Dr Kadwa, suggest treatment of ACL tear

Hi Dr Kadwa,

6 weeks back While playing kabaddi, my left knee twisted left side partially then I took hands support to fall back on ground. It was painful for 3 hours until I took physio therapy sessions for 2 days. Able to walk properly but with some uneasy ness when I try to walk fast or when I use steps or when I park my 2 wheeler. Before this incident I was regular at gym doing all cardio where my legs movement is more, but now I can't do any of those due to instability in my left knee. I need to reduce my weight as its already 102kg (with height of 5'11'' and 34 years age), which is causing additional burden on my knees. After 3 weeks, My ortho doctor asked to get MRI scan, which reports that partial Tear in my ACL. He is more inclined towards invasive surgery by replacing ligament with a muscle joined with small metal clip, his opinion is based on my heavy weight. My worry is that post surgery arthiritis problems may appear.
Plz suggest me treatment suitable for my condition.

MRI scan report text:
Multi planar, multi echo sequences of the left knee were performed-

History - Trauma:

The anterior cruciate ligament is bulky and edematous with marked heterogeneity signals, more toward the femoral attachment and in its mid-segment. pocket of fluid is in the posterior joint recess.

Poorly defined area of marrow edema is seen in the proximal tibia.

Focal areas of cartilage thinning and signal abnormality are seen in the patellar cartilage with subchondral cysts in the patella.

Grade I signal abnormality is seen in the posterior horn of the medial meniscus. Minimal suprapatellar bursal effusion is seen.
Rest of the visualised bones show normal marrow signal intensity.
The joint alignment is maintained.
The medial meniscus is normal.
The posterior cruciate ligament is normal. The medial and lateral collateral ligaments are normal.
The ligamentum patellae is normal.

impression:

partial thickness tear of the anterior cruciate ligament.
Poorly defined area of marrow edema / contusion is seen in the proximal tibia.
Focal areas of cartilage thinning and signal abnormality are seen in the patellar cartilage with subchondral cysts in the patella - chondromalacia patellae.

Grade I signal abnormality is seen in the posterior horn of the medial meniscus.

Minimal supra patellar bursal effusion is seen.
[message edited by Mahidbdwh on Sun, 27 Sep 2015 11:02:42 UTC]