The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: swinch on August 20, 2008, 08:22:10 PM

Title: ACL repair ? surgeon
Post by: swinch on August 20, 2008, 08:22:10 PM
I'm due to have repair of ACL rupture, tear of medial collateral ligament and repair of possible injury to the postero-lateral corner.  I am worried as I cannot find the name of my orthopaedic surgeon on Kneeguru.  He is Karl von Lehndorff.  Any feedback would be very welcome.
Title: Re: ACL repair ? surgeon
Post by: queeny on August 20, 2008, 08:40:28 PM
I wouldnt worry too much about him being on KG  but I would read as much as I can and find out more about what he proposes to do. For instance:

What ACL graft is he going to use?
Is he going to repair/reconstruct the MCL?
If reconstructing the MCL, what is he reconstructing it with (allograft or what type of autograft)?
How is he going to decide whether he needs to do anything with the PLC? For instance, examination under anasthetic, then if positive, open you up? Or explore arthroscopically? Or just cut the side of your leg open and see?
Has he done PLC surgery before?
What are his success rates like?

and so on...

It's good to write a list of questions to take in when you see him. Once you have the answers to all your questions, you're in a much better position to decide whether you actually happy having him operate on your knee.
Title: Re: ACL repair ? surgeon
Post by: Kaputt_Knee on August 21, 2008, 09:47:59 AM
I've found him listed for the Central Middlesex Hospital on the NHS and as a private consultant at the Lister and Wellington private clinics, both of which are listed here on this site.

As Queeny said, find out what graft he favours and why as this is a major issue in terms of rehab. The fact that he has recognised that there maybe a PLC injury is a good indicator as many surgeons do not even mention it or possibly know about it (non-knee orthopaedic specialists). The MCL is often not repaired as it seems to have the facility to heal itself. My MCL tear was left to heal on its own which it did. My LCL tear was completely missed as was the damage to the PLC. This has now all been remedied in a long revision operation last week.

He is German trained, qualified in 1986 in Cologne which has an excellent reputation here in Germany. He is also a member of the German aristocracy, not that it means much to his medical know how  ;D. Either his grandfather or uncle was executed for being involved in the July 1944 Bomb plot to assassinate Hitler.

Are you seeing him under the NHS or privately? You may have more time to question and prepare if it is a private consultation. If under the NHS, insist on talking to him not his Senior Registrar or any others on the team under him. It may delay things but at least you will get the chance to question the guy who will be directing the operation.

Sue  ;) in Germany
Title: Re: ACL repair ? surgeon
Post by: swinch on August 21, 2008, 07:05:24 PM
Thanks queeny and Kaputtknee - lots of help.  I'm new to all this.  I'm seeing him privately.  But only thing is I can't find him on the Wellington Hospital website, which is disappointing.  I'll have to pluck up the courage to do some serious questioning.