage a bit north of RM30k. Additional cost for further PT and follow up check. Insurance pay full for me.

TSAfiqKamil23
post Dec 8 2017, 02:59 AM

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QUOTE(itv @ Dec 7 2017, 07:14 PM)
Did mine last week for ACL recon using hamstring graft and repair complex tear on PCL and Medial meniscus.

4 days stay in private hospital. Current damage a bit north of RM30k. Additional cost for further PT and follow up check. Insurance pay full for me.
*
That’s a lot going on with your knee. Hope you getting on good (:

In my case, i have no insurance or medical card right now. Maybe will go with government for lower price tag if the waiting list is not too long.
itv
post Dec 11 2017, 06:17 PM

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Torn the ACL back in 96. Back then ACL management was not as good as now, only did a repair without any recon. Fast forward 21 years with multiple knee gave away mishap, sciatica, back pain and running with a limp, thats what I get of not having reconstruction much earlier. Do it while you are still young so that recovery will be much faster, and less damage on the knee.
TSAfiqKamil23
post Dec 13 2017, 01:52 AM

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QUOTE(itv @ Dec 11 2017, 06:17 PM)
Torn the ACL back in 96. Back then ACL management was not as good as now, only did a repair without any recon. Fast forward 21 years with multiple  knee gave away mishap, sciatica, back pain  and running with a limp, thats what I get of not having reconstruction much earlier. Do it while you are still young so that recovery will be much faster, and less damage on the knee.
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Thanks for the info. Planning to do it once I’m back in Malaysia in January. Just looking for any recommended hospital and the total cost for the procedure.
redshark_999
post Dec 19 2017, 08:58 AM

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Just did my MRI and my experience of facing the injury is exactly the same. Will update when my sports surgeon is back.
Otherwise, walking with a limp now and can't fully extend the knee.
TSAfiqKamil23
post Dec 19 2017, 10:35 AM

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QUOTE(redshark_999 @ Dec 19 2017, 08:58 AM)
Just did my MRI and my experience of facing the injury is exactly the same. Will update when my sports surgeon is back.
Otherwise, walking with a limp now and can't fully extend the knee.
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Mine, the pain already reduced. Can walk a bit better now, but not too far tho (sometimes my knee just suddenly gave out). Still cannot fully extend or bend my knee for now. Waiting to get back to Malaysia soon and consult with a sport surgeon.
redshark_999
post Dec 19 2017, 01:08 PM

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I think you should seek treatment sooner, as far as i've read up and seeked opinion from the hospital;
meniscus injury can cause locking of knee
typically is when you are unable to fully extend or flex your knee when pain is minimal.
and for younger people, the prognosis and speed of recovery is better, in terms of repairing meniscus first.
ACL is a different thing; means that you can repair meniscus, then only ACL.
ACL won't heal on it own.
The giveaway you are feeling; im having it too; the way to reduce it is by wearing a good brace.
But if your knee won't straighthen, won't you walk with a limp?
SUSchickenshit36
post Dec 26 2017, 02:11 PM

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I had the holy trinity one. Acl, mcl and meniscus.

Acl full rupture. Mcl partial tear, meniscus partial tear.
Did it with dr Gan in kpj damansara back in 2011. Cost about 25k then.

My friend did it last month in sjmc. 30k.

There’s 3 ways to fix the acl. 1 is use ur own tendon from the thigh. 2 is use patella tendon where they take a bit of patella bone also to fuse it. More invasive.
3rd one is most expensive. Use tendon harvested from third party.

This post has been edited by chickenshit36: Dec 26 2017, 02:13 PM
Kilohertz
post Dec 28 2017, 03:09 PM

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QUOTE(itv @ Dec 11 2017, 06:17 PM)
Torn the ACL back in 96. Back then ACL management was not as good as now, only did a repair without any recon. Fast forward 21 years with multiple  knee gave away mishap, sciatica, back pain  and running with a limp, thats what I get of not having reconstruction much earlier. Do it while you are still young so that recovery will be much faster, and less damage on the knee.
*
That sounds bad, any problems with cartilage thinning?
TSAfiqKamil23
post Jan 11 2018, 03:00 PM

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QUOTE(redshark_999 @ Dec 19 2017, 01:08 PM)
I think you should seek treatment sooner, as far as i've read up and seeked opinion from the hospital;
meniscus injury can cause locking of knee
typically is when you are unable to fully extend or flex your knee when pain is minimal.
and for younger people, the prognosis and speed of recovery is better, in terms of repairing meniscus first.
ACL is a different thing; means that you can repair meniscus, then only ACL.
ACL won't heal on it own.
The giveaway you are feeling; im having it too; the way to reduce it is by wearing a good brace.
But if your knee won't straighthen, won't you walk with a limp?
*
Just met with an orthopaedic surgeon today. He suggested surgery to be done considering my age. He will send me the quotation to me later as well as the date for the surgery to be done. Will be looking at 6k-7k in GH.
TSAfiqKamil23
post Jan 11 2018, 03:04 PM

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QUOTE(chickenshit36 @ Dec 26 2017, 02:11 PM)
I had the holy trinity one. Acl, mcl and meniscus.

Acl full rupture. Mcl partial tear, meniscus partial tear.
Did it with dr Gan in kpj damansara back in 2011. Cost about 25k then.

My friend did it last month in sjmc. 30k.

There’s 3 ways to fix the acl. 1 is use ur own tendon from the thigh. 2 is use patella tendon where they take a bit of patella bone also to fuse it. More invasive.
3rd one is most expensive. Use tendon harvested from third party.
*
Just met with a surgeon today in Teluk Intan GH. He suggested surgery which will use my own tendon from tge thigh. The approximate cost would be around 6-7k. Hoping i got the surgery slot that I requested tho.
redshark_999
post Jan 11 2018, 06:10 PM

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QUOTE(AfiqKamil23 @ Jan 11 2018, 03:04 PM)
Just met with a surgeon today in Teluk Intan GH. He suggested surgery which will use my own tendon from tge thigh. The approximate cost would be around 6-7k. Hoping i got the surgery slot that I requested tho.
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private?
as long as you are ready to sacrifice your tendon knowing the complications thereafter
do you still have problems with stability? such as while walking/jogging feeling a give away?
TSAfiqKamil23
post Feb 2 2018, 12:33 PM

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QUOTE(redshark_999 @ Jan 11 2018, 06:10 PM)
private?
as long as you are ready to sacrifice your tendon knowing the complications thereafter
do you still have problems with stability? such as while walking/jogging feeling a give away?
*
I do have problems with stability when jogging esp. walking only if long distance as well as going down the stairs.

I already did my surgery in gvmnt hospital (cost abt 5k). Now, in recovery process. Private asked for about 21k (as i have no insurance and the fund opt for gvmnt).
TSAfiqKamil23
post Feb 2 2018, 12:44 PM

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I already did my ACL Surgery (Arthroscopy ACL Reconstruction using Hamstring as graft under spinal anaesthesia).

The whole procedure was almost painless (at least to me) except when their administering the anaesthesia through my spine. Fully awake during the whole procedure, so I can hear and feel all the drillings, pullings and pushings during the whole thing except, PAIN. To be honest, I feels more like in a workshop instead of in OT (operation theatre).

Currently, in recovery process with all the physios that need to be done.

Thanks everyone for all recommendations and experiences shared.
happyever
post Dec 19 2019, 12:36 PM

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QUOTE(AfiqKamil23 @ Feb 2 2018, 12:44 PM)
I already did my ACL Surgery (Arthroscopy ACL Reconstruction using Hamstring as graft under spinal anaesthesia).

The whole procedure was almost painless (at least to me) except when their administering the anaesthesia through my spine. Fully awake during the whole procedure, so I can hear and feel all the drillings, pullings and pushings during the whole thing except, PAIN. To be honest, I feels more like in a workshop instead of in OT (operation theatre).

Currently, in recovery process with all the physios that need to be done.

Thanks everyone for all recommendations and experiences shared.
*
How is your knee now? How many % back to pre-injured level? As good as the other non injured leg?
TSAfiqKamil23
post Dec 20 2019, 07:28 PM

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QUOTE(happyever @ Dec 19 2019, 12:36 PM)
How is your knee now? How many % back to pre-injured level? As good as the other non injured leg?
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Almost 100%. Strength, muscle bulk, pain, laxity - all gone. Just, my range of motion reduced a bit. Maybe around 5 - 10 degrees less in full flexion at knee joint (active movement, passive no problem). Other than that, no issues. Now, sports like badminton, ping pong, running and etc no problem. Just not joining contact sports competitively as I used to. Maybe too afraid that I might torn something else. Lol. As far as for daily activities go, no issues.

This post has been edited by AfiqKamil23: Dec 20 2019, 07:30 PM
Tan Teng Jing P
post Jun 2 2020, 12:11 PM

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You can try Dr. Sabbir Ahmad from Pantai Ampang for ACL Surgery. I had a completely torn acl and torn meniscus from a gym accident, went to see Dr Sabbir in Pantai Ampang Hospital after being referred by another doctor. He explained everything step by step and after doing MRI, it was found to have a torn ACL and also meniscus tears.

I did the surgery under him as i was confident with his explanation. 7 months now and i can say i have fully recovered with no pain and knee is stable and I’m back in the gym! Tqvm Dr Sabbir!
You can find him here - https://www.pantai.com.my/ampang/doctor/ort...dr-sabbir-ahmad

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