Advertisement


Advertisement


Advertisement


Author Topic: ACL reconstruction with hamstring graft and meniscus repair on old injury  (Read 600 times)

Offline Tahoeknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
Finally bit the bullet and got ACL surgery on my old snowboard injury I sustained almost two years ago. Originally I was on crutches for 3 months and didn't have insurance to get an MRI, I was diagnosed by two physical therapists as only have a meniscus tear, so I believed it would be ok and continued to surf while I gave up snowboarding and most activities that require running and jumping. Now at 27 I have health insurance and went in for an MRI after having another of about 10 total incidents in two years of what had felt like knee dislocations. The MRI showed a complete tear of the ACL and major damage to both sides of the meniscus I believe all occurred upon impact with a large boulder at high speed on the deepest power day I've ever been in while in the backcountry of Lake Tahoe. Two years later I was happy with the progress my knee had made but reluctantly decided to get surgery to prevent future meniscus damage and possible improved quality of life even though I was quite fulfilled just surfing with rare pain. Today is day one after having surgery with doctor Cathrine Robertson of La Jolla CA I received just a normal brace with out inner ice compress as I have seen it some models, I opted for an epidural so I'm just starting to feel my knee again, the epidural was great I could feel my very upper thigh and my foot but nothing inbetween. Feeling is slowly seating to come back about 24 hours later. So far pain is very manageable about 1 or 2 on a scale to ten. I got in for my first physical therapy next week and will update then.

Offline Tahoeknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
Re: ACL reconstruction with hamstring graft and meniscus repair on old injury
« Reply #1 on: December 25, 2012, 04:18:24 AM »
Already had a PT session 2 days post op felt good to move my knee again although a bit weird at first. I've been taking a fair a amount of Percocet and suffering constipation as a result I'm going to try a day without them tomorrow. During the PT I had a good range of motion about 70 degrees and two days later I can get to ninety degrees without help. I can feel muscles around my knee getting stronger I was given a list of light exercises to do a few times a day. The knee is still swollen but coming down rapidly I would say its gone down by over 50% from when I first saw it in day 2. Pain has been very manageable almost to the point that it worries me if I have lost some sensation there is a bit of numbness just below my knee on the outside still, I'm not sure if that's normal but I am seeing the surgeon and PT this Friday its a question I will be sure to ask. Almost feels like it could support some weight but I have been warned against trying for at least 3-4 weeks. I do wanna start driving again soon, I drove after my original injury with my left foot and did fine anybody have any experience trying to drive after ACL reconstruction?

Offline Tahoeknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
Re: ACL reconstruction with hamstring graft and meniscus repair on old injury
« Reply #2 on: December 28, 2012, 04:24:58 AM »
Going to the doctor for my post op appointment tomorrow, today is 8 days post op, swelling is way down, brusing is way down, sensation is up strength is up. Ankle is not as swollen as well, I've been icing and bed rest for the last week, stoked to the doctor and PT tomorrow does anyone know of some good questions to ask my surgeon? I was way out of it when i was released and litereally remember nothing of our encounter post op. Still pretty numb directly on shin bone and brusing is still there just streaky and not deep purple like before. I've been off pain meds since Tuesday and the pain has been very low, except for one seemingly random shape pain I believe located at the graft site, but that ways days ago and it hasn't happened since. I feeling like I'm ready to push the PT more but I haven't yet just stuck with 2-3 times a day. I also wanna hit the gym a bit I'm afraid to wear myself out whle the wound is so fresh. Ive been very careful not to go past 90 degrees even this I feel I could, but my post op plan says to keep within 90 until week two.

Offline Tahoeknee

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
Ok I'm on week three of rehab and if anything I'm moving to fast. I've been doing upper body at the gym since just after week one, trying to keep lean and light so my knee has an easy time getting back to load bearing. Went to PT a couple days ago and my range of motion is possible more than what I should have allowed, but it makes it so I can use a normal exercise bike, so I've been doing about a mile a day on the stationary bike as well as all my previous rehab exercise I do mostly at home. Swelling is down, but does go up after biking or walking, I still ice on the regular. I still have my brace locked, I was told that next week it would be unlocked, so my next PT is on Thursday which will be 4 weeks and one day. I've been using one crutch mostly or none if the distance is short. Feels pretty solid but I do get pain in the inside where the stitches are ever once and a while, I was told it was nothing to worry about. Still pretty weak in the quad but it has been getting stronger slowly I can see more definition than last week and today I was finally able to do these slightly to the outside rotated leg lifts without a brace or pain. I started taking creatine, not so sure about it yet, I've heard it has no effect on progressing ACL rehab but I figured I would give it a try. I've also started taking GNC joint health vitamin packs. Anyone have any advice on rehab, such as how often and how intense? I still just doing 2 times a day, even though it feels like I could do more. I was told that in weeks 4-6 the knee can be at its most vulnerable. Anyone know why? Going well all in all.

Offline Snowy

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2531
  • Liked: 25
Quote
I was told that in weeks 4-6 the knee can be at its most vulnerable. Anyone know why?

Yes - this is the period during which your new ACL graft is at its weakest. When it's first placed in your knee, it actually gets weaker for a short time as cells die off. Then it establishes its own blood supply, and begins to revascularize and then strengthen. This process takes time, which is why rehab is so carefully structured and seems so agonizingly slow at the beginning. There's some more information on this process here if you're interested:

http://www.kneeguru.co.uk/KNEEnotes/node/1644

Quote
Anyone have any advice on rehab, such as how often and how intense?

This is a question for your physiotherapist and/or surgeon. Every ACL recovery is individual; pace of rehab will depend on a number of variables including graft type, fixation method, and any other work done to the knee at the same time (like your meniscus repair). Don't be tempted to push beyond what they tell you is safe at this point, for the reasons outlined above. It's really important to stick to your protocol and give the graft time to heal and strengthen. Having said that, if there are areas where you feel like you could be doing more it's definitely worth asking - there are plenty of exercises that you can do safely without stressing the graft, and they may be happy for you to up the volume on these. 

From your description, it sounds as though you're doing really well and everything is going smoothly. Getting quad definition back so soon after surgery is great. Best of luck with your continued recovery!
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

 














support