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After 4 month of ACL reconstruction and miniscus repair surgery
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Bone and Orthopedic Conditions
Question #10342
1 year ago
777

After 4 month of ACL reconstruction and miniscus repair surgery

Subhajit Dey

After surgery my muscles strength range of motion day to day life quality getting better slowly and pain decreased but My problem is when ever I try to straight my leg with muscle power a kut kut sound come from my knee ( i think from patella) and facing problem when I'm try to walk after sitting for a lot of time but not facing any severe pain doing exercises or cycling or walking

Age: 24
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Doctors' responses

Kut-kut sound is common during recovery and often harmless unless painful or locking With consistent strengthening and rehab, it usually subsides in 2–3 months

Continue rehab but now focus on VMO strengthening Use hot pack before activity and cold pack after exercise for the knee Avoid deep squats, kneeling, or stairs until the sound reduces

Supplements: 1) Tab Orthoboon – 1 tab twice daily × 3 months 2) Tab Shelcal 500 1 tab daily for 1 month

Follow up soon

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Hello dear Please be advised I think you are having recovery period It will require patience and time In the meantime time apply hot cravings You can take lyser d tablet for improvement For further evaluation you can consult orthopedic surgeon Regards

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At age 24, the “kut kut” sound in the knee (likely from the patella) and stiffness after sitting suggest patellofemoral tracking issues or post-surgical joint adaptation. Since pain is minimal and strength, motion, and daily activity are improving, continue physiotherapy focused on quadriceps and hamstring strengthening. Consult an Orthopedic Surgeon or Sports Physiotherapist to assess patellar alignment and ensure no long-term cartilage or tracking problems.

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This kutkut sound is called theater sign which can be due to

#Patellofemoral tracking issues: The kneecap (patella) may not be gliding smoothly in its groove due to muscle imbalance or weakness, particularly in the quadriceps (especially VMO) #Can be a post op normal crepitus # Chondromalacia patella: Softening or wear of the cartilage under the kneecap

Advise Physiotherapy and strengthening, especially quadriceps, hamstrings, and glutes. Cycling — low-impact and great for knee recovery. Stretching the quads, hamstrings, IT band, and calf. Warm up before sitting for long

Avoid: Sudden high-impact activities Deep squats or kneeling unless cleared Ignoring signs of swelling or joint locking

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The sounds you’re experiencing in your knee, often called crepitus, are not uncommon after ACL reconstruction and meniscus surgery. This is usually due to changes in the joint’s mechanics and the natural healing process, including how scar tissue and the new alignment of the joint’s components interact when they are moved. What you’re describing as a “kut kut” sound might be related to how the patella tracks over the femur or due to some minor irregularities in the cartilage or other joint structures. While the sound itself is not always a cause for alarm, however, it’s crucial to consider whether it’s accompanied by pain, instability or swelling. Since you’re not facing severe pain during exercises or cycling, this may not be an immediate cause for concern, but it’s something to monitor. Difficulty walking after sitting for long periods could be due to stiffness which is still a common complaint at this stage in recovery. Focus on continuing with your physiotherapy exercises, which are key to regaining full function. Make sure you’re including exercises that strengthen and stabilize the muscles around the knee, particularly the quadriceps and hamstrings, as these support knee function and improve joint stability. If the noise, stiffness, or any discomfort persists or worsens, it would be advisable to follow up with your physical therapist or physician. They can offer a more detailed evaluation and adjust your rehabilitation as needed. Also, listen to your body; avoid pushing too hard too soon, as this can exacerbate issues rather than help them resolve.

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