Knee Arthritis and ACL Tear

Is knee arthritis preventable after an ACL tear or ACL injury? I give you my thoughts on this topic.
We will also explore conclusions drawn from a study published in the American Journal of Sports Medicine.
pubmed.ncbi.nlm.nih.gov/35234...
pubmed.ncbi.nlm.nih.gov/35049...
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a KZbin channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
► Disclaimer
My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.

[@MO-mu2rq]

Can PRP heal or help in recovering high grade tear of ACL?

[@jeanett74]

Have torn acl MUST I get surgery?

[@irislehr7999]

I’m 31 y/o male very active just sustain a knee injury. I’m currently going through exercises program to reduce inflammation, maintain muscle strength and restore ROM. My plane is to take an MRI a month after my injury. In the event that my ACL is torn would you recommend to go through an ACL reconstruction? I appreciate your advice.

[@diagonals792]

After my ACL surgery, my affected knee was always a bit "looser" with still a fair bit of tibial movement relative to the femur, compared to my healthy knee. This has led to cartilage damage and somewhat chronic imflammation. I fear I am developing arthritis

[@JeffreyPengMD]

Quite possible, best to discuss with your docs

[@harithshahiran1372]

Hi dr...do we need yearly prp injection as maintenance to slow down OA post ACL injury?

[@JeffreyPengMD]

Yes! Maintenance injections are recommended. Think about any other "chronic medical condition" like high blood pressure or diabetes. You take a medication every day because if you don't, your blood pressure will go back up. Same thing with arthritis. Once you get it, you got it forever. So you need maintenance therapy to keep things under control.

[@medstud6931]

pubmed.ncbi.nlm.nih.gov/32779915/ As this study shows, results of the effect of PRP injections vary, and the use of PRP injections should be discouraged. Can you please explain why you think that the use of PRP as a maintenance therapy to slow down OA is a good thing to do?

[@JeffreyPengMD]

@@medstud6931 Yes! As our understanding of PRP improves, preparation and protocols have resulted in better outcomes. Subsequent RCTs and then systematic reviews and meta-analyses all show that PRP is superior to alternative treatment options such as saline, corticosteroids, and hyaluronic acid. You can find more info here: kzbin.info/www/bejne/n3yWq4d8h7mtqaM kzbin.info/www/bejne/bomxooupd8-flaM kzbin.info/www/bejne/mqLHnqSVnLmsY68 kzbin.info/www/bejne/fmGygqqmmNl-gac

[@medstud6931]

@@JeffreyPengMD thanks for your response. Since PRP is still relatively new, I’m curious how/if PRP will be implemented in regular clinical practise.

[@JeffreyPengMD]

@@medstud6931 I don't think it's ready for mainstream use and should really just be recommended by providers experienced in orthobiologics and cellular therapy. There is still too much unknown and many potential bad actors out there that will take advantage of patients to make a quick buck. This is why more studies need to be done and for the FDA to play a bigger role in monitoring and cracking down against sham clinics. One of my goals with these videos is to share the science and medical literature to educate all those wanting to learn more.

[@justice8724]

Will knee brace help to prevent arthritis after ACL tear... Right now, due to time constraints I cannot operate

[@JeffreyPengMD]

Thanks for your comment. Unfortunately I cannot give medical advice over the internet. This question is something that needs to be individualized. Please seek the advice of your trusted health care provider. Best of luck!