The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: clv on March 06, 2010, 06:44:02 PM

Post by: clv on March 06, 2010, 06:44:02 PM
I am new to this forum; thank you for allowing me. In January I fell down the steps twisting my left leg backwards. I later discovered the ACL was previously severed 15 yrs ago in a ski accident. Consequently some bad injury with the stairs fall: double fx of the condyle, med and lat femoral; torn med meniscus and mcl.
Surgical repair was 5 days ago. OATS procedure for the 7mm divet in the bare bone condyle; allograft ACL; trimmed the meniscus.  I am mostly horizontal with cryocuff. NWB with crutches when up to BR or meals. I am wondering what the rehab is for the combined ACL and OATS surgery. I see the CPM machine is sometimes used; I was told absolutely no wt bearing.

I appreciate any comments or advice you may give. thanks
Post by: Lottiefox on March 06, 2010, 06:56:22 PM
Hi and welcome,

There is a great diary from someone who had ACLr and OATS last year:

I can't comment on specifics of your rehab but no weight bearing certainly sounds right after OATS in that location. Some surgeons use CPM, others don't. Here in the UK we rarely use them, where are you based? Do you have PT follow up or a rehab protocol to follow? After surgery it is important to try and get your range of motion regained in a structured way and you should have a specific plan for how far and how much you are allowed to bend your knee.

I am sure someone will be along soon with more specific advice but have a read of Craig's diary, it is very helpful

Good luck

Lottie  :)
Post by: lostandhopeles on March 07, 2010, 06:23:41 PM
  Sorry to hear of the mishap, Life sure does turn on a dime. I had hurt my left knee 2 1/2 years ago. No problems prior to this. on May 15 2009  the O/S did an OATS procedure to the knee. Two plugs from a non weight bearing part of my knee. It has been an up and down time since then. If you are on Tramadol for pain find an alternative it was a nasty drug for me. I was NWB for 12 weeks and used the CPM for the first 6 weeks. This has been the hardest time of my life!! I am 46 now. I have returned to walking as much as I want/can. I have been unable to return to full work. (may never) I had a very physical job. I have good days and bad. If I do nothing or very little there is almost no pain. As I increase what I do the leg does ok, but after I sit for a while I have problems when I get started again. At my last O/S appt I was to I could NOT kneel and to limit any squating. These may be forever limations. I see the O/S tomorrow and will report back.
Post by: clv on March 07, 2010, 06:49:14 PM
 Hi, what I already love about this forum is the opportunity to connect with others in a similar (or worse) boat. One can certainly feel alone in this mess. And you are so does turn on a dime. Split second occurrences can turn your life upside down. Reading others' stories makes me feel "lucky" by comparison. But I am still miserable! I was planning to dive the Blue Hole in Belize for my honeymoon end of February but instead, I was on crutches planning my knee surgery.  :(

I am in the Pacific Northwest, USA. I work as a clinical nurse specialist in wound care at the VA hospital and run a wound clinic. Now I'm off for at least 6 wk and have my new husband waiting on me. Ugh this is the WORST.

A friend remarked that some yrs ago, the OATS procedure would not be done on a 60 yr old woman. huh!?

I wonder if there is any chance I can regain mobility enuf to do a hike to Machu Picchu? Maybe that's too much to ask.

Lottiefox, I read thru the blog as you suggested on the ACL and OATS procedure. Its interesting to read how many people have accidents during the post op period with crutches slipping or tripping etc. Thank you for the connection with Craig's blog. It was painful to read but helpful too.

BTW, I had my right ACL rebuilt in 1997 using the patellar tendon. My right knee was referred to as my bad knee b/c I couldn't squat or do the childs pose in YOGA due to pain. I had chronic tendonitis and always hurt. Also had the jiggle-leg esp on airplanes and at night after an active day. Anyone else have the phenomenon (jiggle-leg)?

Thank you again for your kind words and lostandhopeless, please know you are not alone.  ;D
Post by: Dad3 on March 10, 2010, 09:23:05 AM
Hello - it's Craig here from that very own blog.
Apologies for not replying sooner, but now "i am officially fixed"  ;D - i'm getting on with life.
I've now got three full time jobs !!!! - Househusband, employed (for the time being) by my employer and also started up my own business!!!

Back on track - it is a mountain to climb, to have the surgery, to do the sitting on your ass thing for weeks/months on end - but it is worth it!
I sprinted yes sprinted across a road on Monday (so i didnt become a hood ornament for a truck) and i managed it! No pain, no collapse, no grinding! Best feeling in the world - apart from a bottle of Rioja and Lasagne of course!

wishing you all the best from the other side of the pond, and also from someone who feels so positive about the outcome!


PS - Lottie - wishing you all the best! ;)
Post by: clv on March 26, 2010, 01:26:28 AM
Craig, wow, thanks for the note and your current active status. Its wunnerful to read and picture you sprinting with that amazingly painful history. After recovering from my horrid right knee surgery 13 yrs ago, I wanted to reassure people on crutches that IT WILL GET BETTER! Now I am finding myself in that same period of sitting on my duff all day every day while my husband does everything including filling the ice bucket, carrying my computer and I phone up and down the stairs. I am sick of this!! I am 3 1/2 weeks post op with 2 1/2 wks to go till weight bearing and discarding the crutches.

Craig, one question: how was it for you when you began to bear weight? I can't imagine going from not walking to walking and working. Please try to remember how much pain and swelling you had so I can plan my time when I return to work. Thanks! :-*
Post by: Dad3 on March 27, 2010, 01:05:05 PM
My knee is still slightly swollen, in comparison to the left knee. This will always be the case due to my CMP grade 4.

I started by standing up from the couch and putting both feet on the ground, whilst still using both crutches. Then taking some of the weight on my legs - which i expected to be painfull, but it wasn't.

From there i dropped the right crutch (Physio advised to drop the opposite crutch to the operation). I then started walking with crutch in left hand, weight bearing mainly on the left, with some weight transfer onto the right. It was at this point i was doing hydrotherapy, which really gives you confidence - as the water supports your body weight. I did hydro for 4 weeks.

Biggest issue for me was getting muscle control back for goign up and down stairs. I can now go upstairs without a problem, even taking two at a time when im in a rush, coming back down however is still difficult.
The issue with coming downstairs, is that lowering the weight from right to left, kind of forces me to let the weight go in a single go, whereas when i use the other leg i control the descent. But, it is improving.

I still have pain - i've returned to work and the head office is 100 miles away - so i've been driving down there. However, i find the journey difficult so i have to stop several times and walkaround for a few minutes. I also have to take ibuprofen and paracetamol in 4 hourly rotations. When i work from home, i have the opportunity to move around/ice etc which negates the need for painkillers.

Being off your feet for a few weeks does give you the chance to think and re-prioritise - and makes you appreciate what/who you've got.

Im still walking and exercising every day, and i'm still using leg weights for straight leg raises. Probably will for a long time yet.

Good luck, keep with it and don't rush it - regardless of how frustrating it is.  ;)