Hello all!! A bit of background: at age 34 (2006) I totally blew the ACL in my left knee; partial MCL tear as well as damaged medial meniscus. ACL was replaced with allograft, MCL repaired, and 75% of medial meniscus removed. Spent prob 6 months in PT (Active Duty U.S. Marine); at end of therapy was pretty much "just like new". Fast-forward to late 2008 - while deployed in Afganistan stepped on a double-fist sized rock in the dark; felt knee "separate", but after a couple of days seemed back to normal. However, since then stability has been suspect, running or other impact sports requires ice / anti-infalmmatories, pain and consequences from running have gotten progressively worse. Finally was able to get into an OS, and after a CT, MRI, and hip-to-ankle xray he confirmed my suspicions - the ACL is non-functional. OS stated that the causes of ACL failure were most likely because original tunnels were drilled "too vertically." In addition I have early stages of OA in the medial compartment; between the removed meniscus and the OA the gap has almost disappeared.
OS' recommendation is an Open-Wedge HTO; during the same surgery he would fill the original tunnels as they are too big to drill around or re-use. He estimates 5-6 month recovery, at which time the ACL revision would be performed, with another 4-6 month recovery.
As I am just now 40, I have to decide on whether to be down a year in the hopes that the HTO and ACL revision allow me to continue my career in the Marines as well as get back to running, walking, etc relatively pain-free...knowing that a TKR is most likely down the road for me regardless.
Anyone who has had a similar procedure - thoughts or regrets? My OS did say I could choose to try to deal with it until it becomes unbearable...at which point a TKR would be the only solution. THanks,