This is the x-ray of a young Omani citizen with two failed ACL reconstructions done elsewhere in India and Oman. It shows degenerative changes in the inner half. ACL injuries are the commonest knee injury and are a leading cause of acquired mechanical osteo-arthritis in adults.
He has come to me for an opinion since he has constant pain. I have advised him stem cell treatment to slow down the progress of the disease and postpone a knee replacement. This is the aim of joint preservation surgery in India.