One Ortho

Knee surgery · Dallas

Elite knee surgery. Clear answers.

Meniscus repair, ACL reconstruction, and knee replacement — decided by your demand level and imaging together, not an MRI in a vacuum.

Request an online consult Call (972) 457-1530
4.8★ 300+ reviews D Magazine Best Doctor Dallas since 2012 Vanderbilt · Duke

How we decide about surgery

Surgery is never a single-factor decision. Age, activity level, and demand matter as much as the MRI. What’s right for an Olympic athlete is not what’s right for someone sedentary — and pretending otherwise is how people get the wrong operation.

Imaging influences the decision a lot. It does not make the decision alone. An MRI can’t tell us if surgery is right for you. Some findings will clearly improve; some will clearly not. When the clinical picture and the imaging line up, we review non-surgical options next.

Non-surgical care is worth taking seriously when it can realistically help. Sometimes it isn’t a realistic option — and it’s worth skipping. We’ll say which is which, not put you through theater.

For knees specifically: a repairable meniscus in a high-demand athlete is a different problem than bone-on-bone arthritis in someone who wants pain-free walking. Same joint. Different decision.

How we start

A real consult first — then imaging read in context — then a plan you can understand.

1. ConsultationUnderstand your pain, limitations, activity level, and medical safety for surgery.
2. ImagingUsually X-ray and MRI — bone, joint space, and soft tissue, read together with your story.
3. OptionsNon-surgical path when it’s real; surgery when clinical + imaging say it’s time.
4. RecoveryTimeline depends on the procedure, the joint, and your functional level — not a brochure average.

X-rays show bone problems, joint space, and anatomic variants. MRIs show soft-tissue damage — cartilage, meniscus or labrum, bone bruising, swelling. We use both with your exam. Neither replaces the other.

Recovery reality: Recovery varies widely. Some meniscus surgeries have people bouncing back within about a week. Bigger reconstructions and replacements take longer. We set expectations off your procedure and your life — not a generic average.

What we operate on

Knee joint diagram — femur, meniscus, tibia

Three operations define most of the knee work here.

Meniscus repair / surgery

Save tissue when the tear pattern allows. Trim when repair won’t hold. Often among the better-tolerated knee operations — still matched to your demand level.

Recovery: Some patients bounce back within about a week; higher-demand return takes longer and follows healing.

Often faster recovery

ACL reconstruction

For patients whose activity demands a stable knee. Graft, rehab, and timing are part of the decision — especially when your sport involves cutting and pivoting.

Recovery: Desk work sooner for many; return to sport is months and criteria-based, not calendar-based wishful thinking.

High-demand stability

Total knee replacement (TKR)

When arthritis has taken the joint and non-operative care is no longer realistic. Imaging and your function decide timing — not your birthday.

Recovery: Walking with support early; everyday function rebuilds over weeks to months depending on starting point.

When preservation is done

Why patients choose One Ortho for knee

Patients choose this practice for breadth of experience. Surgical skill compounds. Getting excellent at a shoulder labrum makes you better at a hip labrum. Knee skills translate across analogous joints. Experience peaks over years — shorter operative times, higher success rates, lower infection risk, faster recoveries, better outcomes.

Surgery is often a one-way street. You want a surgeon who understands how the body works, takes care of his own, knows how to operate and how to heal — and stays invested in your recovery until the outcome is right.

Knee surgery rewards that compounding experience: meniscus, ligament, and replacement decisions made by someone who has lived the full spectrum — not a single-procedure pathway.

“He guided me through a knee replacement surgery that went amazingly smooth. After 7 weeks, I am up and walking, attending Physical Therapy and feeling almost back to normal.”

— Sylvia C. · Knee Replacement

“Dr. Pradhan always asks many questions… He does not promote unnecessary testing or treatments.”

— Ann W.

Who this page is for

Good fit

  • Meniscus tear — especially if repair may still be possible
  • ACL tear in an athlete or high-demand adult
  • Bone-on-bone arthritis considering TKR
  • Told you need knee surgery and want a multifactorial second look

Not the right door

  • ER / fracture care
  • Workers’ comp paperwork mills
  • Mild ache with no structural decision point

Told you need knee surgery?

Get a surgical second opinion — imaging review, consult, written plan. Transparent cash price. Stay for surgery if it’s right, or take the plan back to your original surgeon.

Explore second opinion — $750

FAQ

Can an MRI alone decide if I need surgery?

No. MRI matters a lot — it does not make the decision alone. We combine imaging with your age, activity, demand level, and exam. When those line up, we review non-surgical options next.

Do we always try non-surgical care first?

When it can realistically help, yes — sometimes stepwise. When it isn’t realistic, we say so and don’t waste your time.

Why does experience matter so much for knee surgery?

Surgical skill compounds over years. Experienced surgeons tend toward shorter operative times, higher success rates, lower infection rates, and better recoveries. Knee surgery is often a one-way street — you want that experience on your side.

How fast will I recover?

It depends on the procedure and your functional level. Some meniscus surgeries bounce back within about a week. ACL and replacement recoveries are longer. We’ll give you a realistic range for your case.

Can I get a second opinion here?

Yes — imaging review, consult, written plan. Transparent cash price.

Start intake

Takes about a minute. We’ll follow up within one business day. Prefer to talk now? (972) 457-1530

Call now