Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Laxity in ANTERIOR DRAWER TEST after ACL RECONSTRUCTION SURGERY.

Resolved Question:

Hi,
I recently had acl reconstruction surgery (6 weeks) using BPTB graft and I think there is a little laxity in anterior drawer test (between 3 mm to 6mm) though I didn't find any significant displacement in lachman test.
Is it normal? How much laxity is OK? Is it ok to go ahead an try to achieve full flexion given that tibia tends to displace at maximum flexion? Do prone hangs affect acl

Category: Orthopedic Surgeon

Ask Your Own Question

Dr. Mukesh Tiwari
Category: Spine Surgeon
View Profile
 25 Doctors Online

Expert:  Dr. Mukesh Tiwari
View Profile

Hello.
Thank you for your query at DoctorSpring.com.

I have read your query with diligence.
The Lachman test is more sensitive in detecting ACL injuries.
An excursion of more then 3 mm is considered abnormal.
If your Lachman is normal, then you should go ahead under supervision of your doctor.
Prone hangs are safe after ACL reconstruction and good for rehabilitation after your surgery.


I hope this was helpful to you. Feel free to discuss further.
Thank you.


Patient replied :

Hello Dr. tiwari,
The end of displacement (anterior drawer) is sharp so can I assume that there is laxity and not a tear?
Just from experience, is it probable that the laxity will increase with time?
As of now, I don't feel any unstability whatsoever while walking, but if the need be, is a revision reconstruction a viable option?


Expert:  Dr. Mukesh Tiwari
View Profile

Hello. Thank you for posting the follow up.
It does not looks to be a tear ,it may be a laxity.In this condition you may also do quadriceps exercises.this will help you.
Feel free to discuss further,
Regards

Dr. Mukesh Tiwari
Category: Spine Surgeon
Experience: 
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
Dr. Mukesh Tiwari and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Get me answers from Doctors now
25 Online Doctor

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news