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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.
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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.
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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?
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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.
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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
Amedion
post Jul 2 2020, 12:29 PM

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QUOTE(Tan Teng Jing @ Jun 2 2020, 12:11 PM)
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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How much total cost? Does insurance cover for ACL?
Justin.Loong
post Jul 3 2020, 12:41 PM

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QUOTE(Tan Teng Jing @ Jun 2 2020, 12:11 PM)
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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May I ask how much was for the whole operation please?
I would like to know as I used to play badminton and have had knee injury. cry.gif sad.gif
TSAfiqKamil23
post Jul 3 2020, 02:09 PM

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QUOTE(Amedion @ Jul 2 2020, 12:29 PM)
How much total cost? Does insurance cover for ACL?
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QUOTE(Justin.Loong @ Jul 3 2020, 12:41 PM)
May I ask how much was for the whole operation please?
I would like to know as I used to play badminton and have had knee injury.  cry.gif  sad.gif
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I'm not entirely sure about the cost in Pantai Hospital. Last time I did asked about quotation from Private Hospital was about 25k without MRI Scan. I ended up doing my operation in Government Hospital. They gave me 3 quotations from 3 different companies (5k, 7k, 10k). So just need to choose from these prices for the implants needed for it. I did my MRI scan already in Ireland about 200 euros. So, no need to queue for scan in Malaysia. From my first visit to my operation day was about 2 weeks only. So quite fast.
Justin.Loong
post Jul 3 2020, 02:43 PM

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QUOTE(AfiqKamil23 @ Jul 3 2020, 02:09 PM)
I'm not entirely sure about the cost in Pantai Hospital. Last time I did asked about quotation from Private Hospital was about 25k without MRI Scan. I ended up doing my operation in Government Hospital. They gave me 3 quotations from 3 different companies (5k, 7k, 10k). So just need to choose from these prices for the implants needed for it. I did my MRI scan already in Ireland about 200 euros. So, no need to queue for scan in Malaysia. From my first visit to my operation day was about 2 weeks only. So quite fast.
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Thanks for your fast reply!
1 of my colleague who's also in active badminton, futsal and football player also had his ACL and MCL (IINM) torn.
His operation cost was near or around MYR40K++. doh.gif
TSAfiqKamil23
post Jul 3 2020, 02:52 PM

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QUOTE(Justin.Loong @ Jul 3 2020, 02:43 PM)
Thanks for your fast reply!
1 of my colleague who's also in active badminton, futsal and football player also had his ACL and MCL (IINM) torn.
His operation cost was near or around MYR40K++.  doh.gif
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The 25k is only isolated acl injury. If mixed with other ligaments gonna cost more, like what your college had to pay. Huhu. Expensive injury
Justin.Loong
post Jul 3 2020, 02:57 PM

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QUOTE(AfiqKamil23 @ Jul 3 2020, 02:52 PM)
The 25k is only isolated acl injury. If mixed with other ligaments gonna cost more, like what your college had to pay. Huhu. Expensive injury
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Yeah, seriously expensive. He had a medical card and the balance he had to fork out by himself. sweat.gif moneyflies.gif moneyflies.gif
Amedion
post Jul 3 2020, 03:22 PM

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Yeah one of my friend said near RM 40k .. If insurance no cover then better not go for surgery. lol
TSAfiqKamil23
post Jul 3 2020, 05:00 PM

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QUOTE(Justin.Loong @ Jul 3 2020, 02:57 PM)
Yeah, seriously expensive. He had a medical card and the balance he had to fork out by himself.  sweat.gif  moneyflies.gif  moneyflies.gif
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Fuhhhh. What to do.

QUOTE(Amedion @ Jul 3 2020, 03:22 PM)
Yeah one of my friend said near RM 40k .. If insurance no cover then better not go for surgery. lol
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Maybe can go government. But, my suggestion if can do all the relevant scans private better do that private. Surgery can do government. Can save waiting time for scan oso.
Amedion
post Jul 3 2020, 05:56 PM

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QUOTE(AfiqKamil23 @ Jul 3 2020, 05:00 PM)
Fuhhhh. What to do.
Maybe can go government. But, my suggestion if can do all the relevant scans private better do that private. Surgery can do government. Can save waiting time for scan oso.
*
Will consult physio tomorrow.
Thanks for the info.


Fizzy-Fiz
post Jul 5 2020, 11:36 PM

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find a doctor buddy working a hospital which has a sports team, ask him to justify getting early scan (i can get MRI in 2 mo easily by just saying the patient's livelihood is dependent upon walking + patient is very keen for surgery)
125you
post Aug 22 2020, 11:26 PM

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Hi guys. I had my ACL completely torn and meniscus cracked a little bit in a badminton game 3 weeks ago. It happened in Hanoi Vietnam where I live and work. The doctor here said the only way to heal my ACL is via reconstructive surgery. I'm really not sure about how good is the surgeon here and I'm considering whether I should go back to Malaysia to do the surgery. I'm really not sure how the surgery will affect my job in Vietnam.
Maybe I will lose my job here if I go back to mala for the surgery? How long do I need to stay in Malaysia in order for me to complete the surgery and rehab after surgery? Or should I just do it in Vietnam? There are so many questions now in my mind sad.gif
wilson1989
post Jul 11 2021, 11:14 AM

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Hi All, anyone torn ACL before then manage to upgrade your own medical card insurance? Any complication during upgrade medical insurance such as exclude the knee did ACL reconstruction before?

 

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